• 34 Mausoleum Lane, Opposite Apra House
    North Industrial Area Accra-Ghana
  • +233 (0)302231529
    info@ourgoldentower.com

GOLDEN TOWER LIMITED

SEEN IT? FELT IT? THEN REPORT IT !!!

Report a Drug Reaction

Fill the form below

    MaleFemale

    Date medicine was started*

    Date medicine was ended*

    Start date of the reaction*

    End date of the reaction*

    Outcome of the reaction (tick) Patient recoveredNot recoveredThe outcome unknown

     

    If the reporter is not the one experiencing the adverse drug reaction

    Attach a picture of suspected drug(jpg,png,pdf), If any visible side effect eg. rash

    Translate »