so Y TE TiNH KON TUMPHONG NGHI~P VV Y

CQNG HoA xA HQI CHU NGHiA VI~T NAMDQc I~p - TI}' do - Hgnh phuc

Kon Tum, ngay 23 thang 8 nam 2019

PHIEU TRINHV~ vi~c phong kham chuyen khoa 23 Hoang Van Thy cong bB CO' sO­

du di~u ki~n tiem chung tren Trang thong tin di~n tir SO-Y t~

Kinh trinh: Lanh dao Sa y t~.

1. Tom tit nQidung cAntrinh:

Xem xet, phe duyet va cong b6 tren Trang thong tin di~n ti'r Sa Y t~ co sa dudiSukien tiem chung,

Tom cit nQidung h6 so nhu sau:

1.1. Thong tin v~ co so:

- Ten co sa: Phong kham chuyen khoa 23 Hoang Van Thu.

- Dia chi: S623 dirong Hoang Van Thu, phuong Quyet Thang, Tp. Kon Tum,tinh Kon Tum.

- Ngiroi dai dien co sa:NguySn Thanh Lam.

- S6 di~nthoai: 0385.557.730

1.2. Thanh ph in hB SO' bao gBm:

- Van ban cong b6 co sa du diSu kien tiem chung (dung, dclydu noi dungthea m&uquy dinh).

- Danh sach nhan su lam viec tai phong tiem chung v~c xin dich vu, kernban sao chimg nhan tham du t~p hufin vS tiem chung, hQ'Pd6ng lao dQng, chUngchi hanh nghS, b~ng t6t nghi~p trung cfip chuyen nghi~p.

- Bim ke khai trang thiSt bi phong tiem chung v~c xin dich V\l.

- Bim ke khai co sa v~t chfit, nhan Ivc.

- Gifiy chUng nh~n dang ky hQkinh doanh.

2. y ki~n d~ xujt cua ngU'(ntrinh: H6 so cmydu, dUngthea quy djnh ~i DiSu9, M\lc 3, Chuang ITNghi djnh s6 104/2016/NI)-CP ngay 01/7/2016 cua Chinh phuquy diM vS ho~t dQng tiem chUngva Nghi diM 155/2018/NI)-CP ngay 12/11/2018sUad6i, b6 sung mQt s6 quy diM lien quan dSn diSu ki~n dclutu kinh doanh thuQcph~ vi qUIDly Nha nuac cua BQY tS.

1

3. Y ki~n cua Truong phong: Dii kiern tra, ra soar h6 sa dam bao theo dungquy dinh cua thu tuc hanh chinh "Cong b6 co sa du di~u kien tiem chung'' diroc banharm tai QuySt dinh 387/QD-UBND ngay 23/5/2019 v~ viec cong b6 thu tuc hanhchinh rnoi ban hanh; sua d6i, b6 sung, thay thS va biiibo nganh Y tS thuoc thfun quyengiai quyet cua co quan hanh chinh nha mroc cac c~p tren dia ban tinh Kon Tum.

Kinh trinh lanh dao SaY ts xem xet, phe duyet viec cong b6 tren Trang Thongtin di~n illSaY tS./.

NGUOITRINH

Hoang Long Qufin Le Tri Khiii

Nlfi nhQ,n:- Lanh d~o So' Y t~;- Trang Thong tin dien tu So' Y t~;- LUll: Phong NVY.

2

so Y TE TlNH KON TUMPHONG KHAM CHUYENKHOA 23 HOANG vAN

THV

CONG HOA xA HOI CHU NGHiA VIET NAM. . .DQc l~p - T\f do - H~nh phuc

Kon Tum, ngqyJ.D thang.~ nam 2019

CONGBOCO' sO'du di~u ki~n tiem cluing

Kinh giri: Sa Y tS tinh Kon Tum

Ten co sa thong bao: Phong kham chuyen khoa 23 Hoang Van Thu( Tir v~n - Dich vu tiem chung tre em va nguoi lon);

Bia chi: 23 Hoang Van Thl,l, p. Quyet Th~ng, Tp. Kon Tum, tinh Kon Tum;Nguoi dung d~u co sa: Nguyen Thanh Lam;Dien thoai lien he: 0385.557.730Can cir Nghi dinh s6 104/2016/NB-CP ngay 01 thang 7 nam 2016 cua Chinhphu quy dinh vS hoat dong tiem chung,Can cir Nghi dinh 155/2018/NB-CP ngay 12/1112018, vS viec sua d6i b6 sung

mot s6 quy dinh lien quan dSn diSu kien d~u tu kinh doanh thuoc pham vi quan lyNha mroc cua B9 Y tS.

Kinh dS nghi Sa Y tS xem xet, dang tai thong tin thea quy dinh.

PHU THACH PHONG KHAM BENH. .

Nguy~n Thanh Lam

sa Y TE TiNH KON TUMPHONG KHAM CHUYEN KHOA 23

HoANG VANTHV

CQNG HOA xA HQI CHU NGHiA VI$T NAMDQc l~p - Tl}'do - Hanh phuc

Kon Tum, ngay).Q thang.~. niim~a1g

PHT}Ll}C 1Bang ke khai nhan s1}'cua phong tiem chiing v~c xin djch v\I t~i Phong kham chuyen khoa 23 Hoang Van Thu tinh

Kon Tum

Dang hanh ngh~ tai co sO'khams Hf}va ten Trinh dQ sA clurng chi Thiri gian Vi tri chuyen benh, chua benh khacT ngU'(rihanh chuyen hanh ngh~ da dang ky lam mon Ko Co:T ngh~ A dm}'c cdp vi~c tai co sO' Thiri Dia di~m Vi trimon

; , ~ , tiem chiing , v gian of chuyen:, , ~"mon1 Nguyen Thanh B~c sy 000 15771KT- Ngoai gio Phu trach chung Trong B~nh Bac si'h~

Lam dakhoa CCRN; hanh chinh vS chuyen mono gia vien Da diSu triC~p ngay hanh khoa tinh09/3/2015 chinh Kon Tum

2 VOMinhDuc Bac sy 0001611KT- Ngoai gio +Kham, sang loc, Trong Trung Bac sy dadakhoa CCRN hanh chinh tu van, thea doi

., tam phap khoa, khamglO'

Cap ngay tre, va xu tri phan hanh y tinh dieu tri,30/8/2012, va irng sau tiem. chinh Kon Tum thuc hiengi&ychirng cac chuang

nhan tap huan + Cho y lenh thirc trinh y tSvS tiem chung hien cac kY nang quoc gia.

tiem chung

3 Nguyen Thi Bac sy 0002901KT- Ngoai gio +Kham, sang loc, Trong Trung Bac sy daVan dakhoa CCRN hanh chinh ur van, theo doi gia tam Ki~m khoa, kham

Cap ngay tre, va xu tri phan hanh soat benh diSu tri,09/1112012, irng sau tiem. chinh t~t tinh thuc hienva gi&ychirng Kon Tum cac chuangnhan t~p huan + Cho y lenh thuc trinp Y tSvS tiem chung hien cac kY nang quoc gia

tiem chung

4 YLoai Bac sy 0012491KT- Ngoai gio +Kham, sang loc, Trong B~nh Bac sy dada khoa CCRN C&p hanh chinh nr v&n,theo d5i ". . gio vien Da khoa.kham

ngay tre, va xli tri phim hanh khoa tinh . diSu tri,27/0912013, ung sau tiem. chinh Kon Tum th\fc hi~nva gi&¥chung , , cac c~uangnh~n t~p hu&n trinh y tSvS tiem chung

,quoc gia

Truang Thi My Bac sy 0018081KT- Ngoai gia +Kham, sang lQc, Trong Trung Bac sy da5 H~nh da khoa CCRN hanh chinh tu v&n,theo d5i gia tamphap khoa, kham

diSu tri,

Cap ngay tre, va xu tri phan hanh y tinh thirc hien25/4/2016, va irng sau tiem chinh Kon Tum cac chuanggiAyclnrng + Thfmg ke bao trinh y t~nhan t~p huan caov~ tiem chung

6 VUVan Dire Dieu 0019451KT- Ngoai gio + Tiep don benh Trong B~nh Dieu duongdu5ng CCRN hanh chinh nhan, cham soc gia vien da trung hoc

CApngay ngiroi benh, hanh khoa tinh14/6/2016, va + Thirc hien cac chinh Kon TumgiAyclnrng kY thuat v~ tiemnhan t~p huan chungv~ tiem chung

