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1245 25 Clinical Tracking Log - Site 62002 - Late Cioms Reporting 9 October 2014
1245 25 Clinical Tracking Log - Site 62002 - Late Cioms Reporting 9 October 2014
30/10/2014
Protocol Number:
1245.25
Sponsor:
Boehringer Ingelheim
Investigator Name:
Site No.:
62002
Date
Description
Subject ID
Initials
Type
04:57 PM
Additional Comments
ID Number
09/10/2014
26
Investigator Signature
Date
Page 1
Where Occured Date=2014 OCT 09 and Sponsor Site ID=Harbuwono
Clinical Tracking Log (2367) - Printed: 30/10/2014 16:57:37:.326