山西贞德妇儿医院维修申请单
Repair requisition of Shanxi Zhende Women and children’s hospital
一、 科室留存联 One:Department retained copy
报修科室：Reported repair department
编号：No.
维修项目：Maintenance projects
科室负责人签字：signture of the person in charge
年Y 月M 日D 时H 分M
后勤组约定完成时限： Promid complete time of the logistics group
小时：Hours 天：Days
完成维修：To complete the repair
后勤主管签字：Signture by the logistics group director
报修科室负责人验收及评价：
Acceptance and evaluation by the person in charge
备注：此联科室留存
Remark：this copy retained by department
二、 后勤组留存联 Two: Logistics group retained copy
维修受理时间：Maintenance accepted time
约定维修完成时限：Promid complete time
维修时限超过一天，后勤主管注明原因：
Exceed one day, State the reason by the Logistics group director
维修完成时间：Maintenance complete time
报修科室负责人评价：
Evaluation by the person in charge
后勤主管评价：Evaluation by the Logistics group director
维修需超过一天：Maintenance complete time need to Exceed one day
行政人事部主任签字：Signture by Administrative Personnel Department director
维修需超过二天：Maintenance complete time need to Exceed two days
院长签字：Signture by the director of hospital
备注：此联由后勤主管每月5日前将上月后勤维修联报行人事部留存
Remark：The director of logistics group reported this copy of last month on 5th of every month to the personnel department.