7 Nguyen NgQc Dieu 0012521KT- Ngoai gio + Tiep don benh Trong B~nh Dieu duongAnh Thy du5ng CCRN hanh chinh nhan, cham soc ., vien da trung hoc dagw

trung hoc cAp ngay nguoi benh. hanh khoa tinh khoadakhoa 27/0912013, +Tlnrc hien cac chinh Kon Tum

va giay chirng ky thuat ve tiem~ " , nhan t~p huan chung .. ~ f ~

v~ tiem chung ! ,

8 Nguyen Thi Cunhan 0005331KT- Ngoai gia + Tiep don benh Trong 'B~nh Cu'nhanHoai Tram di~u CCRN hanh chinh nhan, cham soc ., vi~n y di~u du5nggw

du5ng da CApngay nguai b~nh. hanh dUQ'cc6 dakhoa·khoa 07/08/2013, + Th\lc hi~n cac chinh truy~n-

va giAychung ky thu~t v~ tiem Ph\lc h6inh~n t~p huAn chung chucv~ tiem chung nang

9 Tran Thi L~ + Tiep don benh XThu nhan, cham soc

nguoi benh,+Thuc hien cacky thuat ve tiemchung+Quan ly theodoi, bao quan xuatnhap vic xin, v~ttu tiem chung

DNTN LOC HOA CONG HoA XA HOI CHU NGHiA VIET NAM. . .DQc I~p - Tl}'do - Hanh phuc------------------------

vd viec dc rae thai y td

,.

HOP DONG KINH TE• s6: . .:lA. :.lHDKT

- Can cir B<)Luat dan su va Luat thuong mai dff duoc Quoc hoi mroc Cong hoa Xa hoiChu nghia Viet Nam khoa II ky h9P thir VII thong qua va ban hanh ngay 14/06/200S.

- Can cir vao Luat Bao v~ Moi tnrong ngay 23/06/2014;-Can err thong tir lien tich S8/201SITTLT-BYT-BTNMT . ngay 3111212015-Can cir KH s6 :3240 ngay 27/09/2016 cua UBND tinh Kontum- Can cir vao Gifty phep dang ky kinh doanh s6 6100244272 (Dang ky thay d6i l~n thir

5) cua So' K~ hoach va D~u nr tinh Kon Tum eftp ngay 17 thang 07 nam 2012.

- Can cir nhu c~u cua hai ben®

Hom nay ngay... thang nam 2019 chung toi g6m co:• 1\

BEN A: .£.l<;'.lHU~(.[Jt..K.Jt.Oft:: .Dia chi: .. :1.3.. :+fP.ci0g .. \J<:tn .. ~ .. ~11. KClD..1YJYD .Dien thoai: QJ.9s.-.63.~.559... Mffs6thu~ : : .

~....!) - .",

Dai di~n: .0l.G.U').fJl.llff\i)\.H .. \-t.\M ' ChueVl,l..: p/Trach ..

BEN B: DNTN LOC HOA

Dia chi: 77 Nguy~n Truong T<)- Phuang Duy Tan - TP. Kon Tum

Di~n tho~i: 0260.3864738 ho~e 0905115438 Fax:

Tai khoan: 5100211002020 - T~i: NHNN & PINT Tinh Kon Tum

D~i di~n: CHAu vAN LQC Chue vv: Giam d6c

Sau khi thad thurm, hai ben cimg th6ng nhdt kY h9'Pt16ng vai cae t1i~ukhodn sau:

DIEU 1: NOI DUNG HQP DONG

1.1. Ben B nh~n th\1e hi~n dieh V\l thu gom, v~n ehuy~n rac thai y t~ nhu: Bong, bang,g~e, bam tiem nh\1a, kim_!!em sittt-dffduQ'cphan lo~i, dong ki~n dung tieu ehuk b<)y t~ t~i BenA, dia chi: J..3 f.tOAf'Ki .. >J.Ari ..lli~.:.,..1P. \:.Dl11LLt0 .. , .

1.2.HQ'Pd6ng co hi~u l\1ck~ ill ngay: d_ 1 _9 12019 d~n h~t ngay 31112/2019.

