SERVICE REPORT

REPORT NUMBER :
DATE RECEIVED CALL : 12/29/2021
DATE SERVICED : 12/30/2021

MAINTENANCE : CUSTOMER : Diliman Doctors Hospital

FOR CHECK UP/ REPAIR ADDRESS : 251 Commonwealth Ave, Matandang Balara, Quezon City, 1119 Metro Manila
SERVICE CALL EQUIPMENT TYPE : 3 in 1 Ventilator
FOR EVALUATION
INSTALLATION BRAND : IMTMedical HOUR READING : 1389.8
RECALL - UPGRADE MODEL : Bellavista 1000 INVENTORY NO : -
SERIAL NUMBER : MB104195 DEPARTMENT : Pulmonary

REPORTED PROBLEM :
WARRANTY : Always Shutdown when Running in a short time User interface error
YES ON/OFF Display Battery Deflated
NO ASSESMENT AND INITIAL FINDING :
CONTRACT Cold solder of Filter Capacitor Dirty/Full of dust of Power Supply Board
Corrosion of SMD Diodes, Resistors, Secondary Capacitors
WORK DONE :
Resolder of Filter Capacitor, SMD diodes, Resistors, Secondary Capacitors
FOR BILLING : Cleaning of Power Supply Board, Sensor Board, DC Board, Primary Main Board, Secondary Main Board
YES Replacement of Internal Battery (12 volts) - New, Check voltage source
NO Testing Power cord, AC fuse, Push Buttons continuity
Test run/Standy Mode - Almost 6 hours Straight
Calibration of Oxygen Sensor via Calibration Assist
General Cleaning
PARTS AND CONSUMMABLES USED:
New Battery w/ Battery Board - 12 volts
Disinfectant

REMARKS- RECCOMENDATION
READY FOR PATIENT USE
FOP OBSERVATION
FOR REPAIR
FOR PULL OUT

BIOMEDICAL ENGINEER - TECHNICIAN HOSPITAL/CUSTOMER REPRESENTATIVE

SIGNATURE OVER PRINTED NAME / DATE SIGNATURE OVER PRINTED NAME / DATE