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New User

Name:

Email:

Phone:

Center:

Last incident date:

New Incidence
No. Center Title Expected dt. Status Category Urgency Registration user Observations Enrollment date Records no. Actions
New Incidence
No. Center Title Expected dt. Status Category Urgency Registration user Observations Enrollment date Records no. Actions
New breakdown
No. repair  Breakdown date  Center  Machine  Status  Reason  User record breakdown  Asigned technician 
Name Email Phone Mobile
Reference Date Type Status Total
Kiosk Date Credit card Status Message Amount