Republic of Botswana - Admin
Republic of Botswana - Admin
Republic of Botswana - Admin
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For <strong>of</strong>fice use only:<br />
Received on……………………. Registration No……………. Received by…………………..<br />
* Specialist reporting can be a Pharmacist, Nurse, Dentist, Pathologist, Medical Practioner, Health care worker,<br />
Midwives, etc. Others include Pharmaceutical industries, Volunteers, etc.<br />
* Key:<br />
M/F = Male/Female, D/M/Y = Date/Month/Year, N/A = Not Available<br />
* What to report:<br />
All suspected reactions to drugs<br />
Unknown or unexpected ADRs<br />
Serious adverse drug reactions<br />
Unexpected therapeutic effects<br />
All suspected drug interactions<br />
Send the Form to:<br />
Drug Regulatory Unit<br />
Ministry <strong>of</strong> Health<br />
P/Bag 0038, Gaborone<br />
<strong>Botswana</strong><br />
Tel: +267- 3632383<br />
Fax: +267- 3170169<br />
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