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Request Type
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Tech support
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Product / company information
Quote request
Paid service request
Logistics
Spam
<label class=" control-label cf_classification_1825027-label " for="helpdesk_ticket_cf_classification_1825027">Classification</label> <div class="controls "> <select class=" dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_classification_1825027]" id="helpdesk_ticket_custom_field_cf_classification_1825027"><option value="">...</option> <option data-id="69001201459" value="Hardware">Hardware</option> <option data-id="69001201460" value="Software">Software</option></select> </div>
<label class=" control-label cf_type_of_operation_1825027-label " for="helpdesk_ticket_cf_type_of_operation_1825027">Type of operation</label> <div class="controls "> <select class=" dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_type_of_operation_1825027]" id="helpdesk_ticket_custom_field_cf_type_of_operation_1825027"><option value="">...</option> <option data-id="69001201497" value="Allocation / Activation">Allocation / Activation</option> <option data-id="69001201498" value="Create new users">Create new users</option> <option data-id="69001201499" value="Allocation / Activation + Create new users">Allocation / Activation + Create new users</option> <option data-id="69001201918" value="Data export">Data export</option> <option data-id="69001207543" value="Add department monitor and telemonitor">Add department monitor and telemonitor</option></select> </div>
Product type
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ABPM
H@H
24BP
Integration
Freshdesk
NA
Software
...
Web platform
Mobile app
API
Server
NA
<label class=" control-label cf_web_platform_type_1825027-label " for="helpdesk_ticket_cf_web_platform_type_1825027">Web platform type</label> <div class="controls "> <select class=" dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_web_platform_type_1825027]" id="helpdesk_ticket_custom_field_cf_web_platform_type_1825027"><option value="">...</option> <option data-id="69001201493" value="Forgot password">Forgot password</option> <option data-id="69001201482" value="Department management">Department management</option> <option data-id="69001201483" value="Department monitor">Department monitor</option> <option data-id="69001201484" value="Telemonitor">Telemonitor</option> <option data-id="69001201485" value="Patient admission">Patient admission</option> <option data-id="69001201486" value="Alerts">Alerts</option> <option data-id="69001201487" value="Reports">Reports</option> <option data-id="69001201972" value="NA">NA</option></select> </div>
<label class=" control-label cf_mobile_app_type_1825027-label " for="helpdesk_ticket_cf_mobile_app_type_1825027">Mobile app type</label> <div class="controls "> <select class=" dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_mobile_app_type_1825027]" id="helpdesk_ticket_custom_field_cf_mobile_app_type_1825027"><option value="">...</option> <option data-id="69001201489" value="App closed">App closed</option> <option data-id="69001201490" value="App crashed">App crashed</option> <option data-id="69001201491" value="Connectivity">Connectivity</option> <option data-id="69001201492" value="UI interface">UI interface</option> <option data-id="69001202590" value="NA">NA</option></select> </div>
Hardware
...
Patch
Watch
GW
Adhesive unit
NA
<label class=" control-label cf_factor_1825027-label " for="helpdesk_ticket_cf_factor_1825027">Factor</label> <div class="controls "> <select class=" dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_factor_1825027]" id="helpdesk_ticket_custom_field_cf_factor_1825027"><option value="">...</option> <option data-id="69001201470" value="Low battery">Low battery</option> <option data-id="69001201471" value="Not activated properly">Not activated properly</option> <option data-id="69001201472" value="Hardware failure / broken">Hardware failure / broken</option> <option data-id="69001201473" value="PCB">PCB</option> <option data-id="69001207882" value="Sensor turned off">Sensor turned off</option> <option data-id="69001201975" value="NA">NA</option></select> </div>
<label class=" control-label cf_factor242728_1825027-label " for="helpdesk_ticket_cf_factor242728_1825027">Factor</label> <div class="controls "> <select class=" dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_factor242728_1825027]" id="helpdesk_ticket_custom_field_cf_factor242728_1825027"><option value="">...</option> <option data-id="69001201474" value="Low battery">Low battery</option> <option data-id="69001201475" value="Not activated properly">Not activated properly</option> <option data-id="69001201476" value="Hardware failure / broken">Hardware failure / broken</option> <option data-id="69001201477" value="PCB">PCB</option> <option data-id="69001202402" value="Firmware update required">Firmware update required</option> <option data-id="69001201974" value="NA">NA</option></select> </div>
<label class=" control-label cf_factor869790_1825027-label " for="helpdesk_ticket_cf_factor869790_1825027">Factor</label> <div class="controls "> <select class=" dropdown_blank section_field" data-placeholder="..." name="helpdesk_ticket[custom_field][cf_factor869790_1825027]" id="helpdesk_ticket_custom_field_cf_factor869790_1825027"><option value="">...</option> <option data-id="69001201478" value="Hardware failure / broken">Hardware failure / broken</option> <option data-id="69001201479" value="Noisy">Noisy</option> <option data-id="69001201480" value="Wrong software installed">Wrong software installed</option> <option data-id="69001201481" value="PCB">PCB</option> <option data-id="69001201973" value="NA">NA</option></select> </div>
User experience
...
Unable to use system
Missing data on report / graph / monitor
Missing data on integration
Required operation action was performed
Workaround option was given
Required tech support action was performed
NA
Result
...
Customer misuse
New bug
Known bug
Operation request performed
Sending hardware for lab investigation
Hardware replacement required
Hardware firmware update performed
Missing information to determine
NA
Description
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Attach a file
Email Address
Title
Device Serial Number
Device name
Model number
Catalogue number
Lot Number
Distributor
Name of Complainant
Address
Email
Title
Date
Type of Complaint
...
Defect
Sterility
Packaging
Labeling
Patient Death
Patient Injury
Product malfunction
Other
If Other then specify
Comments/Description of Event
Device ID
Phone Number
Fax
Complaint received by
Company
Relevant images URL
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