PT,GE Operations Indonesia

South Quarter Tower B,Lantai 18-19,

Jl.R.A Kartini Kav 8
Cilandak Barat Cilandak
Jakarta selatan DKJ,Jakarta 12430
T +6221 5730500
F +6221 80649817
Service Report www.gehealthcare.com

Customer Details

Customer Name: 3964574 - Bogor Senior Hospital

Equipment Location: Jalan Raya Tajur Blok Gudang Garam No.168, Sindangrasa, Bogor Selatan, Bogor, Jawa Barat, Indonesia, 16137
SO No: 4378393 Contract Class: Service Contract
Contact Name: Randa Ari Report Type: PM
Contact Phone: +6285297503080 Request No.: 1-8375956719
Contact Email: ari.randa@bogorsenior.com Purchase Order No.: --
2/2 MSA. Rescheduled to 9-Sep-21 as per Rina's
Initial Problem Description: Contract End Day: 31/10/2021
email on 26/5/2021

Equipment Details

Initial Equipment Status: 3 - System Running System ID: 5512XR0082

Product Description: TMX Serial No.: --
Customer Eq#: --

Activity

Activity #: 1-3UICSX1 Close Date: --

Activity Type: PM (Planned Maintenance) Field Engineer: Agus Santoso
Reported Problem: No problem found, planned maintenance
Identified Problem: --
Solution: perform PM refer to checksheet, General function check, General cleaning, KV & Dose measurement
Test Procedure: done
Test Passed: Y

Labor

No Labor

Materials

No Materials

Engineer Signature:

Engineer Name: Agus Santoso

Date/Time: 09-Sep-2021 11:44

Customer Name: Randa,Ari Customer Name: Bertha

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 PT,GE Operations Indonesia
South Quarter Tower B,Lantai 18-19,
Jl.R.A Kartini Kav 8
Cilandak Barat Cilandak
Jakarta selatan DKJ,Jakarta 12430
T +6221 5730500
F +6221 80649817
Service Report www.gehealthcare.com

Customer Name: Randa,Ari Customer Name: Bertha

Date/Time: 09-Sep-2021 11:45 Date/Time: 09-Sep-2021 11:47

Customer Signature 2
Customer Signature 1

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