13
v +,9'. j d--.- n 6Hd'fl u 6H r I qfl 1Y fl 5 v til r Id u n5as N a ttu u ar fl 6f s v{ 1 el I v +rQr, ! -4- 6). a?1t{fi4{fl15 fl?vtil1Lnun5o.lilottllLdleldvl'ltl rr. {nrrrJtuasd fi q rudnu ruv Lqnlvet''t1.1{srirvuor oq A u tau^ E-. 9v o r- Iff rfr o ari:.l aqun 1 ?il f, lG.i 1ur o.i o drl . [un'1? o o n 11,l L5 fl '1?11 : v?t1?,u tLa v f,e tflul.l1J'lu v ;/, *, f, , ' u Y v -' en. qfiJflflUftJyyl?[il en.o fi?ULil'lLtiBe]il1u?u1n fl{l.i > flq EJ']? @)se fi'l qs A flr fiUhJ q n 5 o er ar s a vil''t Et d't t t't : rr il il z ur o n'l r s'l fl r'lTfi en . t' p1'r n : v rfl r rr1 uvr :.: d rr,t 6 fl lr ri il 6': fl {o q riurjl d ri r Owo ulr t d v d9 "n . * Iff ri r u il laie rl n : i ttfl v tt 1 te tJiflr',4dr il il-i o s n fi ufi rJ fr ffi .:'r u q c,. qrHd'flu6rry[eyr1y d.o ff'rlr1?nue]nrrayflln n:vtflT rdorfiuerln:oflqtlfiFf'tfionrflun?vqlrfi1u{1tl Ltfiv?e'l c..)qe d'?n?yrt]rvi.rfi.:s{dqFI.iytuttfi{tt?.i ff'tN'r:ftTaiq:ln:oinrs?u tLavavaxfl?u . 3f, fl'r?u100flv\uvl <. * ilc rxyr{l rr{ I 6.: I u ris rfi fl }r fi rir v'r 5o I fi u v{taTfl o ax . :-rE r'l tu fr 1 urfi '1 fl ?vrfl 'r ?u1a Lfiuhi'tqurinn'rsTrifiofl fl 'jl d d? c. rtouTzrqrnr,ru >.o iltJ:v#uqrunrlrnl??fi{ruTilfiosfl'j1 @ fll d, 6) ,iv ' 9v b.l€3 r!u?o{ Llr&]li Lil tnfl L?t'l'luil1flou t.* ?fi{rAuo?''tFl1dlfl:yuflr6"1sEj1{tLuLtdaeriufirAuo:''lFl1N'lLtffFl.:?u{ufiu 1'O{ rO fl dlltl :vn'l n:''} nt (u'rsfl :s:'rrri Ttu q r fi )

11,l L5 tLa - Chiangmaihealth.go.th · 2017. 6. 24. · v +,9'. j d--.-n 6Hd'fl u 6H r I qfl 1Y fl 5 v til r Id u n5as N a ttu u ar fl 6f s v{ 1 el I v +rQr, ! -4-6). a?1t{fi4{fl15

  • Upload
    others

  • View
    0

  • Download
    0

Embed Size (px)

Citation preview

Page 1: 11,l L5 tLa - Chiangmaihealth.go.th · 2017. 6. 24. · v +,9'. j d--.-n 6Hd'fl u 6H r I qfl 1Y fl 5 v til r Id u n5as N a ttu u ar fl 6f s v{ 1 el I v +rQr, ! -4-6). a?1t{fi4{fl15

v +,9'. j d--.-n 6Hd'fl u 6H r I qfl 1Y fl 5 v til r Id u n5as N a ttu u ar fl 6f s v{ 1 el

I

v +rQr, ! -4-6). a?1t{fi4{fl15 fl?vtil1Lnun5o.lilottllLdleldvl'ltl

rr. {nrrrJtuasd

fi q rudnu ruv Lqnlvet''t1.1{srirvuor

oq A u tau^ E-. 9v o r-Iff rfr o ari:.l aqun 1 ?il f, lG.i 1ur o.i o drl . [un'1? o o n 11,l L5 fl '1?11 : v?t1?,u tLa v

f,etflul.l1J'lu

v ;/, *, f, , ' u Y v -'

en. qfiJflflUftJyyl?[il en.o fi?ULil'lLtiBe]il1u?u1n fl{l.i > flq EJ']? @)se fi'l qs A flr fiUhJq

n 5 o er ar s a vil''t Et d't t t't : rr il il z ur o n'l r s'l fl r'lTfi

en . t' p1'r n : v rfl r rr1 uvr :.: d rr,t 6 fl lr ri il 6': fl {o q riurjl d ri rOwo ulr t d v d9

"n . * Iff ri r u il laie rl n : i ttfl v tt 1 te tJiflr',4dr il il-i o s n fi ufi rJ fr ffi .:'r u

q

c,. qrHd'flu6rry[eyr1y d.o ff'rlr1?nue]nrrayflln n:vtflT rdorfiuerln:oflqtlfiFf'tfionrflun?vqlrfi1u{1tl

