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Your name and address:
Email address:
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Type of equipment: CT
MRI
PET
ULTRASOUND
C-ARM
CARDIOLOGY
MAMMOGRAPHY
PORTABLE X-RAY
BONE
DENSITOMETERS
INJECTORS
LASER CAMERAS
OTHER - SPECIFY

Manufacturer:
Model:
Year of manufacture:
Location:
Slice count for CT gantry:
Slice count for CT
x-ray tube:
Age of x-ray tube:
Collimators:
Ultrasound probes:
Accessories and peripheral
equipment included:
Still installed: Yes No
Under service contract: Yes No
Name of service provider:
Availability date:
Condition:
Price:
Comments: