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Annex 3

Devices Return Check


ID-SOP-WH-02F2

Product name : FRESENIUS INFUSIA SYRINGE PUMP SP7S, DRUGLIB, ED3,ID

Serial /Art no. : INFSP7S-ID-ED3

81227700, 81227701, 81227702


Return date : 31 Oct 2023
Ex.Stock Request No.: SR-063

1. General Checklist
Result
No Parameter
OK Not OK
1 Suitability of product information with shipping container □ □

2 All accesories contained within the shipping container, no missing part □ □


and no physical damage

3 Devices Condition □ □

4 Others / Comment : Alat berfungsi normal dan dapat digunakan □ □

Conclusion : Conform / Not Conform

Performed & Delivered by : Received By :

Date: / / Date: / /

Version : 00 Effective Date : 31 May 2022 Page :1

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