Pharma-Tech
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Pharmacovigilance
Department
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ADVERSE DRUG REACTIONS REPORTING FORM
B.
Reporter Details
(The one supplying the information for this report)
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D.
Adverse Drug Reaction (ADR) Description
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G.
List of other drugs taken
(please list all other drugs taken the last month prior to the ADR excluding the suspected drug(s))
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18, Al lewaa Mahmoud Samy st., from Kaboul st., Makram Ebeid, Nasr City, Cairo, Egypt.
Tel/Fax
: +202 26701089/95
Mobile: 01015158808
E-mail
: info@pharmatech.com.eg
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18, Al Lewaa Mahmoud Samy St., of Kaboul St., Makram Obeid, Nasr City, Cairo, Egypt
Telephone:
(+20) 2 670 10 89 / 95
Fax:
(+20) 2 670 10 89 / 95
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