Biomedical Engineering Reference
In-Depth Information
24.6
attachment forms
abc Pharmaceutical comPany
LEVEL-3
SOP No.: QAS-005
Issued on:
Revision No.:
Initiator name:
ANNEXURE I
Product Recall
Investigation Form I
Problem received on
(by) quality assurance director
Time:
1. Product name :
Strength:
2. Code No.
:
3. Batch No.
:
4. Mfg. date
:
Exp. Date:
5. Pack size
:
6. Problem origin:
a. Department of health:
b. Medical practitioner:
c. Hospital pharmacist:
d. Retail pharmacist:
e. Distributor:
f. End user (patient):
g. Field:
h. Other:
7. Exact nature of problem:
8. Other details:
a.
Name of the problem reporter:
b.
Address of the problem reporter:
Phone No.:
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