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敏惠牙體技術科儀器通報與維修單
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班級
*
牙二忠
牙二孝
牙二仁
牙三忠
牙三孝
牙四忠
牙四孝
牙四仁
牙五忠
牙五孝
牙五仁
廠商
Other:
姓名
*
Your answer
電話/分機
*
Your answer
實驗教室
*
活動義齒實驗教室
固定義齒實驗教室
綜合實驗教室1
綜合實驗教室2
數位實驗教室
鑄造室
樹脂室
Other:
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通報選項
*
通報維修(學生/老師填寫)
維修處理(設備組/工讀生/ 廠商填寫)
保養紀錄(設備組/工讀生/ 廠商填寫)
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