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DEPT OF RADIODIAGNOSIS –REGISTERS

S.NUM

X ray no

PATIENT
NAME

PREPARED BY QUALITY MANAGER

DATE/TIME

NAME
UHI
CONSULTANT
D

APPROVED BY DIRECTOR

TESTS

RESULTS

SIGN

DEPT OF RADIODIAGNOSIS –REGISTERS EQUIPMENT DETAILS Department Equipment Model Serial No. Manufacturers Name Supplier Address / Contact Details Contact Person Date of Installation Primary Operator Secondary Operator Company Training provided to Staff trained by company trained person Current Location Manufacturer / Supplier’s Instructions User Maintenance Company Maintenance Equipment Service Record QC Schedule Test Calibration Schedule Machine CALIBRATION schedule PREPARED BY QUALITY MANAGER APPROVED BY DIRECTOR .

N O DAT E EQUIPMEN T START TIME PREPARED BY QUALITY MANAGER START BY STOP TIME EQUIPMENT LOG STOP START BY TIME APPROVED BY DIRECTOR START BY STOP TIME STOP BY REMARKS /SIGN .DEPT OF RADIODIAGNOSIS –REGISTERS S.

verified…………….DEPT OF RADIODIAGNOSIS –REGISTERS MAINTAINENCE LOG-X RAY Daily 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Voltage MA KVP Compute r /printer config Done by Verified by Daily Done by Verified by Weekly ……………………………………….. monthly …………………… ………………………………………………. Done by………………………verified by………………. PREPARED BY QUALITY MANAGER APPROVED BY DIRECTOR . Done by ………….. ………………………………………….

DEPT OF RADIODIAGNOSIS –REGISTERS Repeat test record S s.no P Patient name uhid PREPARED BY QUALITY MANAGER Repeated test reason APPROVED BY DIRECTOR Report Delivered on Delivered by remarks .

DEPT OF RADIODIAGNOSIS –REGISTERS ALERT VALUE INFORMATION RECORD S.N O DAT E PATIENT NAME PREPARED BY QUALITY MANAGER UHI D TEST VALUE APPROVED BY DIRECTOR INFO TO DONE BY VERIFIED BY SIG N .

DEPT OF RADIODIAGNOSIS –REGISTERS X RAY DEPT RECORD S.N O DAT E NAME UHID REFBY TEST TIME IN DATA BACK UP RECORD PREPARED BY QUALITY MANAGER APPROVED BY DIRECTOR TIME OUT TIME OF REPORT DESPATCH TIME RECD BY SIGN .

DEPT OF RADIODIAGNOSIS –REGISTERS DATE DATA BACK UP ANY PROBLEM PREPARED BY QUALITY MANAGER ACTION TAKEN DONE BY APPROVED BY DIRECTOR VERIFIED BY .