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  • HCT (Service Fee)

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    surafel
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    HCT (Service fee)

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    Download as docx, pdf, or txt
    2 views1 page

    HCT (Service Fee)

    Uploaded by

    surafel

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    የኢትዮጵ ያ ምግብና ፣ መድኃኒትና የጤና ክብካቤ አስተዳደርና ቁጥጥር ባለሥልጣን

    FOOD, MEDICINE AND HEALTH CARE

    ADMINISTRATION AND CONTROL AUTHORITY OF ETHIOPIA


    Brand Generic Name Strength Dosage BE Manufact Country Agent Reg. Prescreenin Evaluation Laboratory Test Total CPO
    Name Form urer type g fee (Birr) fee /batch total /Receipt
    Fee (Birr) (Birr ) batch Number

    HCT-SSP 25 HCT 25 mg 25 mg Tablet NA SSP Ethiopia NA - NA NA 1000 1


    Tablet
    Total 1000

    Pay for Dossier prescreening/Evaluation / Laboratory Test Service

    Completed by: Date: Signature:

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