1、TEST REPORTTest Report No:Client：Name of Samples：Model / Type：Test Type：Certification ( )Commission ( )Others ( )Guangdong Medical Devices Quality Surveillance and Inspection InstituteGuangzhou Medical Instruments Quality Surveillance and Inspection Center of State Food and Drug AdministrationNotice

2、1. This test report is not valid without stamps of the test organization.2. Without written authorization from the test organization, the content in this test report shall not be partly copied.3. This test report is not valid without the signature of the ratifier.4. This test report is not valid wit

3、h any alteration.5. If any objection occurs, it should be submitted in written form to the test organization within 7 workdays from the day that this test report had been received. 6. This test report is only responsible for the test samples.Contact us: No. 1 West Guangpu Road, Science City of Huang

4、pu District510663 Guangzhou, China Telephone : Fax: Website: E-mail: Guangdong Medical Devices Quality Surveillance and Inspection InstituteGuangzhou Medical Instruments Quality Surveillance and Inspection Center of State Food and Drug Administration Test Report : Page_ of _Name of SamplesSamplesSer

5、ial Send-off ( )Spot check ( )TrademarkModel / TypeClientTest TypeClients AddressProducts / Lot ManufacturerSampling Bill Corporation being inspectedManufacturing dateSampled bySamples QuantitySampling PlaceCardinal Number of SamplesSampling DateTest PlaceReceiving DateTest DateTest ItemsTest According toTest Conclusion (Stamps of Test Organization) Issued Date:RemarksSignatureTested by： Reviewed by： Approved by（Authorized Signatory）：ClauseRequirement + TestResult RemarkVerdictClauseRequirement + TestResult RemarkVerdic