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CT-system specification form
Brand and model
Date of construction
Date of installation
Number of slices on gantry meter
Number of slices on current tube
Date installation current tube
Is hospital owner of the tube? Yes
No
Accessories/options belonging to the system
Language on operating console
Camera type
Format of the film (developping machine included ?)
Generator type
Software version
Reconstruction matrix
Documentation / fantoms available?
Maintenance contract
Most recent date of maintenance (dd-mm-jjjj)
Overall impression of the system
De installation route by lift, paces etc.
Will there be a crane needed ? Yes
No
Is the system on wheels? Yes
No
No, but the wheels are available
Acces route for trucks or large vehicles by the hospital ? Yes, in front of the (goods)entrance
No, the closest parking facility is yards
Expected date of deinstallation (dd-mm-jjjj)
   
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