DRAP Pharmacovigilance Online Management Information System

Drug Vigilance Voluntary Reporting System

  1. About Patient

  2. About Problem

  3. About Product

  4. About Device

  5. About Concomitant

  6. About Reporter

  7. Review & Submit

About Patient

Please Enter Medical Record or File Number

(Patient Identifier)

Please Enter Patient Initials

(Please don't enter patient name, Use only Initials E.g AN for Ahmad Nauman)
 

Age or Date of Birth:





OR  
          
 

Sex:

 

 
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