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Welcome to Astrazeneca's pinkdot program, to complete the registration you need to ensure that the pink dot card is fully filled. on this second page of the card "coupon issue Date" is mandatory to be filled by your doctor. Then tick mark in front of lab from which your doctor wants to do the test is mandatory. on second page patient name, patient email I d, mobile number of the patient or caretaker, patient signature, preferred lab name, Doctor name, Doctor Email I d, Doctor Mobile number is mandatory. Since only H E R 2 negative breast cancer patients are only eligible for this program, Doctor needs to do the tick mark on the check box. Doctor signature and stamp is also mandatory. Coupon which has all the said mandatory details is perfect for registration in the program.