User's Manual

User Manual
FireCR
37
Appendix I
Installation Report
Please complete this report at the time of installation and submit the
completed form signed by customer to:
Fax : [phone]
E-mail : [e-mail]
Date of Installation :
Customer Information
Hospital / Institute
Name
Address
Tel
Fax
E-mail
Installer Information
Company
Name
Address
Tel
Fax
E-mail
System Information
Model FireCR Computed Radiography Scanner
System S/N
Software Version
Software S/N
Installer’s Signature: Date:
Customer’s Signature: Date: