Maharashtra Excise Manual
Register

FORM F. L. R. 8

Register maintained by a licensee being a registered medical practitioner showing full names and addresses of persons in whose names prescriptions prescribing brandy or rum are issued.

See rule 16 (2)

Form text (extracted)
8371949 : Bom. XXV]	Bombay Prohibition Act, 1949
FORM F. L. R. 8
[See rule 16 (2)]
Register maintained by a licensee  being a registered medical practitioner showing full names and addresses of
persons in  whose names prescriptions prescribing brandy or rum are issued.
Licence No. . . . . . . . . . . . . . . . .  Name of the licensee . . . . . . . . . . . . . . . . . .
——————————————————————————————————————————————————————————————————————
DatePrescriptionNames of person in whose namesQuantity dispensed on prescriptionNames of registered medical practioners on
 prescriptions prescribing brandywhose prescriptions brandy or rum is
or rum are issueddispensed
--————————————-----------------———————————————————————————————————--————————————------—
No.DateFull name AddressBrandyRumFull nameAddressRegistration
ml.ml.No.
(1) (2) (3)(4) (5)
——————————————————————————————————————————————————————————————————————
——————————————————————————————————————————————————————————————————————
Original PDF (as scanned from printed manual)
This is a page from the printed 2023 Excise Manual containing the form. It may include manual page headers/footers.