(b) The record must contain—

1. (1) The radiopharmaceutical;
2. (2) The patient's or human research subject's name, or identification number if one has been assigned;
3. (3) The prescribed dosage, the determined dosage, or a notation that the total activity is less than 1.1 MBq (30 µCi);
4. (4) The date and time of the dosage determination; and
5. (5) The name of the individual who determined the dosage.