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Complaint Box
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Complaint Box
Section 1: Basic Information
Full Name
Email Address
Phone Number
City / State
Company / Hospital / Pharmacy Name (optional)
Section 2: Complaint Type (Select One)
Product Quality Issue
Product Availability
Packaging or Labeling Issue
Website Error or Technical Problem
Wrong Information Displayed
Delay in Response or Delivery
Others (please specify)
Section 3: Product Details (if applicable)
Product Name
Manufacturing Date
Expiry Date
Place of Purchase (Distributor / Dealer / Online)
Section 4: Please describe your issue or query in detail
Section 5: Attachments (Optional)
Upload any relevant file or image (e.g., invoice, product photo, screenshot)
Section 6: Preferred Response Method
Email
Phone Call
Submit Complaint