Doc No .: REC-013

Issue No. : 01

Issue Date : 01-01-2022

Plot No. 7+8,Khare Group Hsg,Project,Old Dhamani Road,SANGLI-416 416

Date : 01-05-2023

Revision Date : 05-06-2022

Revision No. : 01

Group No : 1003

CALIBRATION JOB CARD (CJC) / SERVICE REQUEST FORM

Customer: Rahul Patel

City: Ahmedabad

Address:
90, Radha Krishna Shopping Center, Udhna Magdalla Road, Surat, Gujarat 395017

Pincode: 123456

Contact Person: Nikhil Patel

Phone: 9987654321

Account Dept.Person: Mohit Patel

Phone: 9900654321

Bio-Medical Dept. Person: Hitesh Patel

Phone: 9905554321

*Details of Equipments to be calibrated. Other Reference if any:-
Sr.
No
Nomenclature Of Equp. Make Sr.
No.
User Id Range Requested
For Calibration
Status of the
Equipment
on receipt
Remark
1 BLOOD BANK REFRIGERATOR XYZ1 1111 ABC1 2 To 6 Working
2 ANALOGUE WEIGHING BALANCE XYZ2 1112 ABC2 100 To 1000 Working
3 UNIVERSAL MONITORING SYSTEM XYZ3 1113 ABC3 2 To 6 Working
4 MICROPIPETTE (VARIABLE VOLUME) XYZ4 1114 ABC4 20 To 200 Working
5 DEEP FREEZER XYZ5 1115 ABC5 -40 To -30 Working
6 DIGITAL TIMER XYZ6 1116 ABC6 5 To 60 Working
7 DUAL TEMP. INDICATOR XYZ7 1117 ABC7 2 To 8 Working
8 LAB. CENTRIFUGE XYZ8 1118 ABC8 1000 To 5000 Working
9 UNIVERSAL MONITORING SYSTEM XYZ9 1119 ABC9 30 To 70 Working
10 UNIVERSAL MONITORING SYSTEM XYZ10 11110 ABC10 18 To 26 Working
11 BLOOD COLLECTION MONITOR XYZ11 11111 ABC11 50 To 500 Working
12 ANALOGUE WEIGHING BALANCE XYZ2 1112 ABC2 100 To 1000 Working
13 UNIVERSAL MONITORING SYSTEM XYZ3 1113 ABC3 2 To 6 Working
14 MICROPIPETTE (VARIABLE VOLUME) XYZ4 1114 ABC4 20 To 200 Working
15 BLOOD BANK REFRIGERATOR XYZ1 1111 ABC1 2 To 6 Working