Product Complaint

Product Complaint Form

Raising Date 18/06/2026

SECTION A: Product Identification

Product Name

Batch Number

Manufacturing Date

Expiry Date

Strength

Dosage Form

SECTION B: Nature of Complaint

Type of Complaint

Description of Complaint

SECTION C: Complainant Information

Name of Complainant

Contact Number

Address

For any inquiry or to report Product Complaint, please contact us:

+88 01897 65 31 31

10:00 - 18:00

(Except Friday and Government Holidays)

pc@orion-group.net