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Contact number:

400 007 5658

Contact Us
Adverse Drug Effect

Adverse reaction report


TEL：021-5497 3497

24 hour hotline：400-007-5658

Email：AEreport@anbison.com

Patient Name*

Accept/Reject follow-up*

Yes

  • No

    • Gender*

    Male

  • Female

    • Age

    Reporter Name*

    Reporter PhoneNumber*

    Approval Number

    Reason for medication use

    Adverse Reactions*

    Drug Name*

    Montelukast Sodium Tablet

    Montelukast Sodium Chewable Ta

    Tamsulosin Hydrochloride Susta

    Felodipine Extended-Release Ta

    Other

    Description of Adverse Reaction Process*

    Captcha*