DIEU 2: DIEU KI~N THlfC HI~N HQP DONG

2.1. Ben A co trach nhi~m phan lo~i, dong goi va luu gift rae thai y t~ dung thea quy dinheua thong til B<)Y t~ ngay 30106/2015 va KH s6 3240 cua UBND tinh Kontum thea yeu c~udam bao v~ sinh an tom moi truang eho ben B (khong thu gom rae b6 khong dung tieu chu~ndff quy dinh). Vi~e phan lo~i phai dung nhu QD s6 1024 cua UBNN tinh Kontum.,truang hQ'pn~u trong chit thai y t~ co v~t sitt nh9n cung nhu kim lo~i,vai bit ky hinh d~ng va kieh thuaenao, ch~t thai hoa h9C nguy hi~m, eh~t phong x~ , gay me ,binh kin v.v ...se lam gay b<)luai daova hu h~i cae b<)ph~n khae se bi ph~t ho~c b6i thuang ,d€n bu d6i vai ben phan lo~i rac y t~khong dung quy dinh.(benA).

2.2. Vi~e thu gom rae thai y t~ duqc danh s6 HD ngay/thang/nam d~ ti~n cho vi¢e ki~m tra giamsat,trong trm'mg hQ'Pphan lo~i khong dung anh huang v~n hanh cua may xu 1;' chftt thai .2 benthvc hi~n it nhftt 01 l~nlthang, thoa thu~n h6 trQ'nhau d~ giai quy~t nhanh vftn d~ rae y t~ .

2.3. Sau khi rae y t~ cua ben A giao cho ben B, dung quy dinh , trong qua trinh vanchuyen th'i ben B hoan toan chiu trach nhiem.

2.4. M6i tuan ben B thu gom rae thai dinh ky 1 l~n trong tuan ,N~~ co v~n d~ dot xuat v~rae nhieu hon tren lkg trong ngay rae thai phat sinh lien he v/chuyen UT: 02603.864738,0905.115.438 d~ cung nhau giai quyet.trong ngay.

DIEU 3: so Ll1QNG - DON GIA

3.l. S6 hrong rae y t€ duoc xac dinhbang can tai xe v/chuyen rae Ben A. Hai ben ti€nhanh din va ghi sf> giao nhan , ghi s6 HU ngay/thang/nam tren tui rae d€ xac dinh ten dan vidong rae (lam chtrng nr rae thai khi co SlJc6) tren s6 giao nhan gitra hai ben.

3.2. Don gia (bao g6m phi thu gom, cong, van chuyen, hop dong xu ly): 50.000d/kg

STT Di~o ghli s6 hrQ'og/thang Thanh ti~n

Rae thai y t€ (bong bang, gac, barn tiem

01 nhira, kim tiem ... ) ~ dff dircc phan loai06 kg 300.000 dbo tui nilong.chai hoac hop nhira dong

kin.I

- Don gia rac y t€ bao g6m + thu€ GTGT 10% : 50.000 dang/kg

3.3. Dinh muc khoan: 06kg/thang. N€u qua s6 lugng tren duqc tinh thea dan gia 50.000d/kg tir kilogam thu 07.tr6 len thea thlJc t€ rac y t€ ph at sinh tren s6 trong thang. '

DIEU 4: PHl10NG THUC THANH ToAN

4.1. Vao ngay 15 m6i thang, Ben B ghi hoa dan hQ'Pd6ng khoan thang, ben B se phMhanh hoa don tai chinh hgp l~ cho ben A.truac ngay 16 cua thang (mirc khoan n€ll phM sinhtinh vao cu6i thang)

4.2. Ben A thanh toan cho ben B b~ng ti~n m?t ho?c chuy€n khoim trong vong 07 (bay)ngay k€ ill ngay thong bao hoa don tai chinh hgp l~. Sau 07 ngay k€ thu ngay co thong baohoa dan rna ben A khong thanh toan cho ben B thi ben B se ngung thu gom rac thai y t€ va benA phai chiu hoan toan trach nhi~m rac cua dan vi minh. ; _

DIEU 5: DIEU KHOAN CHUNG -5.1. Hai ben cam k€t thl,Ic hi~n d~y du cac di~u khoan dff ky, n~u co gi kh6 khan ho?c

phM sinh trong qua trinh thl,IChi~n hgp d6ng hai ben se thoa thu~n giai quy€t va dugc th~ hi~nb~ng phv Ivc hgp d6ng.

