Hospitals & healthcare
Medical device handover record template
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Medical Device Handover Record
Date: Date
On this day the Device Name, model Model, serial no. Serial Number, asset no. Asset Number, was handed over by Handing Over Party to Receiving Party, with the following accessories: Accessories. Condition at handover: Device Condition.
Handed over by: Handing Over Name – Signature: Handing Over Signature
Received by: Receiver Name – Signature: Receiver Signature