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Pharma Reporting
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* Indicates required question
Employee Name
*
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Working Area
*
Your answer
Customer Name
*
Your answer
Customer Mobile No
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Customer Age
*
Choose
Less Than 20
20-30
30-40
40-50
Above 50
Gender
*
Male
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Products Explained
*
Therapod-CV
Therapraz
Therapraz-L
4 HeGamet
SheGamet
Fegnancy
Profetus
Therabion
TheraFlam
TheraKast-L
Ppbion
Lfix
FMKast
QuickRx
Qolmax
Required
Shown Interest
*
Therapod-CV
Therapraz
Therapraz-L
4 HeGamet
SheGamet
Fegnancy
Profetus
Therabion
TheraFlam
TheraKast-L
Ppbion
Lfix
FMKast
QuickRx
Qolmax
Required
Next Meeting Schedule
MM
/
DD
/
YYYY
Remarks
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