5.2. Hgp d6ng duqc l~p thanh 02 ban, m6i ben gift 01 ban co gia tri phap ly nhu nhau

Hgp d6ng tl,Ithanh ly khi ca 2 ben thlJc hi~n xong trach nhi~m cua minh va thai h~rf quydinh 6 di~u 1 da h€t .I.

D~I DI1J:NBEN A

"

", ., .

UBNDTHANHPHOKONTUM 'PHONG T:AICHiNH-KE HO~CH

-!

...........

SB: 38A8013058.:

Dang kY lim .Jdu, ngay 25 thdng 07 nam 2019'­-D,al1:gkY thay 9.6i,~411,tl:z{c 1, ngiiy ,31 thang. 87.nrazn)D19

c_ - i :

~ - ·i~ ~~.

1. Ten ~Qkinh,doarih/ghi b&hg cbz1.inhoa):, ' - .. :~'", .~',: I y'

. PIlIDNG KHAM ClfU¥EN KHOA 23 HO:ANG V1\N'THU~. _ - _,'.-/ ·r, ... , •

2. Ilia di~1n kinh doanh: 23'Hoang Van ThV, Phuong Quyst THfing,. -Thanh ph6 KonTum, Tinh KonTum.

. lli~Ii thoai: 0395.639.559' Fax: . -' ;, -Email: . ___ _ , Website: -

3. Nganh;' ngli~ kinh.doanh: Phohg khim chuyen khoa~- - (Kinh doanh khi du diSu kien)

4. V8nkinh doanh: 200.000.000 d6ng. .. (Hai tram trieu d6ng ch~n)

.5. HQ va·te~·d~i di~n hQ kinh doanh (ghi bdng chft inhoa):NGUYEN THANH LMf GiOi tinh: Nam

Ngay sinh: 04/0611987 Dan tQc: Kinh QuBc tich: Viet NamLo~igiiytir clnrng thuc ca nhan: Gi§.ychjrng minh liliandanS8 giiy to- clnmg thuc ca nhfln: 233095071Ngay cap: 27/07/2006 NO'icip: CA. Tinh Kon TumNoi dang ky hQ kh§u thuong tru: 240 Hoang Thi Loan, Phuong Quang Tnmg,. - - Thanh ph6 Kon Tum, Tinh Kon Tum.ChB iJ hi~n tai: 240 Hoang Thi Loan, PhuOng Quang Trung,

Thanh ph6 Kon Tum, Tinh .Kon Tum. _6. Danh sach ca, nhan gop vBn th~lDh l~p. hQ kinh doanh (niu co)

THAN ANH DUNG

--- -------------------

so Y TE TINH KON TUMPHONGKHAM

CHUYEN KHOA 23HOANG VAN THl)

CONG HOA xA HOI CHU NGHiA VI~T NAMDQcI~p - Tu do - Hanh phuc

Kon Tum, ngayJ.Othimg.~.nam 2019

PHl) Ll)C 2Bang ke khai CO'sO' v~t chat, nhan luc, thi~t b] y t~ ciia Phong kham chuyen

khoa 23 Hoang Van Thl] tinh Kon Tum

I.Phdn ke khai v~ CO'sO' v~t ch~t cua CO'sO' tiem chiing cB djnh

a. CO'sO' v~t ch~t:

- Dien tich mat bang : 68.1 rrr'- Nha diroc xay dung 3 tang, co tr~n g6 chong nong va chong bui, nen nha

va khoang hit gach men, thuan tien cho viec v~ sinh.

b. Di~n tich xay d1.fngsir dung;

- Khoang 68.1 m2

c. Di~n tich cac khu vue, phong chuyen mfin:

- Khu V\ICdon tiep, phong cho: 27 m2

- Khu V\ICkham tir van, phan loai: 8 m2

- Khu V\ICthuc hien tiem chung :8 m2

- Khu V\ICthea doi va xu tri phan ling sau tiem chung co dien tich 15 m2

- Khu V\ICcong trinh phu, nha v~ sinh: 10,lm2

d. BB tri cac khu V1.fCtheo nguyen t~c m{}tchi~u:

