Professional Documents
Culture Documents
Hospital, City
________________________________________
Maintenance
Department
________________________________________
Repair
Contact Person
________________________________________
Warranty
Contact Number
________________________________________
Emergency
Equipment
________________________________
Model
_________________________________
Accessories _________________________________
Spare Parts
Spare Parts
Consumables
Price of Item
Total Price
Total
Hours
Technician
Date
Hours
Mileage
Work
Mileage
Work
Date
Technician
Comments
Requested by (Customer)
___________________
Received by (Technician)
___________________
Returned by (Technician)
___________________
Received by (Customer)
___________________
Service Card #
Invoice #
P.O.Box 23310
Dar Es Salaam
Date
022-2666197
ccbrt.hospital.maintenance@gmail.com