JUNIPER 3 PROCUREMENT CORP.

HEALTHCARE EQUIPMENT AND SUPPLIES

PREVENTIVE MAINTENANCE SCHEDULE

Hospital Name: PHILIPPINE HEART CENTER

Name of Equipment: EMERGENCY CART (1 UNIT)
Brand: HEALTHWARD UK
Model: HWR054-ET
PO and SI no: 54640 | 1313

Date of Name and Name and

Preventive DATE Signature of Signature Service
Maintenance Juniper Hospital Report
Biomed Authorized Number
Engineer Personnel
1st PMS
2nd PMS
3rd PMS
4th PMS

Certified by:

Engr. Roel G. Celino

Business Unit Head
Technical and Engineering

B62 L32 Soldiers Hills,

(02) 7576 1921 inquiry@juniper3medical.com
Putatan, Muntinlupa City,
1772