Beam ECG - Accessories Order List ECG Recorder Beam

75
Beam
®
, Operating Manual, Rev. 4.6.1 01/2016, GmbH
Appendix
8
8.3 Accessories Order list ECG Recorder Beam
®
Fax-No.: +49 2402-9500-11
Beam
®
– The Loop-/Event Recorder
Doctor’s surgery :
Street:
ZIP / City:
Phone:
Fax:
 Please send me a quote for the following items
 I would like to order the following items
Item Quantity
ECG single-use electrodes 100pcs/packing unit
e-health Service
Single-use electrode cable
Bag for recorder
Battery
 I am interested in another Beam
®
ECG Loop-/Event Recorder
 with the trade-in of old device  without the trade-in of an old device
 I am interested in the e-health Service
 I am interested in information for the following devices:
 Mobil-O-Graph
®
 Tel-O-Graph
®
 Libr-O-Graph
®
Date: ____________________ Signature: ______________________