PET/CT Spec Sheet

PET/CT Spec Sheet
Company Name: * Required
Contact Name: * Required
Country: * Required
State: * Required
Email: * Required
Phone: * Required

Manufacturer: * Required
Year: (i.e. 2010) * Required
Model: * Required
Functional?: * Required	Yes No
Installed?: * Required	Installed De-Installed
Address Where Installed:
System Serial Number:
Mobile?:	Yes No
Gantry Count:
Computer:
Tube Count:
Tube Serial Number:
Storage Device:
Consoles:
Imager:
Generator:
Software Revision, Other Features, Other Hardware:
PET Information:
Patient/Counts:
Type of Detectors:
Age of Detectors:
Number of Detectors:
Gantry:
Axial Field of View in Cm:
Type of Computer:
Software Release:
Separate Workstation Available?:
Reason for Sale:
Availability Date:
Asking Price:
Who services the equipment?:
Site ID:
Location Type:
Loading Dock at Facility?:	Yes No
Picture Attachment(s):