ANNEXURE – II

SUN MOON PHARMACEUTICALS PVT. LTD.

Plot No. N-65, M.I.D.C. Tarapur Boisar, Dist. Palghar, Maharashtra-401 506.
MARKET COMPLAINT FORM
Complaint No: Date: Page No. : 1 of 2
Prepared By Reviewed By Approved By
Sign. with
Date.

(To be filled By QA)

Product Name: Batch No:
Mfg. Date: Exp. Date:

Complaint detail:

Name and address of the

Customer from which
complaints received.

Nature of the complaint:  Quality Packing  Documents

Test parameters:
Limit:
Category of Complaint:  Critical  Major  Minor
Date of receipt of complaint:
Quantity of Dispatched
Date of dispatch:
material:
Packing details:
Previous Similar Complaint:
Investigation Team
Members/Dept.:
Investigation Details:

SOP/QA/005-F02.00 The document is covered under IPR of Sun Moon Pharmaceuticals Pvt. Ltd. and should not be reproduced without authorization.
 ANNEXURE – II
SUN MOON PHARMACEUTICALS PVT. LTD.
Plot No. N-65, M.I.D.C. Tarapur Boisar, Dist. Palghar, Maharashtra-401 506.
MARKET COMPLAINT FORM
Complaint No: Date: Page No. : 2 of 2
Prepared By Reviewed By Approved By
Sign. with
Date.

Root Cause:

Sign/Date Sign/Date Sign/Date

Production: _____________ QC _____________ QA: _____________

Corrective and Preventive Action:(Filled by respective department)

Sign and Date

Preventive Action: (Filled by respective department)

Sign and Date

List of attachments:

Complaint closed On:

Comments:

QA Head
Sign and Date

SOP/QA/005-F02.00 The document is covered under IPR of Sun Moon Pharmaceuticals Pvt. Ltd. and should not be reproduced without authorization.