國家食品藥品監督管理局行政復議法律文書示范文本——

行政復議聽證筆錄

案由：      （寫明相關的案件事由） 。

聽證時間：  年  月  日  午 時  分至  午  時  分 
地點：                                                          
主持人：                                                          

聽證員：                                                      

記錄人：                                                           

申請人：                                                                      
被申請人：                                                             
第三人：                                                           

證人：                                                        
審理記錄：                                                       
                                                               

申請人：                       被申請人：            

（簽字或蓋章）                   （簽字或蓋章）

第三人：                        證   人：              

（簽字或蓋章）                   （簽字或蓋章）