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PHILIPPS

ZS
HEALTH SYSTEMS- AUTHORISED
SERVICE SUPPORT PARTNER

Zing Medical Systems


572, AM, Sch. No. 140, Behind Narayanil Hosplital,
Piplyahana, Indore 452016 (M.P.) S. NO.
4073

CUSTOMER NAME
Nakckata Hstl REPORT DATE

ADDRESS pliakena 4 CASE ID/SWo

VISIT DATEs
CM/PMFCO-Solection
LCH
OB COMPLETED Es NO
PROBLEM SYMPTOM
|EQ. NO.
NAME ENAaa VoathiroN Oe kagdtiso. Alu
Sr. NO.
O PRE INST.
H9995t5381DDA
LEWARRANTY OCMA | AMC O PAID O OTHERs

LOo edhu Ocd headau oshun


Ond Achue oxhcddhun_Valaung cnd hdg M_Hheu 0ndu
Part No. (12NC) Serial No.

Notes: Ahan Vab YArAHon Ho2 aoson

ENGINEERNAME (CAPS: UBh AV CUSTOMERSIGN&SEAL


SiGI
REACH PHILIPS HE:UT SYSTEMS CUSTOMER CARE CENTER AT 1800-419-6788 (TOLL FREE)
Form No. P-CS-02-F-03 R3
PHILIPS COPY

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