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Check List SECTION 7
1. The Meter serial number is:
2. The date and time the problem occurred was:
3. I tested with both the Check Strip and with
the Ascensia ELITE™ Normal control:
•
The Check Strip result was:
•
The Normal Control result was:
4. The Normal Control Range listed on the end flap
of the Test Strip carton is:
5. The Function Number being displayed on the
Meter is:
F-
The Function Number on the Code Strip
and on the Test Strip foil packet
currently being used is:
F-
6. Please include the lot number and expiration date
of the Test Strips and Controls currently being used.
For the Test Strips, this information is printed on the
carton as well as on the back of each foil packet.
For the Controls, this information is
printed on the bottle.
to
NoYes
Lot Number:
Expiration Date:
Test Strips Control