* Khu V\ICtiem chung bao dam che duQ'c mua, n~ng, kin gio, thongthoang va b6 tri thea nguyen t~c mQt chiSu tir don tiSp, huang d~n, tu viin, khamsang lQc, th\Ic hi~n tiem chung, thea d5i va xu tri phan ling sau tiem chung:

- Khu V\ICng6i cha truac khi tiem co d~y du ghS ng6i;

- Khu V\ICth\Ic hi~n tu viin co bim, ghS ng6i duQ'c ngan nhom kinh cao2.5m cua dong khi ra vao dam bao kin dao;

- Khu V\ICth\Ic hi~n tiem chung co d~t 01 cai ban a cua ra vao;

- Khu V\ICthea d5i va xu ly phan ling sau tiem duQ'cb6 tri giuang n&mvaco d~y du trang thiSt bi thea d5i thea dung Thong tu quy dinh.

* Quy trinh kham chua b~nh:

, '

Benh nhan vao phong cho ngoi doi truce khi tiem chung, Khi dSn luot,benh nhan den ban don tiep se duoc huang d~n, Bac sy kham sang IQcva tu vfintnroc khi tiem. Sau do benh nhan duoc huang d~n sang phong tiem, tai day benhnhan diroc diSu duong da khoa (duoc tap huan vS tiem chung) tiem vac xin vadua vao khu V\fCthea doi va xu tri tai bien sau tiern chung dong ghi vao sf>theadoi tiem chung. Viec kham va tiem v~c xin do Bac sy va cac ky thuat chuyenman vS dieu duong dam nhan trong pham vi hoat dong quy dinh trong gifiy phephoat dong kham benh. Hoan tfit cac qua trinh tiem chung, benh nhan thanh toanphi.

e.Cac di~u ki~n v~ sinh mdi trmyng:

+ D6i vai rac thai Y tS: co hqp d6ng vai DNTN LQc Hoa dS xu Iy rac thaiy tS, co sa co trach nhi~m thu gom, phan lo?i dong bi nilon, V?t s~c nhQn b6 vaohQp an toan dam bao v?n chuySn an toan, dam bao dung theo qui dinh vS racthai trong y tS, co I?p sf>giao nh?n vai nguai quan Iy rac thai b~nh vi~n.( kernthea Hqp d6ng s6 49/HDKTT ngay 01107/2019).

+ D6i vai rac thai sinh ho?t: co sa thu gom t?P trung vao thung rac congcQng dS Cong ty Cf>ph~n Moi truang Do thi Kon Tum thu gom va xu ly chfitthai r~n sinh ho?t thea dung quy dinh.

+ Ngoai ra, co sa con thu gom dS tai chS ho~c tai su dVng ( Cac lo?i nicco thS tai su d\mg duQ'cnhu gifiy lo?i, chai lQd6 u6ng ... se duQ'c thu gom riengva ban I?i cho cac dan vi thu mua phS li~u).

+ Dam bao du anh sang va b6 tri thea nguyen t~c mQt chiSu t?i cac khuvl,l'c.

II. Nhan Il}'C tAng cQng 09 ngU'iri:

- Bac sy NguySn Thanh Lam chiu trach nhi~m phl,l trach chung vS chuyenman',

- Bac sy NguySn Thi Van, V5 Minh Duc chiu trach nhi~m kham, sangIQc, tu vfin, theo d5i tre, va xu tri phan ling sa_utiem; Cho y I~nh thl,l'chi~n cacky nang tiem chung.

- Bac sy Truang Thi My H?nh, Y Loai chiu trach nhi~m kham, sang lQc,tu vfin, thea d5i tre, va xu tri phan ung sau tiem; Th6ng ke bao cao

- DiSu du5ng Vfi Van Duc, NguySn NgQc Anh Thy, NguySn Thi HoaiTram chiu trach nhi~m tiSp don, cham soc b~nh nhan, thl,l'chi~n cac ky thu?t vStiem chung.

- DiSu du5ng Tr~n Thi L~ Thu chiu trach nhi~m tiSp don, cham soc b~nhnhan, thl,l'c hi~n cac ky thu?t vS tiem chung; quan 1y thea d5i, bao quan xu~tnh?p v~c xin, V?t tu tiem chung.

