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Report an Adverse Event

Patient Safety & Medical Governance!

Drug Safety
Pharmacovigilance

Report an Adverse Event

1. Patient
2. Event
3. Reporter

Patient Initials*

Age / Date of Birth*

Gender*

Product Name*

Batch / Lot Number

Event Start Date*

Description of Symptoms*

Reporter Name*

Phone Number*

Email Address*

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Handled per strict DRAP & WHO safety protocols.

I consent to the processing of personal data and agree with the user agreement and privacy policy

Ekstra - Image 1

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Home / Nutritional & Vitamin Supplements / Vitamin Supplement / Ekstra

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Ekstra

Description

Therapeutic Segment: Vitamin Supplement
Generic Name: Vitamin B Complex C.D.E

Available as:

Tablet

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