Medical Representative Conformation Form Order number *Doctor NameHospital / pharma / stockist NameMedinews pharma Invoice Number * Medical Representative NameWhich department do you have a problem for? *Received in Good condition Order quantity issues Product Missing / wrongly suppliedProduct damage Package damageAccount problemotherDate / TimeDateTimeFile UploadFile UploadFile UploadFile Upload Your MessageAll the above information are True. I Accepts the terms and conditions, please attach image / screenshot /video above or mail us @ sales@medinewspharma.in with images / screenshot for quick response MessageSubmit
