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Product Complaint
Product Complaint
WCBS
2023-12-05T11:52:09+02:00
Product Name
*
Serial number of the unit
*
Name and surname of complainant
First
Last
Email address of complainant
*
Name and surname of recipient
First
Last
Hospital name and ward where recipient is at
*
Hospital/Folder number of recipient
*
Description of the complaint
*
Date of complaint
*
Blood Bank where the product was received from
*
Please select
Groote Schuur Blood Bank
Tygerberg Blood Bank
Red Cross Blood Bank
Khayelitsha Blood Bank
Mediclinic Vergelegen Blood Bank
Paarl Blood Bank
Worcester Blood Bank
George Blood Bank
Important notice - Please return the product pack as well as the giving set to the Blood Bank
Are you human?
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