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PHILIPPS

HEALTH SYSTEMS- AUTHORISED

Zs SERVICE SUPPORT PARTNER

Zing Medical Systems


572, AM, Sch. No. 140, Behind Narayanl Hospltal,
Plpllyahana, Indore 452016 (M.P.) S. NO. 4072

CUSTOMER NAME Balhe_He Pia REPORT DATE

ADDRESS Knd CASE ID/SWO

VISIT DATES o6 Noc 299


CMPM/FCO-Selection N
JOB COMPLETED YEs NO
PROBLEM SYMPTOM
EQ NO.
ct
NAME
Bada is duo.
Sr. NO.
DE ZSI9S92G_ PAID OOTHERS
OPRE INST. OWARRANTY OCMA AMC

Activity Pertiormed
9Thano Chiokag o MzSO_Kian Hoaor 4
OL lole

SL
No.
Part Namee Part No.(12NC) Serlar No.

Notes:

B i o m e d i c a lE n g g : D e p t .
ENGINESR NAME(CAPS HUGHA MAWNA CUSTOMERSIGN&SEAL a d o u
00-419.ombay Hospital,Indofe
I212-

SIGN.
REACH PHILIPS HEALTH SYSTEMS CUSTOMER CARE CENTER AT 1800-419-6788 (TOL FREE)
Form No. P-CS-02-F-03 R3
PHILIPS COPY

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