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    TimeSheet For Rental Equipment NOV 2016

    Uploaded by

    KAng HYunjoo
    The document is a timesheet from November 2016 listing 30 pieces of medical equipment rented by International SOS to a clinic in Jambi, Indonesia. It shows that each piece of equipment was on site each day of the month to support the clinic's operations.

    Copyright:

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

    TimeSheet For Rental Equipment NOV 2016

    Uploaded by

    KAng HYunjoo
    178 views3 pages
    The document is a timesheet from November 2016 listing 30 pieces of medical equipment rented by International SOS to a clinic in Jambi, Indonesia. It shows that each piece of equipment was on site each day of the month to support the clinic's operations.

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    TimeSheet for Rental Equipment NOV 2016.xls

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    © © All Rights Reserved

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    The document is a timesheet from November 2016 listing 30 pieces of medical equipment rented by International SOS to a clinic in Jambi, Indonesia. It shows that each piece of equipment was on site each day of the month to support the clinic's operations.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    178 views3 pages

    TimeSheet For Rental Equipment NOV 2016

    Uploaded by

    KAng HYunjoo
    The document is a timesheet from November 2016 listing 30 pieces of medical equipment rented by International SOS to a clinic in Jambi, Indonesia. It shows that each piece of equipment was on site each day of the month to support the clinic's operations.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    You are on page 1of 3

    International SOS

    PT. ASIH EKA ABADI


    Medical Services - Rental Equipment Timesheet

    SITE NAME : HEXINDO - Jambi Period: November 2016

    Days

    QTY
    Clinic Equipment Name Total
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

    RESUSITATOR PORTABLE 175-010 LSP 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30


    OXYGEN CYLINDER LSP 400/ 415 LT 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    RESCUE PUMP/HANDLE COMPLT AMBU 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    NASAL OXYGEN CANULA ADULT 1820 2 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    REBREATHING MASK ADULT # 1007 2 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    BASKET STRETCHER FERNO 71S 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    VACUUM MATTRESS FERNO 192 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    SCOOP STRETCHER # 65 EXL FERNO 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    SPINAL BOARD FERNO+BELT/3 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    FERNO HEAD IMMOBILIZER #445 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    FERNO K.E.D. MODEL 125 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    TRACTION SPLINT FERNO ADULT# 444 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    STIFFNECK SELECT ADJUSTABLE ADULT#980010/12 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    STING & BITE AID KIT # FAB -SBK PENTAMED 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    DIAGNOSTIC SET WA # 97150BI 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    BLOOD PRESSURE RIESTER-MOVEABL 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    STETOSCOPE LITTMANN ADULT ( CLASSIC II ) 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    LOUPE OPTIVISOR DA 5 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    INFUSION STAND MAK 36101S/S 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    KIDNEY DISH LARGE 2 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    RING CUTTER GERMANY 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    LARYNGOSCOPE ADULT RIESTER 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    BED PAN + COVER PLASTIC 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    URINAL PLASTIC MALE+COVER 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    SCALE /HEIGHT-WEIGHT 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    MINOR SURGERY SET 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    Legend : X : On SITE T : Travel from / to Site

    Prepared by MS Operation Confirmation Client Representative

    Name : Name / Job Title : ______________ Name / Job Title : _________________

    Signature : ______________________ Signature : ______________ Signature : _________________


    Date : 30 November 2016 Date : ______________ Date : _________________
    International SOS
    PT. ASIH EKA ABADI
    Medical Services - Rental Equipment Timesheet

    SITE NAME : HEXINDO - Jambi Period: November 2016

    Days

    QTY
    Clinic Equipment Name Total
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    SHARP BOX CONTAINE 7,6L YELLOW 2 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    IIMS BOOK 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    BODY BAG LIGHT 3 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    ZOLL , AED PLUS UNIT 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    PULSE OXIMETRY TUFFSAT 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    NEBULIZER DEVILBISS 5650I PULMOAIDE 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    MAGIL FORCEP ADULT 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    STERILIZER , DRY TYPE MELAG 75 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    EXAMINATION HALOGEN LAMP 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    OXYGEN CYLINDER 1,5 M3 TYPE D ( ALUMUNIUM ) 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    OXYGEN REGULATOR + FLOW METER HUMIDIFIER SHARP JAP 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    ELECTRIC SUCTION UNIT LAERDAL -780000 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    ISHIHARA BOOK 14 PG 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    SNELLEN EYE CHART PAPER 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    REFRIGERATOR 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    PARAMEDIC RESPONDER BAG ( INSIDE CLINIC ) 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    ECG CARDIOTOUCH 3000 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    PATIENT MONITOR COMEN STAR-8000 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    EXAMINATION TABLE MAK# 34101 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    EMERGENCY TROLEY MAK 2 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    MEDICINE CABINET 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    DRESSING TROLEY MAK 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    CLINIC CONTAINERT 20 Ft 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30

    Legend : X : On SITE T : Travel from / to Site

    Prepared by MS Operation Confirmation Client Representative

    Name : Name / Job Title : _______________ Name / Job Title : _______________

    Signature : _________________ Signature : _______________ Signature : ________________


    Date : 30 November 2016 Date : ___________ Date : _______________
    International SOS
    PT. ASIH EKA ABADI
    Medical Services - Rental Equipment Timesheet

    SITE NAME : Hexindo - Jambi Period: November 2016

    Days

    QTY
    Ambulance Equipment Name Total
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    AMBULANCE FORD RANGER 4x4 (Unit) 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    SCOOP STRETCHER # 65 EXL FERNO 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    SPINAL BOARD FERNO+BELT/3 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    WOOD SPLINT DYNAMED C/N 95771 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    FERNO HEAD IMMOBILIZER #445 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    TRACTION SPLINT FERNO ADULT# 444 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    ELECTRIC SUCTION UNIT LAERDAL -780000 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    FERNO K.E.D. MODEL 125 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    NEBULIZER DEVILBISS 5650I PULMOAIDE 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    RESUSITATOR PORTABLE 175-010 LSP 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    INTERNATIONAL SOS RESPONDER BAG 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    ZOLL , AED PLUS UNIT 1 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 30
    Legend : X : On SITE T : Travel from / to Site

    Prepared by MS Operation Confirmation Client Representative

    Name : Name / Job Title : _______________ Name / Job Title : _______________

    Signature : _________________ Signature : _______________ Signature : ________________


    Date : 30 November 2016 Date : ___________ Date : _______________

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