Section 1 of 4
Formulario para Dimensionar sistemas de Oxigeno 95 % para uso Terapéutico
La información entregada nos permitirá dimensionar su requerimiento
Queremos asesorarte para que puedas generar en sitio Oxigeno Medicinal
Queremos asesorarte para que puedas generar en sitio Oxigeno Medicinal
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Section 2 of 4
Industria
Clinica Megasalud
Tipo de institución
Tipo de institución
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1.
Privada
2.
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Clínica Megasalud
Clínica Megasalud
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Lima
Lima
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Lima
Lima
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Dirección
Dirección
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Persona de Contacto
Persona de Contacto
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Cargo de la Persona de Contacto
Cargo de la Persona de Contacto
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Celular
Celular
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Teléfono Convencional
Teléfono Convencional
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Correo electrónico
Correo electrónico
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Section 3 of 4
Datos Técnicos
Aquí se recoge información técnica para el dimensionamiento del Sistema
Quirófano - Número de tomas/camas de oxigeno
Quirófano - Número de tomas/camas de oxigeno
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UCI - Número de tomas/camas de oxigeno
UCI - Número de tomas/camas de oxigeno
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Recuperación - Número de tomas/camas de oxigeno
Recuperación - Número de tomas/camas de oxigeno
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Terapia - Número de tomas/camas de oxigeno
Terapia - Número de tomas/camas de oxigeno
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Hospitalización - Número de tomas/camas de oxigeno
Hospitalización - Número de tomas/camas de oxigeno
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Urgencias - Número de tomas/camas de oxigeno
Urgencias - Número de tomas/camas de oxigeno
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Consumo m3/mes Oxigeno Gaseoso
Consumo m3/mes Oxigeno Gaseoso
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Ingresar el consumo de metros cúbicos por mes de Oxigeno Gaseoso. En caso de no tener consumo por este rubro ingresar el valor de cero
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Consumo Kg/mes Oxígeno Líquido
Consumo Kg/mes Oxígeno Líquido
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Ingresar el consumo de kilogramos por mes de Oxigeno Liquido. En caso de no tener consumo por este rubro ingresar el valor de cero
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Costo m3 Oxígeno Gaseoso
Costo m3 Oxígeno Gaseoso
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Ingresar el costo por el rubro indicado. en caso de no tener costo por este rubro ingresar el valor de cero
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Voltaje Disponible en la instalación
Voltaje Disponible en la instalación
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Ingresar el voltaje 230 o 460V - debe ser trifásico y 60 Hz
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Costo Kg Oxígeno Líquido
Costo Kg Oxígeno Líquido
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Ingresar el costo por el rubro indicado. en caso de no tener costo por este rubro ingresar el valor de cero
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Costo de Arrendamiento de cilindros de Oxigeno Gaseoso
Costo de Arrendamiento de cilindros de Oxigeno Gaseoso
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Ingresar el costo de arrendamiento por el rubro indicado. en caso de no tener costo por este rubro ingresar el valor de cero
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Costo de Arrendamiento de cilindros de Tanque de Oxígeno Líquido
Costo de Arrendamiento de cilindros de Tanque de Oxígeno Líquido
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Ingresar el costo de arrendamiento por el rubro indicado. en caso de no tener costo por este rubro ingresar el valor de cero
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Costo de energía que actualmente paga su establecimiento
Costo de energía que actualmente paga su establecimiento
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Indicar la tarifa del Kw-H que actualmente están pagando
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Section 4 of 4
Instalación Existente
El establecimiento posee sistema de central de distribución de Oxigeno por Tuberías
El establecimiento posee sistema de central de distribución de Oxigeno por Tuberías
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Si
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No
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Diámetro y longitud de la tubería de distribución
Diámetro y longitud de la tubería de distribución
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El Establecimiento posee sistema de central de Gases?
El Establecimiento posee sistema de central de Gases?
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Si
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No
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El Establecimiento posee sistema de alarma de control de presión de Gases?
El Establecimiento posee sistema de alarma de control de presión de Gases?
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Si
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No
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Se requiere un sistema de llenado de cilindros de alta presión?
Se requiere un sistema de llenado de cilindros de alta presión?
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