ABSTRACT
Valid/ Invalid6
Information provided by:
Name and signature:
Date:
Note: 1. Name of the product for which complaint is received. 2. Batch number of the product. 3. Nature of complaint, for example, the description of complaint will be entered in this
column. 4. In this column, the name of complainant will be entered, for example, if it is from a cus-
tomer, from health regulatory laboratory, or from a pharmacy store. 5. Details of the corrective measures taken. 6. Conclusion, if the complaint was genuine or not.
