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Wipro GE Healthcare Pvt. Ltd.

(ISO 13485: 2016 Certified Service organization)


Head Office: SR: 1-9143826884
No. 4, Kadugodi Industrial Area,
Bangalore-560 067.
Service Report
KARNATAKA,
INDIA.

Customer Details

Customer Name: 263749 - GRANT MEDICAL FOUNDATION


RUBY HALL CLINIC, S.R.NO-33,PLOT 154,CTS No.41 40 SASOON, ROAD PAN NO. # AAATP1145P, PUNE,
Equipment Location: MAHARASHTRA, India, 411001
RUBY HALL CLINIC, 40, SASSOON GENERAL HOSPITAL, PAN NO. # AAATP1145P, PUNE, MAHARASHTRA,
Billing Location: India, 411001
Contact Name: -- Report Type: PM
Contact Phone: -- Request No.: 1-9143826884
Contact Email: -- Purchase Order No.: --
Contract End Day: 31/03/2022

Equipment Details

083037200162814 Service Agreement Type: US INDIA - INSITE


System ID: ONLY - 2
Serial No.: -- Service Agreement No.: 1-3AR7MPR
Asset #: GIB_S_IN_083037200162814 Next Recommended Maintenance: Sep 2022
Product Description: VOLUSON E8 EXP BT14

SR Details

Call Received Date: 23/03/2022 12:00:00 Level Of Service: EQC


SR Problem Description: -- Equipment Return to Customer: 28/03/2022 11:25:00

Activity: 1-477C01P

Activity Type: PM (Planned Maintenance) Close Date: 28/03/2022


Start Equipment Status: 3 - System Running End Equipment Status: 3 - System Running
Reported Problem: Planned Maintenance (PM) due.
Identified Problem: --
Solution: Planned maintenance performed in accordance with the Technical Reference Manual.
Test Procedure: Planned Maintenance (PM) concluded and tested in accordance with the Technical Reference Manual.
Medical device ready for clinical use.
Alleged Patient Consequence: It was planned activity

Labor

Date Type Start Time End Time Hours


22/03/2022 PM (Planned Maintenance) 14:00:00 17:10:00 3.166667

Materials

Part No. QTY Asset Serial# Product Description


Not Available Not Available Not Available Not Available

Calibrated Tools

Test Equipment Serial Number Calibration Due Date Tool Description


23090567 19/07/2022 00:00:00 MULTIMETER FLUKE 179

Page 1 of 2 03/06/2022
Wipro GE Healthcare Pvt. Ltd.
(ISO 13485: 2016 Certified Service organization)
Head Office: SR: 1-9143826884
No. 4, Kadugodi Industrial Area,
Bangalore-560 067.
Service Report
KARNATAKA,
INDIA.

Customer Comments: --

Name: Karan Name: Name:


FOR WIPRO GE HEALTHCARE
PVT.LTD.

Engineer Name: Aboli Indalkar

21/03/2022 18:01:00

Customer Signature 1: Customer Signature 2: Customer Signature 3: Engineer Signature:

Page 2 of 2 03/06/2022

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