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SErIES IAEA HumAn HEAltH SErIES IAEA Hum

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K i Patient:<br />

Radiographic Calculation<br />

INDIRECT ASSESSMENT OF INCIDENT AIR KERMA AND ENTRANCE SURFACE AIR KERMA<br />

User: _________________________________ Date: ________________<br />

Hospital or clinic name: ___________________________________________________________<br />

1. X ray equipment<br />

X ray facility and model:<br />

______________________________________<br />

Room No.: ___________<br />

Imaging using screen–film combination Imaging using digital image receptor Examination: __________________<br />

Screen–film combination:<br />

Image receptor model: _________________________<br />

_______________________ ______________<br />

Film processor model:_____________________________<br />

Developer and fixer (brand name): ___________________.<br />

180

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