生物制品批簽發不合格通知書
Notice of Not Release of Biological Products
批簽X檢XXXXXXXX
No:
制品名稱
Name of the product
生產單位
Manufacturer
地 址
Address
批號 劑型 規格 有傚期至 批量
Lot No Dosage Form Strength Valid until Quantity
經 審 查，中文翻譯，上述制品不符合國傢批簽發的有關規定，不准予以出廠。
The product mentioned above does not ply with the concerned provisions on examination of summary manufacturing protocol and is not approved for release.
不合格項目為
The item(s) of out of specification is (are )
簽發人：
Issued by
.
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