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BRYANLABS

Laboratory In Vitro Diagnostic


JL. Poros Telkomas Ruko 1-4, Telkomas Square
Makasar, Sulsel

MAINTENANCE/SERVICE/INSTALLATION REQUEST FORM

DATE REPORT 12-02-2023 TIME 17:56


DATE ACCEPT 12-02-2023 TIME 17:56
HOSPITAL NAME RSUD. Lasinrang
LOCATION Sulawesi Selatan
KIND REPORT VISIT
REPORT BY Muh. Rifaldi
ANALYZER Erba XL-200
Serial No 250386
STATUS ANALYZER KSO
PROBLEM
"Gain lampu merah"
ASSIGNED TO Hj. Sabaria
DATE COMPLETED 13-02-2023 TIME SPENT 13:32
COMPLETED BY Muh. Rifaldi
REMARKS
"Ganti Lampu Baru"

USER LAB : Ibu Vikha TECHNICIAN

Muh. Rifaldi

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