AboutUs Profile

Adverse Event Reporting


Patient Information



Event Description

Drug Use Detail

Suspect Drug details(Unit dose/strength & Form)

Indication

Dosage/ Unit/ Frequency

Route

Treatment Dates

* Start Date

* End (or Ongoing)

* Lot/Batch #

* Expiration Date


Reporter Information

If you would like to send us information by post, please download the form here and mail to the following address:

Download the form here

Department of Medical Service and pharmacovigilance:
Lotus Corporate Park,
20th floor (Wing B) and 18th floor (Wing B & F),
Off Western Express Highway,
Goregaon (East), Mumbai – 400063
Toll-free No: 1800 266 9347
E-Mail: drug.safety@fdcindia.com