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พระราชบัญญัติป้องกันและปราบปรามยาเสพติด พ.ศ. ๒๕๑๙
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รายละเอียดวัตถุที่ทำการตรวจพิสูจน์
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ผลการตรวจพิสูจน์
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ยาเสพติดที่เหลือจากการตรวจพิสูจน์
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(ลงชื่อ) ...........................................ผู้ตรวจพิสูจน์
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ตำแหน่ง .........................................
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