Clinic/Customer:
Address:
Clinic Representative:
Clinic Email/Contact:
Clinic Phone Number:
Date:
Arrival Time:
Departure Time:
Technician :
Equipment type :
Equipment Under warranty?:
Make:
Model:
Fault Description/Subject:
Quote required before repairs?:
Initial Inspection found:
Report Number:
Spare parts used:
Service Report
Location:
ROOM 1
ROOM2
ROOM 3
ROOM 4
ROOM 5
ROOM6
ROOM 7
ROOM 8
SteriRoom
PLANT ROOM
PLANT ROOM CAGE
Extra notes:
Warranty after repairs:
1 Month
3 Months
6 Months
1 Year
2 Years
NONE
1000 cycles
Manufacturer:
DentalTech Au:
1 Month
2 Months
3 Months
1 Year
2 Years
NONE
1000 cycles
Pending Work:
Repairs Performed:
Serial Number:
SR