Roche Professional Service

Customer Report Form

Case number CAS-0019602440 Order number WO-26823687 | Visit Date

Instrument Details Customer Details

Instrument/Module cobas c 501 Customer Number 0051005115

Serial Number 15H3-17 Customer Name Al-Wajh Public Hospital
Lab's Instrument ID/Name MOH - Tabouk
96612-2JSA - Tabuk
Additional Details Contact Name Sameh Ibrahim Al Najdy

PO Contact Phone +966546178346

Service Activity Code Support by Phone

Purpose of Visit
Application visit request
Performed Activities
Visit will be scheduled

Time Report

Category Start End Hours

05913616001-Service labour time 02/18/2024 08:00 02/18/2024 08:30 0.50
Signature or Stamp

Customer Roche Support

Sameh Ibrahim Al Najdy Ahmed Alzahrani

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By signing this document

- Roche Support person confirms the above mentioned work and checks have been completed..
- Terms & Conditions - Header.
- Customer representative confirms they have reviewed the work carried out as described and accepts the system for use.

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