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CCEM 2

5 VOLTAGE REGULATORS/STABILISERS
FACILITY CODE:
For National Level use only.

Name of (health) facility: RURAL HEALTH UNIT 3 LUBAO


Voltage regulator information

Unit 1 Unit 2 Unit 3 Unit 4 Unit 5

1. Manufacturer:

2. Model:

3. Quantity present:

4. Quantity not
working:

NOTE: Please use another form if there are more types of voltage regulators/stabilisers and number each form.

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