Service Request Type: Service Request Number:

Service Report Corrective Repair 2021-14/0231

Customer Details

Customer Name: Rs.Sentra medika Location: Jakarta-Indonesia

PO #: cibinong Contact Phone: +6282183400778
Contact Nome: Mrs.Herda Email Address:
Initial Problem Description: X-ray not available
issue

Equipment Details

System ID: Initial Equipment Status: Mamography

ZFHOOPS
Serial Number: 134308BU9 Entitlement: -
Product Description: Senographe 800 T

Activity Description

Activity #: Activity Close Dote:

Activity Type: Field Support Engineer Name: Sukrisdianto
Tube Slice Reading:
Problem Description: - X-ray Not available issue

Couse/ Diagnosis: November 08-12-2021 :

“ HIV Board repair and reinstalled ”

Resolution/ Service Performed:

November 08-12-2021 :

- Repaired HIV Board ( OK )

- Install and check function HIV board ( OK )
- Check all fuse ( OK )
- Test X-ray ( OK )
- Check X-Ray Result In CR ( OK )
- Check and test bucky up and down ( OK )
- Check and test gantry up and down ( OK )
- Check and inspect keypad from handle gantry ( OK )
- Mammography function test All is Good

Recommendotion :

“Maintenance according to schedule”

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 Service Request Type: Corrective Repair
Service Report Request Number: 2320045-80

Date Time Hours Labour Type

Des 08, 2021 13:20-15:00 Onsite Chek
Des 08,2021 15:00-00:00 Zona Travel

Ports Used Details

Port Number 0tY Description Asset Serial No

Expense Tracker

Expense Dote Type 0tY Comments

Engineer Signoture: Customer Signature:

08-Des-2021 13:00
SUKRISDIANTO
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