SECTION
F
34
Date
Station/Cart
Active
Meter Serial #
Replacement
Meter Serial #
Quality Assurance/Quality Control
Recording Forms
Name of facility:
METER TRACKING RECORD
ASSURE
®
PRISM MULTI BLOOD GLUCOSE MONITORING SYSTEM
Minneapolis, MN 55439 USA
TEL 800.818.8877
FAX 952.646.3110
www.arkrayusa.com
Summary of Contents for Assure PRISM MULTI
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