Pharmaceutical Lot Release Authorization

Product Name:
Lot Number:
Batch Number:
Manufacture Date:
Expiry Date:
Quantity:
Packaging:

Quality Control Assessment

Test Specification Result Pass/Fail
Deviation(s) Noted:
Remarks:

Authorization

Authorized By
Date:
Quality Assurance
Date:
This document certifies that the above-mentioned lot has met the required specifications and has been authorized for release.