PACS & RIS Troubleshoot Form

PACS Admin Contact Info

Izwan – 013 8878472

Tarmizi – 013 6101854

Athirah – 014 2233458

Muzamil – 013 3436942

Aidi – 013 4080886

Arina – 013 5336960

Jannah – 014 5089875

Yusof – 019-6824724

PACSRIS Troubleshoot Form

Your Name (Reporter)

Patient RN Number

Reporter Location / Phone Number (PACS Admin to reach you)

Troubleshoot Area

Modality

Room / Department Area

Modality

Room / Department Area

Type of Error / Troubleshoot

User ID to Kill

Procedure ID

Please specify the problem:

Image Series Number To Delete (please specify)

Upload the error image/message (if any)

Choose File

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