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11133 - April 2, 2024 -

Date

April 2, 2024

Repair Order

11133

Facility

Facility Name

Dukes Memorial Hospital

Contact Name

Ethan Cook

Billing Name

Dukes Memorial Hospital

Email Address

ethan_cook@lhn.net

Phone Number

Shipping Address

275 W. 12 St

Peru, IN 46970

United States

Billing Address

P.O. Box 11808

United States

Equipment

PO #

1768038177

Manufacturer

Baxter

Model #

InfusOR 12619E

Serial #

9060032SR

Asset Tag #

C2829

Reported Failure

Infused a bit then will not keep going. Battery tray door slide on body is also damaged and not sure if small screen is working correctly.

Anything Else