如果您或您获知其他患者使用宝济产品后发生了或正在发生不良事件，应及时向医疗保健专家寻求建议，并请按以下步骤填写不良事件报告表
Reporter information
Patient information
product information
Adverse event
Additional Information
Your Name *
Your profession *
Please choose
Your unit (if you are a medical staff)
Your phone number *
Do you accept follow -up
Your gender *
Date of birth
Your nationality
Nation/race
Weight (kg)
Height (CM)
Original disease
Doubt the name of the medicine *
Pharmaceutical listing license holder*
Production batch
Usage frequency
Dose every time
Drug start date *
Measures to take Baoji Pharmaceutical products
The end date of the medication (still not filled in still)
Other medicines used at the same time
Date of adverse reactions *
The end of the end of the adverse reaction
Adverse reaction term *
Ending
Description of adverse reaction process *
Other information (you can insert the patient's medical records, check reports, etc. here)
Click or drag and upload
Support ZIP, DOC, DOCX, PDF, JPEG, JPG, PNG format You can only upload 10 files at a time, each cannot exceed 10MB
