Customer Care Product Complaint Reporting Adverse Event Reporting Customer Feedback Product Complaint Reporting Adverse Event Reporting Customer Feedback Product Complaint Reporting Please enable JavaScript in your browser to complete this form.NAME *EMAIL *TELEPHONEPRODUCT/MATERIAL NAME *DOSAGECOMPLAINT DETAILS *SEND Adverse Event Reporting Please enable JavaScript in your browser to complete this form.NAME *EMAILTELEPHONENATIONALITYDATE OF BIRTHWEIGHTSEX *MFQATARI IDPHYSICIAN NAMEDRUG (TRADE/BRAND NAME) *ROUTE (ORAL, INTRAVENOUS…)DAILY DOSE *START DATE *DATE STOPPEDINDICATIONSUSPECTED REACTIONS *OTHER DRUGS CONSUMEDROUTE (ORAL, INTRAVENOUS…)DAILY DOSESTART DATEDATE STOPPEDINDICATION (REASON OF USE)SEND Customer Feedback Please enable JavaScript in your browser to complete this form.NAMEEMAILTELEPHONEMESSAGESEND
