Bahagian III: Maklumat Bentuk Dos Produk Yang Dikilangkan (Sila tanda yang berkenaan)
Part III: Particulars of Dosage Form of Product Manufactured (Please tick which is appropriate)
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Farmaseutikal (Racun & Bukan Racun)
Pharmaceutical (Poison & Non-Poison)
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Tablet (Tablet)
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Serbuk/Granul (Powder/Granule)
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Persediaan Steril (LVP/SVP/Gel) (Sterile Preparation)
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Pil (Pill)
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Kapsul (Capsule)
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Sachet (Sachet)
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Losyen (Lotion)
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Salap (Ointment)
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Gel (Gel)
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Krim (Cream)
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Cecair internal/Cecair eksternal (Liquid internal/external)
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Lain-lain. Sila nyatakan .................................
(Others. Please specify ................................)
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Bioteknologi / Biologikal
Biotechnology/Biological
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Persediaan Steril (LVP/SVP/Gel) (Sterile Preparation)
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Lain-lain. Sila nyatakan .................................
(Others. Please specify ................................)
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Tradisional
Traditional
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Tablet (Tablet)
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Serbuk/Granul (Powder/Granule)
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Kapsul (Capsule)
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Gel (Gel) Pil (Pill)
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Krim (Cream)
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Sachet (Sachet)
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Losyen (Lotion)
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Salap (Ointment)
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Cecair internal/Cecair eksternal (Liquid internal/external)
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Lain-lain. Sila nyatakan .................................
(Others. Please specify ................................)
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Suplemen Kesihatan
Health Supplement
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Tablet (Tablet)
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Serbuk/Granul (Powder/Granule)
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Kapsul (Capsule)
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Sachet (Sachet)
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Cecair internal/Cecair eksternal (Liquid internal/external)
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Lain-lain. Sila nyatakan .................................
(Others. Please specify
....................................)
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Veterinar*
Veterinary
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Racun (Poison)
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Bukan Racun (Non-poison)
*Rujuk Pengawalan Bahan Tambahan Makan Haiwan/Feed Additive Termasuk Produck Suplemen Kesihatan/Dietary Supplemens dan Produk Herbal/Natural
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Tablet (Tablet)
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Serbuk/Granul (Powder/Granule)
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Persediaan Steril (LVP/SVP/Gel,dll) (Sterile Preparation)
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Cecair internal/eksternal (Liquid internal/external)
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Lain-lain. Sila nyatakan ...........................
(Others. Please specify ................................)
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Bahan Aktif Farmaseutikal
(Active Pharmaceutical Ingredient)
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Serbuk/Granul (Powder/Granule)
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Persediaan Steril (LVP/SVP/Gel,dll) (Sterile Preparation)
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Sachet (Sachet)
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Cecair internal/eksternal (Liquid internal/external)
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Lain-lain. Sila nyatakan .................................
(Others. Please specify
....................................)
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Kosmetik
Cosmetic
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Serbuk/Granul (Powder/Granule)
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Cecair eksternal (Liquid external)
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Losyen (Lotion)
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Gel (Gel)
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Krim (Cream)
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Gincu (Lipstick)
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Aerosol
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Lain-lain. Sila nyatakan ...........................
(Others. Please specify
....................................)
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Fasiliti Kesihatan
Healthcare Establishment
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CDR
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Non-CDR : TPN/IV Admixture/ Eye Drop
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Kit based/ Radioiodine/ Blood Radiolabelled
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Lain-lain
Others
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Sila nyatakan
Please specify
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