_.- ---

III.PhAn ke khai v~ thi~t b] y t~ ciia CO' SO' kham b~nh, tiem chung

STT Hang Nu&c san Nam s6 TinhTen thi~t b]

,SX xuat san IUQ'ng trang

xuit sirdung

1 Tu lanh dung tich Meiling Han.Quoc 01 Tot613 lit 2018

2 Phich gitr lanh Vac Nh~tBan 01 Totxin 2,6 lit 2019

3 Chi thi dong bang 2015 01 Totdien tir

..

4 Nhiet ke do tu lanh Vi~t Nam 2019 01 Tot

5 Nhiet ke do nhiet d<) Trung 2019 01 Totmoi tnrong Quoc

6 Binh tich lanh thS Viet Nam 2018 15 Tottich 0,3 lit; 1 lit

7 Ong nghe tim phoi ALPK2 Nh~tBan 2019 02 Tot

8 B<)huyet aQ tre em ALPK2 Nh~tBan 2019 01 T6t9 B<)huyet ap Ngiroi ALPK2 Nh~tBan 2019 01 Tot

161110 Nhiet ke thuy ngan Nhat Ban 2019 02 Tot

11 Hop thuoc chong soc Hong Vi~tNam TotSan

12 Tu thuoc, v~t tu Vi~tNam 01 Totphuc vu c~p ciru

13 Ban Vi~tNam 02 Tot14 GhS ngoi cho Vi~t-Nam 10 T6t15 So sach bieu m~u Vi~tNam Tot

ghi chep theo doitheo theo qui dinh

NgU'Oidung dAu CO' sO'kham b~nh, tiem chung

Nguy~n Thanh Lam

CONG AN TiNH KON TUMPHONG CANH SAT PHONG CHAv,CHUA cnxv VA CUU N~N, CUU HO

IBANSAO]CONG HOA xA HOI CHU NGHIA VI~T NAM

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DQc I~p - TV' do - H!ilnh phuc

GIAv xAc NRJ.NDA. CAM KET DU DIED KIEN VE PHONG eRA y CHUA CRAy

Can cir Luat phong chay va chira chay (PCCC) ngay 09 thang 6 nam 2001;Luat sua, d6i b6 sung mot s6 oi~u cua Luat PCCC ngay 22 thang 11 nam 2013;

Can ClYNghi dinh s6 79/20}4IND-CP ngay 3117/2014 cua Chinh phu guy dinhthi hanh mot s6 dieu cua Luat PCCC va Luat sua dbi, bb sung mot sf>di~u cua LuatPCCC;

Can cir Thong tu s6 66/2014/TT-BCA ngay 16/12/2014 cua BQ Cong an Quydinh chi ti~t thi hanh 111Qtsf>dieu cua Nghi dinh sf>79/20 14/ND-CP ngay 3] 1712014cua Chinh phu guy dinh thi hanh mot s6 oi~u cua Lu~t--RCCC va Luat sira oBi, bBsung mot s6 oi~u cua Luat PCCC;

Xet d§ nghi va h6 sa thong bao cam ket dap irng d~y du cac oi§u kien an toanv§ PCCC cua: Phong kham da khoa 23 Hoang Van Thlj..

Nguo-i o~i di~n: Ong Nguy~n Thanh Lam - Chll'C Vl): Chu ca sO'.

Phong Canh sat Phong chay ch(1'a chay va ClI'U n~n clm hQ oil ki~m tra an toanphong chay, chli'a chay, clm n~n, elm hQ. Nay, xac nh~n:

PRONG KHA.M CHUYEN KHOADia chi: sf>23 Hoang Van Thl), P. Quy~t Th~ng, Tp. Kon Tum, T. Kon Tum.

Dil thllc hi~n thong bao cam k~t oap lmg a~y au ai~u ki~n v~ phong chay vachu'a chciy o~: Hor;ztd(3ngphong kham, .

D6ng th6'i yeu c~u ca sa phai duy tr1 lien tl)C di§u ki~n dinn bao an toan PCCCthea guy ainh t~i Di~u 7 Nghi dinh s6 79/2014/ND-CP ngay 311712014 cua Chinhphu va nhll' h6 sa thong bao calTl k~t oap lrng d~y du cac dj~u ki~n an toan v~ PCCCail nQP t~i Phong Canh sat PCCC va CNCH.

Giay xac nh{in nay co giti: tr! din ngay: 291712020.Kon Tum, ngay 29 thang 7 nam 2019

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