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Patient Request - Docx693885243
Patient Request - Docx693885243
Doctor Name
Hospital / Clinic
No. of Sovaldi 28
Tabs Pack
As this drug is not available in Pakistan, you are requested to kindly allow
Ferozsons Laboratories Limited(http://www.ferozsons-labs.com/) to import
______ Packs of Sovaldi 28 tabs (Sofosbuvir 400mg) for me, through Gilead
Sciences Foster City, CA,333 Lakeside Drive Foster City, CA, United
States (http://Gilead.com/), who have the rights to the drug and authorize
Ferozsons-Labs. Ltd. to import Sovaldi into Pakistan.
I would appreciate if you kindly issue me NOC for import of this drug for
my PERSONAL USE ONLY.
Yours Truly,
Name: _______________________________
Signature: ____________________________
CNIC # _______________________________