Check List termometer infrared

Merk MICROLIFE No. Inventaris RSR/ISML/02/12/TERMD/01/2018

Type Ruang ISMAIL 2

S/N 101800974

A. Bahan Pemeliharaan
No Descriptions Results Quantity

1. Contact Cleaner Pass Fail NA pc

2. tool set Pass Fail NA pc

3. Lap Pass Fail NA pc

4. Multi meter Pass Fail NA pc

B. Main Unit
No Descriptions Results

1. baterai Pass Fail NA

2. tombol / Switches Pass Fail NA

3. Settingan suhu Pass Fail NA

Date Customer Checked By,

Start Time
End Time

( ) ( )

PT.GMM - T/R Div

 Formulir Pemeliharaan Alat Kesehatan

A. Pelanggan

Nama Pelanggan
Alamat
Telp/Fax
Contact Person

B. Data Peralatan

Nama Alat Film Viewer

Merk Lokal
Type
S/N

C. Pelaksanaan

Tanggal
UPF/Ruangan
Teknisi

Catatan

Pelanggan Teknisi

( ) ( )