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    <title>Certificate of Instruments TMS50i</title>

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        <div class="doc-number">
            Nomor: FO.III.12/04.00/2019
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        <div class="title">
            <h3>Certificate of Instrument Calibration</h3>
        </div>

        <div class="section">
            <table class="customer-table">
                <tr>
                    <td class="label">
                        <h4>Customer Data</h4>
                    </td>
                    <td></td>
                </tr>
                <tr>
                    <td class="label">
                        Laboratory / Hospital
                    </td>
                    <td>
                        : Trisensa Diagnostic Center
                    </td>
                </tr>
                <tr>
                    <td class="label">
                        Address
                    </td>
                    <td>
                        : Jl. Taman AIS Yasin No.5, Embong Kaliasin, Kec. Genteng, Surabaya 60271
                    </td>
                </tr>
                <tr>
                    <td class="label">
                        Instrument
                    </td>
                    <td>
                        : Clinical Chemistry Analyzer TMS 50i Superior
                    </td>
                </tr>
                <tr>
                    <td class="label">
                        Serial Number
                    </td>
                    <td>
                        : 5303150816
                    </td>
                </tr>
                <tr>
                    <td class="label">
                        Date of Calibration
                    </td>
                    <td>
                        : January 09, 2026
                    </td>
                </tr>
                <tr>
                    <td class="label">
                        Valid Until
                    </td>
                    <td>
                        : January 09, 2027
                    </td>
                </tr>
            </table>

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            <!-- <table class="detail-table">
                <tr>
                    <td class="label">
                        <h4>Required Material</h4>
                    </td>
                    <td>SC Cal</td>
                </tr>
                <tr>
                    <td class="label">
                        <h4>Procedure</h4>
                    </td>
                    <td>
                        Checking Instrument Status, Running Callibartion
                    </td>
                </tr>
                <tr>
                    <td class="label">
                        <h4>Requirement</h4>
                    </td>
                    <td>
                        Deviation must be ≤ 2.0% ; 3 Impedance measurement must be OK; Measurement point must be within
                        range
                    </td>
                </tr>
            </table> -->

            <h4>Required Material</h4>SC Cal
            <h4>Procedure</h4>Checking Instrument Status, Running Callibartion
            <h4>Requirement</h4>Deviation must be ≤ 2.0% ; 3 Impedance measurement must be OK; Measurement point must be within
            <h4>Results</h4>

            <table class="result-table">
                <tr>
                    <th>Parameters</th>
                    <th>Value</th>
                    <th>Range</th>
                    <th>Unit</th>
                    <th>Result</th>
                </tr>
                <tr>
                    <td class="param">Power +12V</td>
                    <td>11.79</td>
                    <td>11.00 - 14.00</td>
                    <td>V</td>
                    <td>Pass</td>
                </tr>
                <tr>
                    <td class="param">Power +24V</td>
                    <td>24.06</td>
                    <td>20.00 - 30.00</td>
                    <td>V</td>
                    <td>Pass</td>
                </tr>
                <tr>
                    <td class="param">Analog +12V</td>
                    <td>11.70</td>
                    <td>11.00 - 13.00</td>
                    <td>V</td>
                    <td>Pass</td>
                </tr>
                <tr>
                    <td class="param">Analog -12V</td>
                    <td>-11.72</td>
                    <td>-14.00 - -9.00</td>
                    <td>V</td>
                    <td>Pass</td>
                </tr>
                <tr>
                    <td class="param">Digital +56V</td>
                    <td>56.05</td>
                    <td>47.00 - 63.00</td>
                    <td>V</td>
                    <td>Pass</td>
                </tr>
                <tr>
                    <td class="param">HGB Blank Voltage</td>
                    <td>4.21</td>
                    <td>3.85 - 4.85</td>
                    <td>V</td>
                    <td>Pass</td>
                </tr>
                <tr>
                    <td class="param">FS Blank Voltage</td>
                    <td>0.29</td>
                    <td>0.07 - 1.00</td>
                    <td>V</td>
                    <td>Pass</td>
                </tr>
                <tr>
                    <td class="param">Laser Diode Current</td>
                    <td>28</td>
                    <td>20 - 70</td>
                    <td>mA</td>
                    <td>Pass</td>
                </tr>
                <tr>
                    <td class="param">Diluent Temperature</td>
                    <td>27</td>
                    <td>10.00 - 40.00</td>
                    <td>°C</td>
                    <td>Pass</td>
                </tr>
                <tr>
                    <td class="param">Reagent preheating Temperature</td>
                    <td>42.2</td>
                    <td>39.5 - 44.0</td>
                    <td>°C</td>
                    <td>Pass</td>
                </tr>
                <tr>
                    <td class="param">Optical System Temperature</td>
                    <td>29.4</td>
                    <td>15.0 - 40.0</td>
                    <td>°C</td>
                    <td>Pass</td>
                </tr>
                <tr>
                    <td class="param">Liquid Pressure</td>
                    <td>92.0</td>
                    <td>70.00 - 110.0</td>
                    <td>kPa</td>
                    <td>Pass</td>
                </tr>
                <tr>
                    <td class="param">Vacuum</td>
                    <td>-28.6</td>
                    <td>-35.0 - -26.0</td>
                    <td>kPa</td>
                    <td>Pass</td>
                </tr>
                <tr>
                    <td class="param">WBC</td>
                    <td>99.93</td>
                    <td>75 - 125</td>
                    <td>%</td>
                    <td>Pass</td>
                </tr>
                <tr>
                    <td class="param">RBC</td>
                    <td>101.49</td>
                    <td>75 - 125</td>
                    <td>%</td>
                    <td>Pass</td>
                </tr>
                <tr>
                    <td class="param">HGB</td>
                    <td>99.65</td>
                    <td>75 - 125</td>
                    <td>%</td>
                    <td>Pass</td>
                </tr>
                <tr>
                    <td class="param">MCV</td>
                    <td>99.94</td>
                    <td>75 - 125</td>
                    <td>%</td>
                    <td>Pass</td>
                </tr>
                <tr>
                    <td class="param">PLT</td>
                    <td>101.60</td>
                    <td>75 - 125</td>
                    <td>%</td>
                    <td>Pass</td>
                </tr>
            </table>

            <div class="conclusion">
                <h4>Conclusion</h4>
                Instrument Auto Hematology Analyzer BC-5140 has been already calibrated. The result of calibration
                    is good.
            </div>

        </div>


        <div class="clearfix">
            <div class="footer">
                <div class="date">Jakarta, January 23, 2026</div>
                <div class="name">Adhitya Pranata Putra</div>
                <div class="position">Technical Support Manager</div>
            </div>
        </div>

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