Common use of Warrant Shares Exercise Log Clause in Contracts

Warrant Shares Exercise Log. Date Number of Number of Warrant Shares Number Warrant Shares Available of Warrant Remaining to be Shares to be Exercised Exercised Exercised -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- FORM OF ASSIGNMENT [To be completed and signed only upon transfer of Warrant] FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto ___________ the right represented by the within Warrant to purchase _______ shares of Common Stock of Modern Medical Modalities Corporation to which the within Warrant relates and appoints ___________________ attorney to transfer said right on the books of Modern Medical Modalities Corporation with full power of substitution in the premises. Dated: __________, ____ -------------------------------- (Signature must conform in all ` respects to name of holder as specified on the face of the Warrant) -------------------------------- Address of Transferee -------------------------------- -------------------------------- In the presence of: _______________________________

Warrant Shares Exercise Log. Date Number of Warrant Number of Warrant Number of Warrant Shares Number Warrant Shares Available of Warrant Remaining to be Shares Exercised Shares Remaining to Exercised be Exercised Exercised Exercised -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- FORM OF ASSIGNMENT [To be completed and signed only upon transfer of Warrant] FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto ____________ the right represented by the within Warrant to purchase _________ shares of Common Stock of Modern Medical Modalities Corporation to which the within Warrant relates and appoints ___________________ attorney to transfer said right on the books of Modern Medical Modalities Corporation with full power of substitution in the premises. Dated: ______________, ______ -------------------------------- ---------------------------------------- (Signature must conform in all ` respects to name of holder as specified on the face of the Warrant) -------------------------------- ---------------------------------------- Address of Transferee -------------------------------- -------------------------------- ---------------------------------------- ---------------------------------------- In the presence of: of _______________________________:

Warrant Shares Exercise Log. Date Number of Number of Warrant Shares Number Warrant Shares Available of Warrant Remaining to be Shares to be Exercised Exercised Exercised -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- FORM OF ASSIGNMENT [To be completed and signed only upon transfer of Warrant] FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto _______________ the right represented by the within Warrant to purchase _______ shares of Common Stock of Modern Medical Modalities Corporation to which the within Warrant relates and appoints ___________________ attorney to transfer said right on the books of Modern Medical Modalities Corporation with full power of substitution in the premises. Dated: ____________, ____ -------------------------------- (Signature must conform in all ` respects to name of holder as specified on the face of the Warrant) -------------------------------- Address of Transferee -------------------------------- -------------------------------- In the presence of: _______________________________

Warrant Shares Exercise Log. Date Number of Number of Warrant Shares Number Warrant Shares Available of Warrant Remaining to be Shares to be Exercised Exercised Exercised -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- FORM OF ASSIGNMENT [To be completed and signed only upon transfer of Warrant] FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto ______________ the right represented by the within Warrant to purchase _______ shares of Common Stock of Modern Medical Modalities Corporation to which the within Warrant relates and appoints _____________________ attorney to transfer said right on the books of Modern Medical Modalities Corporation with full power of substitution in the premises. Dated: __________, ____ -------------------------------- (Signature must conform in all ` respects to name of holder as specified on the face of the Warrant) -------------------------------- Address of Transferee -------------------------------- -------------------------------- In the presence of: _______________________________: