Product Complaint Intimation / Adverse Event Reporting form

New Arrival

BRIVAN BIOTECH, founded in 2017, specializes in Cardiac-Diabetic, psychiatric, cancer, antibiotics, and acute therapies with trusted quality.

Name *

Phone *

Email Address *

Country

Date

Product Name and Strength

Description of Complaint *

Batch Number

Manufacturing Year

Manufacturing Month

Expiry Month

Expiry Year

Complaint Sample Available?YesNo

Select Files

Note: Please upload files up to 16MB.(File type can be DOC, DOCX, PDF, JPG, JPEG, PNG and Video.)(Max Video size is 8MB.)

Trusted pharmaceutical leader since 2017, delivering innovative therapies for Cardiac-Diabetic, Psychiatry, and Antibiotics worldwide.