{"id":443,"date":"2015-01-15T15:36:54","date_gmt":"2015-01-15T15:36:54","guid":{"rendered":"http:\/\/www.ppukm.ukm.my\/farmasi\/?page_id=443"},"modified":"2025-10-06T00:44:59","modified_gmt":"2025-10-06T00:44:59","slug":"borang-borang","status":"publish","type":"page","link":"https:\/\/hctm.ukm.my\/farmasi\/borang-borang\/","title":{"rendered":"Borang-borang"},"content":{"rendered":"<p>[vc_row][vc_column][vc_column_text]<\/p>\n<h3><span style=\"color: #800080;\">BORANG SARA UBAT<\/span><\/h3>\n<ol>\n<li class=\"style14 style22\"><strong><span style=\"color: #000000;\">Pesara JPA Dan Veteran ATM Berpencen.<\/span><br \/>\n<\/strong>Muat turun <span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https:\/\/pencen.jpa.gov.my\/images\/borang\/Borang_Perubatan1_09_T.pdf\">borang\u00a0ini<\/a>.<\/span><\/li>\n<li class=\"style14 style22\"><strong>Pesara UKM dan HCTM<br \/>\n<\/strong>Muat turun\u00a0<span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https:\/\/hctm.ukm.my\/farmasi\/wp-content\/uploads\/2020\/09\/BORANG-SARA-UBAT-PPUKM_2017-Latest-12072017.pdf\">borang ini (hanya untuk permohonan peralatan\/ubat biologik)<\/a>.<\/span><\/li>\n<\/ol>\n<h3><span style=\"color: #800080;\">BORANG BERKAITAN UBAT-UBATAN<\/span><\/h3>\n<ol>\n<li class=\"style14 style22\"><strong><span style=\"color: #000000;\"><em>Permit Import<\/em> bagi ubat-ubatan yang tidak berdaftar di Malaysia.<\/span><br \/>\n<\/strong><a title=\"Borang Import Permit\" href=\"https:\/\/hctm.ukm.my\/farmasi\/wp-content\/uploads\/2020\/09\/borang-bpf213-1-1-pindaan-2.pdf\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"color: #0000ff;\">Borang\u00a0Permit Import<\/span><\/a><br \/>\n<span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https:\/\/hctm.ukm.my\/farmasi\/wp-content\/uploads\/2020\/09\/panduan-syarat-mengisi-borang-lampiran-bpf213-1-pindaan-1.pdf-2_0.pdf\">Panduan &amp; Syarat-syarat Mengisi Borang BPF\/213-1<\/a><\/span><br \/>\n<span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" title=\"Protokol Permit Import\" href=\"https:\/\/hctm.ukm.my\/farmasi\/wp-content\/uploads\/2020\/09\/Import-Permit-Protocol-amended-jun-2010.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Protokol Permit Import<\/a><\/span><br \/>\n<span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" title=\"CARTA ALIR PERMOHONAN UBAT TIDAK BERDAFTAR\" href=\"https:\/\/hctm.ukm.my\/farmasi\/wp-content\/uploads\/2020\/09\/Carta-alir-permohonan-ubat-tidak-berdaftar.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Carta Alir Permohonan Ubat Tidak Berdaftar<\/a><\/span><\/li>\n<li class=\"style14 style22\"><strong><span style=\"color: #000000;\">Borang keizinan untuk menjalani rawatan dengan ubat di luar indikasi (<em>Off-label Use<\/em>).<\/span><br \/>\n<\/strong><span style=\"color: #0000ff;\"><span style=\"color: #000000;\">Bahasa Melayu<span style=\"color: #0000ff;\">:<\/span><\/span> <a style=\"color: #0000ff;\" href=\"https:\/\/hctm.ukm.my\/farmasi\/wp-content\/uploads\/2025\/08\/BORANG-KEIZINAN-UNTUK-MENJALANI-RAWATAN-DENGAN-UBAT-DILUAR-INDIKASI-OFF-LABEL.pdf\">Borang Keizinan Untuk Menjalani Rawatan dengan Ubat di luar indikasi<\/a><\/span><br \/>\n<em>English: <span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https:\/\/hctm.ukm.my\/farmasi\/wp-content\/uploads\/2025\/08\/CONSENT-FORM-FOR-TREATMENT-WITH-OFF-LABEL-MEDICATION.pdf\">Consent Form for Treatment with Off-Label Indication<\/a><\/span><\/em><\/li>\n<li><span style=\"color: #000000;\"><strong>Borang Pembekalan ubat Off Policy \/ Life Saving<\/strong><\/span><br \/>\n<span style=\"color: #0000ff;\"><span style=\"color: #000000;\">Bahasa Melayu:<\/span> <a style=\"color: #0000ff;\" href=\"https:\/\/hctm.ukm.my\/farmasi\/wp-content\/uploads\/2025\/08\/BORANG-KELULUSAN-INTERIM-PERMINTAAN-UBAT-LUAR-POLISI-OFF-POLICY.pdf\">Borang Kelulusan Interim Permintaan Ubat Luar Polisi<\/a><\/span><br \/>\n<em>English: <span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https:\/\/hctm.ukm.my\/farmasi\/wp-content\/uploads\/2025\/08\/INTERIM-APPROVAL-FORM-FOR-OFF-POLICY-MEDICATION-REQUEST.pdf\">Interim Approval Form for Off-Policy Medication Request<\/a><\/span><\/em><\/li>\n<li><span style=\"color: #000000;\"><strong>Borang Keizinan untuk Menjalani Rawatan Menggunakan Ubat yang Mengandungi Unsur Haiwan<\/strong><\/span><br \/>\n<span style=\"color: #0000ff;\"><span style=\"color: #000000;\">Bahasa Melayu:<\/span> <a style=\"color: #0000ff;\" href=\"https:\/\/hctm.ukm.my\/farmasi\/wp-content\/uploads\/2025\/10\/BORANG-KEIZINAN-UNTUK-MENJALANI-RAWATAN-MENGGUNAKAN-UBAT-YANG-MENGANDUNGI-UNSUR-HAIWAN.pdf\">Borang Keizinan untuk Menjalani Rawatan Menggunakan Ubat yang Mengandungi Unsur Haiwan<\/a><\/span><br \/>\n<em>English: <span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https:\/\/hctm.ukm.my\/farmasi\/wp-content\/uploads\/2025\/10\/CONSENT-FORM-FOR-TREATMENT-USING-MEDICINE-WITH-ANIMAL-ORIGIN.pdf\">Consent Form for Treatment Using Medicine with Animal Origin<\/a><\/span><\/em><\/li>\n<\/ol>\n<h3><span style=\"color: #800080;\">FARMAKOVIGILANS<\/span><\/h3>\n<ol>\n<li class=\"style14 style22\"><strong><span style=\"color: #000000;\">Borang <\/span><em><span style=\"color: #000000;\">Medication Error.<\/span><br \/>\n<\/em><\/strong>Muat turun <a title=\"Borang Medication Error\" href=\"https:\/\/hctm.ukm.my\/farmasi\/wp-content\/uploads\/2025\/08\/medication-error-reporting-form-fr-19-2-1_0.pdf\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"color: #0000ff;\">Borang ME<\/span><\/a>. Sila lengkapkan dan hantar ke Pusat Maklumat Ubat (Drug Information Centre) untuk diproses.<\/li>\n<li class=\"style14 style22\"><strong><span style=\"color: #000000;\">Borang Laporan Aduan Produk.<\/span><br \/>\n<\/strong>Muat turun borang <span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https:\/\/www.npra.gov.my\/images\/reporting\/Borang_NPRA_4186_Rev30.pdf\">di sini<\/a>.<\/span> Sila lengkapkan dan hantar ke Pusat Maklumat Ubat untuk diproses.<\/li>\n<li class=\"style14 style22\"><strong><span style=\"color: #000000;\">Melaporkan Kesan Adverse Ubat (<em>Adverse Drug Reaction)<\/em>.<\/span><br \/>\n<\/strong>Untuk\u00a0<span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https:\/\/hctm.ukm.my\/farmasi\/wp-content\/uploads\/2024\/06\/ADR-FORM-08.05.2024.pdf\" data-saferedirecturl=\"https:\/\/www.google.com\/url?hl=en&amp;q=https:\/\/quest3plus.bpfk.gov.my\/front-end\/adr_res_web_form.php&amp;source=gmail&amp;ust=1502785235611000&amp;usg=AFQjCNFtvinahtgH8JiycKeyPpknGiqgWA\">Ahli Profesional Kesihatan.<\/a><\/span><br \/>\nUntuk\u00a0<span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https:\/\/npra.gov.my\/index.php\/en\/consumers\/reporting\/reporting-side-effects-to-medicines-conserf-or-vaccines-aefi-2.html\" data-saferedirecturl=\"https:\/\/www.google.com\/url?hl=en&amp;q=https:\/\/quest3plus.bpfk.gov.my\/front-end\/conserf_form.php&amp;source=gmail&amp;ust=1502785235611000&amp;usg=AFQjCNHTwt4n_lMJ7SBt0C9U1ScDs-Ltlg\">Orang Awam<\/a>.<\/span><\/li>\n<\/ol>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text] BORANG SARA UBAT Pesara JPA Dan Veteran ATM Berpencen. Muat turun borang\u00a0ini. Pesara UKM dan HCTM Muat turun\u00a0borang ini (hanya untuk permohonan peralatan\/ubat biologik). BORANG BERKAITAN UBAT-UBATAN Permit Import bagi ubat-ubatan yang tidak berdaftar di Malaysia. Borang\u00a0Permit Import Panduan &amp; Syarat-syarat Mengisi Borang BPF\/213-1 Protokol Permit Import Carta Alir Permohonan Ubat Tidak Berdaftar Borang [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-443","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/hctm.ukm.my\/farmasi\/wp-json\/wp\/v2\/pages\/443","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hctm.ukm.my\/farmasi\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/hctm.ukm.my\/farmasi\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/hctm.ukm.my\/farmasi\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/hctm.ukm.my\/farmasi\/wp-json\/wp\/v2\/comments?post=443"}],"version-history":[{"count":24,"href":"https:\/\/hctm.ukm.my\/farmasi\/wp-json\/wp\/v2\/pages\/443\/revisions"}],"predecessor-version":[{"id":2669,"href":"https:\/\/hctm.ukm.my\/farmasi\/wp-json\/wp\/v2\/pages\/443\/revisions\/2669"}],"wp:attachment":[{"href":"https:\/\/hctm.ukm.my\/farmasi\/wp-json\/wp\/v2\/media?parent=443"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}