侦查实验笔录
时间_______年_______月_______日_______时_______分
至_______年_______月_______日_______时_______分
地点___________________________________________________________________________
侦查人员姓名、单位:_____________________________________________________________
_______________________________________________________________________________
侦查实验目的:__________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
过程及结果:____________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
侦查人员:_____________________________________________________________________
记录人:________________________________________________________________________