Form B

: Bom. XXV] Bombay Prohibition Act, 1949 1.Ins.by G. N. of 14-7-1962. 1 FORM ‘B’ [See rule 19 (2)] Monthly return of spirituous medicinal pr eparations received and sold during the month of ...................... 20 . Name of the Licence................................................................................................................................................................ Address .................................................................................................................................................................................. S. M. P. I Licence No. .............................................................. –––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– Name of theOpening balance onQuantity receiveTotal [Columns (2)Quantity sold duringClosing balance onSignature of the spirituous medicinalthe 1st day of theduring the monthand (3)]the monththe last day of thelicence preparationmonthmonth (1) (2) (3) (4) (5) (6) (7) ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––