DRUG SAFETY REPORTING

Adverse Drug Report (ADR) & Adverse Events (AE) Reporting Details for Healthcare Professionals (HCP)

ENTOD Pharmaceuticals Ltd

Email: contact@entodpharma.com

Tel: +91 22 2644 2052

Postal Address:

Swami Vivekananda Road, Opp. Badi Masjid, Santosh Nagar, Bandra West, Mumbai 400050 , Maharashtra, INDIA

Download and Submit the ADR & ADE Reporting Form Below

DOWNLOAD

ADR & ADE Reporting Form (pdf)Download

SUBMIT FORM

Or email it back to contact@entodpharma.com

Name of HCP*

Email*

Mobile Number*

Attach ADRA/ADE Reporting Form

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