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    Acoma Fo-20s - Rs. Banjar Mekar

    Uploaded by

    Benks Priyatna
    This document is an equipment checklist for an Anesthesia FO-20S machine with serial number 171820249. It lists the machine and various accessories including pressure tubes, regulators, breathing bags, masks, and manuals. The checklist is signed off on by those receiving and checking the equipment.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Acoma Fo-20s - Rs. Banjar Mekar

    Uploaded by

    Benks Priyatna
    148 views2 pages
    This document is an equipment checklist for an Anesthesia FO-20S machine with serial number 171820249. It lists the machine and various accessories including pressure tubes, regulators, breathing bags, masks, and manuals. The checklist is signed off on by those receiving and checking the equipment.

    Original Description:

    asd

    Original Title

    10. Acoma Fo-20s - Rs. Banjar Mekar

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    This document is an equipment checklist for an Anesthesia FO-20S machine with serial number 171820249. It lists the machine and various accessories including pressure tubes, regulators, breathing bags, masks, and manuals. The checklist is signed off on by those receiving and checking the equipment.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    148 views2 pages

    Acoma Fo-20s - Rs. Banjar Mekar

    Uploaded by

    Benks Priyatna
    This document is an equipment checklist for an Anesthesia FO-20S machine with serial number 171820249. It lists the machine and various accessories including pressure tubes, regulators, breathing bags, masks, and manuals. The checklist is signed off on by those receiving and checking the equipment.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 2

    Equipment : Anesthesia FO-20S Part Number :

    Group : Monitoring Serial Number : 171820249

    Vendor : ACOMA Version :

    Description Serial Number Part Number Qty Check list

    Unit 1 2
    Anesthesia FO-20S 171820249 1 unit

    Ascessories

    Pressure tube for O2 5m 1 pc


    Pressure tube for N2O 5m 1 pc
    Pressure regulator for O2 1 pc
    Pressure regulator for N2O 1 pc
    Sillicone tube with canister joint 1 pc
    Breathing bag 1 pc
    Surplus gas Removal corrugated tube 1 pc
    Spanner (19x22mm) / Kunci Pas 1 pc
    Mask No. 3 1 pc
    Mask No. 1 1 pc
    Inspiratory valve unit 1 box
    Absorber 1 pc
    Manual book 1 pc

    Checked by : Received by :
    Date : / / Date : / /

    Sign : Sign :

    Page 1 FO-20S
    Equipment : Anesthesia FO-20S Part Number :
    Group : Monitoring Serial Number : 171820249

    Vendor : ACOMA Version :

    Description Serial Number Part Number Qty Check list

    Unit 1 2
    Anesthesia FO-20S 171820249 1 unit

    Ascessories

    Adult anesthesia breathing circuit reusable 1 pc

    Checked by : Received by :
    Date : / / Date : / /

    Sign : Sign :

    Page 2 YANG MASIH PENDING

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