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3. phieu khai bao thiet bi
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Huu Nguyen
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m畉u h動畛ng d畉n li棚n quan v畛i th畛 t畛c hnh ch鱈nh v畛 X-quang y t畉
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3. phieu khai bao thiet bi
1.
C畛NG HA X
H畛I CH畛 NGH懲A VI畛T NAM 畛c l畉p T畛 do H畉nh ph炭c PHI畉U KHAI BO THI畉T B畛 X-QUANG CH畉N ON Y T畉 I. THNG TIN T畛 CH畛C, C NHN KHAI BO 1. T棚n t畛 ch畛c, c叩 nh但n: 2. 畛a ch畛: 3. i畛n tho畉i: 4. Fax: 5. E-mail: II. 畉C TNH C畛A THI畉T B畛 1. T棚n thi畉t b畛: 2. M達 hi畛u (Model): 3. H達ng, n動畛c s畉n xu畉t: 4. Nm s畉n xu畉t: 5. i畛n 叩p c畛c 畉i (kV): 6. D嘆ng c畛c 畉i (mA): 7. M畛c 鱈ch s畛 d畛ng: Soi, ch畛p ch畉n o叩n t畛ng h畛p Soi ch畉n o叩n c坦 tng s叩ng truy畛n h狸nh Ch畛p can thi畛p Ch畛p rng Ch畛p v炭 Ch畛p c畉t l畛p CT o m畉t 畛 x動董ng: Ch畛p th炭 y M畛c 鱈ch kh叩c (ghi r探): 8. C畛 畛nh hay di 畛ng: C畛 畛nh Di 畛ng 9. N董i 畉t thi畉t b畛 c畛 畛nh (ghi r探 v畛 tr鱈 ph嘆ng 畉t thi畉t b畛): III. 畉U BNG PHT TIA X 1. M達 hi畛u (Model): 2. S畛 s棚ri (Serial Number): 3. H達ng, n動畛c s畉n xu畉t: 4. Nm s畉n xu畉t:
2.
IV. BN I畛U
KHI畛N 1. M達 hi畛u (Model): 2. S畛 s棚ri (Serial Number): 3. H達ng, n動畛c s畉n xu畉t: IV. B畛 PH畉N TNG SNG (畛i v畛i thi畉t b畛 tng s叩ng truy畛n h狸nh) 1. M達 hi畛u (Model): 2. S畛 s棚ri (Serial Number): 3. H達ng, n動畛c s畉n xu畉t: NG働畛I L畉P PHI畉U (K箪, ghi r探 h畛 t棚n) , ngy th叩ng nm CH畛 C S畛 (K箪, ghi r探 h畛 t棚n v 坦ng d畉u)
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