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JABATAN KESIHATAN NEGERI KELANTAN                            APPENDIX 3
                                      MAKMAL KESIHATAN AWAM KOTA BHARU
                                         LOT 522, KM 10 JALAN KUALA KRAI              Document Number   MKAKB/BP/BR-07
                                           16010 KOTA BHARU KELANTAN                  Issue Number   01
                                                                                                     00
                                                                                      Amendment Number
                                    NO. TEL : 09-7138000  No. Faksimili : 09-7127115   Issue Date    03.04.2016


                                   REVIEW OF EXTERNAL LABORATORY CHECKLIST

               1.      Laboratory’s Name:
                                            ___________________________________

                                            ___________________________________


               2.      Address :
                                            ___________________________________

                                            ___________________________________
                                            ___________________________________


               3.      Contact Persons and details:
                       Name          :  ______________________
                       Designation  :  ______________________

                       Contact No.  :  ______________________

               4.      Any changes in requirement:

                                                         Yes             No
                       Pre-examination

                       Examination procedure

                       Post- examination


                       If YES, please specify:

                       ____________________________________________________________________


               5.      Turn-around time
                                                           Yes            No
                       Meet the TAT


                       If No, please state the reasons:

                       ______________________________________________________________________


               6.      Others (please specify)

                       ______________________________________________________________________
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