SERVICE REPORT

Date: 08 / 11 / 2021 . Control Number: 20202015-1

JOB Status: Complete Incomplete Need Spare Parts
Hospital/ Clinic SARANGANI HEALTHCARE FACILTY Repair
Equipment Department RADIOLOGY DEPARTMENT PPM
Equipment Type DR MOBILE X-RAY Installation
Brand PERLOVE PullOut
Model PLX 5200A Warranty
Serial Number 5200A20163 3M 6M 9M 1yr 2yr 3yr

EQUIPMENT PROBLEM DETAILS: REMARK

 PREVENTIVE MAINTENANCE

STATUS: Fully Functional Partially Functional Needs Further Check Up Nonfunctional

WORK DONE
 Performed Preventive Maintenance.
 Performed Checking Mechanical parts.
 Performed Lubrication of Mechanical movement mechanism.
 Performed Checking of Power supply voltage output.
 Performed Routine Calibration part on system specification of
Manufacturer’s OEM.

QTY. PART # SPARE PARTS NEEDED PARTS REPLACED QTY. UNIT COST TOTAL
COST

AURELIO B. LANDICHO
SERVICE ENGINEER OR TECHNICIAN CLIENT