Post-Market Evaluation

01

Pharmacy / sales center

Pharmacy / sales center name *Registration numberCenter managerTechnical managerShift managerCenter address

02

Product information

Method of product useProduct usersPurpose of use (medical / cosmetic lens)Product name(s) *Approximate sales quantity for each productManufacturing dateExpiry dateBatch No.

03

Evaluation parameters

04

Final information

Pharmacy / sales center commentsName of pharmacy / sales center representative *

This online form captures the operational fields of the MFDS post-market evaluation record. Physical stamp/signature fields are not collected online.