PT.

ENSEVAL MEDIKA PRIMA

Jl Pulo Lentut No. 12
Kawasan Industri Pulogadung
Jakarta Timur 13920 – Indonesia
Phone : 021-46823234 Ext. 8001
Fax : 021-46822413
Email : workshop.csd@emp.co.id
SERVICE REPORT
CUSTOMER : Lab cito jayapura DATE COMPLAIN : 23/10/2023
ADDRESS : Jl. Argapura No 11E Jayapura TIME COMPLAIN :
DATE : 02/11/2023
PIC : TIME IN :
TELP NO : TIME OUT :
EMAIL :

EQUIPMENT DATA
INSTRUMENT TYPE : Hematologi
PRINCIPLE : BECKMAN COULTER
MODEL : Beckman coulter
SERIAL NUMBER : BC050565
IP ADDRESS :
AE TITLE :
STATUS : KSO
JOB : BY PHONE
JOB STATUS : COMPLETE

PROBLEM CODE ERROR

Hasil Nilai biasa tidak masuk range

JOB PERFOMED

Adjust HGB
Adjust RBC

SPARE PART
NO PART NUMBER DESCRIPTION QTY REMARK
1 SBC0001 Dxh 500 G-Cal 1 Baik

2 SBC0002 Particle stabdard latex 50 M 1 Baik

3
4
5
NOTE
Range ok

ENGINEER CUSTOMER CHOP AND SIGNATURE

NAME : ASRULLAH NAME : Indra

Tlp : 082190872309 Tlp : +62 822-3964-1291