Work Order Number:

WO-03411740

Parent Case: Activity Report

Customer Information Machine & Contact Information Visit Information
APEX HOSPITAL IVIEWGT ARM ASSEMBLY, Engineer:
Model:
MAIN Sonu Babu
Customer Number: sonu.babu@elekta.com
17719 : sonu.babu@elekta.com
Location: 152591 - APEX HOSPITAL
Planned
Job Type:
Address: Serial No: E-1766 Maintenance
D.L.W. Hydil Road
Varanasi, Uttar Pradesh, 09 Customer Ref: Order Date: 2/9/2024
221004
Contact Name: Rajiv Singh

Reason for Activity

As reported/requested by customer: Initial assessment by Elekta:
PM to Plan - 152591 - Apex Varanasi 2024 Preventative Maintenance
PM Plan Description - 152591 - Apex Varanasi 2024

Actions Performed:
Replaced KV DCB and did inspection of MV Arm

Item no Description Quantity Start Date/Time End Date/Time

1567908 FRU, KV DCB PROGRAMMED 1
120 Labor DT Rate 2 3/17/2024 9:00 AM 3/17/2024 11:00 AM
100 Labor Standard Rate 0.08 3/21/2024 9:00 AM 3/21/2024 9:05 AM
211 Adjustment Hours 1.92 3/17/2024 9:00 AM 3/17/2024 10:55 AM

The equipment has been serviced in accordance with the Service Agreement between customer and Elekta and/or the Service
Order request (as applicable). At the time of conclusion of the service performed, the equipment was technically operational. The
customer is responsible for ascertaining that the equipment is ready for clinical use.
Machine Status: Operational
Elekta Engineer Signature: Customer Signature:

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