n v: Bnh vin a khoa tnh Nam

nh
Bnphn:

Mu s C22 - HD
( Ban hnh theo Q s: 19/2006/Q-BTC
Ngy 30/3/2006 ca B trng BTC)

M V c QH vi NS: 104.6007

Giy bo hng, mt cng c, dng c

S:
..

TT

Tn cng c, dng
c
bo hng, mt
(Tn thit b,
hng/nc sn xut,
model/s my)

n
v
tn
h

S.lng
bo
hng,
mt

Thi
gian
s dng
t ngy.

n
ngy

Gi tr
cng
c,
dng
c xut
dng

L do mt
hng

Gh
i
ch

Cng
Ngy.............. thng
iu dng trng

Trng khoa

T.Phng Vt t
TBYT

..........

nm 20

Th trng n
v

CN B CHUYN TRCH THC HIN PHNG VT T TBYT

Xc nh nguyn nhn hng (thit b phi km bin bn kim nh k thut)

:..

...

......
.

Bin php x l, d kin k hoch thc hin:

....

....
....

Thi gian d kin hon thnh:

CN B K THUT K