Ltfiv?e'l

c..)qe d'?n?yrt]rvi.rfi.:s{dqFI.iytuttfi{tt?.i ff'tN'r:ftTaiq:ln:oinrs?u tLavavaxfl?u

. 3f,fl'r?u100flv\uvl

<. * ilc rxyr{l rr{ I 6.: I u ris rfi fl }r fi rir v'r 5o I fi u v{taTfl o ax . :-rE r'l tu fr 1 urfi '1

fl ?vrfl 'r ?u1a Lfiuhi'tqurinn'rsTrifiofl fl 'jl d d?

c. rtouTzrqrnr,ru >.o iltJ:v#uqrunrlrnl??fi{ruTilfiosfl'j1 @ fll

d, 6) ,iv ' 9vb.l€3 r!u?o{ Llr&]li Lil tnfl L?t'l'luil1flou

t.* ?fi{rAuo?''tFl1dlfl:yuflr6"1sEj1{tLuLtdaeriufirAuo:''lFl1N'lLtffFl.:?u{ufiu

1'O{ rO fl dlltl :vn'l n:''} nt

(u'rsfl :s:'rrri Ttu q r fi )

Page 2: 11,l L5 tLa - Chiangmaihealth.go.th · 2017. 6. 24. · v +,9'. j d--.-n 6Hd'fl u 6H r I qfl 1Y fl 5 v til r Id u n5as N a ttu u ar fl 6f s v{ 1 el I v +rQr, ! -4-6). a?1t{fi4{fl15

qru#n u cur uau rv il ta vriqTfi 66 maa

o. a?1ilfio{fl1t rj:sy{FlTfrfiQnon

fi q rud'nru ruv tqv! 1 va18'1fi o riruurr

u. {nqr-ltvasd tfirfioarir-rariunr:LJfr:-Yfi.i'tu?o'l eael. ?unr:{nqruuqfiirsnrsil:vsr%u

6n. qfHfl-nUfuvyl'lttJ en.o L{fr1fi?Ltflqt a

*.u fidrsqruraqnf,l{nTfr lOisploy ronge) :vv'jrs en'lsr.o-c1sr.o ssflrt'6ntd'A

*.* nitnrtu^^arr^duu + o.6) osfl1ttJnrdgA

en.< yflrsoruansrunrrlun'.Junz66ersa en ufrn fier'l18rnel'E'fllnris*.rffTl"lr6o'iLLd'i

lun:rflfirirurir?ufi fi nv6o t'l nrnnrs fi uAe>ue> v t d A

en. d L.l fl ''tYl tt tunr:{n nir (Checking time) o -en o iurfr ilioll fr fr fU CU'lCu tn gu

-.t .rFo n :u nruufl tQ

^1o1uFl 1

en .> u nr4 o s ar l.r.r t afl nTfr Tn fl dnTueffi rff olil fi n I :1ff s r u

<. qrudnurr{y[ey{1y <.o frliraftoiff1}l'r:flrYrJfi rravfrrsri'lnelNffvo'lrrTfiirri

d.be fi il E o fl nq e-r rff s flss fiun T : fi el rdo tt^ v n fl tln fl

d. en L!, oi I n d's s.rufi tfi lfl u uu rr r Br sG fi ufi fl ar ut s{fi rr 6 u o . a TT a s{tf,uTrl

"iruru " frou

<.< qrJn:oi6osl::qtunaiosfifinr'l'urul6sit:s r,nrior{flouruvil'rnr:?finrErTvrs

ruavnlE'rd{flqu

-4-^tfiu..................::.......

..........t1:ve ru

(urtlrfiu?Yfl r6u€{us)

)P"nrfio.......... .........../..fr' / . .... ............n?r[.]n'r?

(urelr:suF{ rirt'u)

^*fiu........ 9:ek:..........' nir[]n'r:

(u1 Ervri.rt'r{ri Ttt rg I fi )

Page 3: 11,l L5 tLa - Chiangmaihealth.go.th · 2017. 6. 24. · v +,9'. j d--.-n 6Hd'fl u 6H r I qfl 1Y fl 5 v til r Id u n5as N a ttu u ar fl 6f s v{ 1 el I v +rQr, ! -4-6). a?1t{fi4{fl15

ied. t.{ou[?[Qlr{1r

-ls3-

t.a iut)ayriuqrunrvlnaoflolqfl't??fitru TnflLGd'va1l.l'rlfllios'lratsrrl6fluTfrv a af,^ 9

ri'ufi n:rflfi rfi n nr:rir1 nr tduu rsd' ^ tAwu ^ cE Ltfiv lso l'l{outtuutonar:?u{ud'.)6e tilur{ d nnilvl}I Ln }.11 m?s1ufl 1? t{ a 9l

rduo?'lFl'l

c. en ufl unr 6 n:Yrue4'd zu fi ms 1 fl il ? y ry niqT:r-J o tr6 n I \6u4u tn 1v 6 ra6o 4j q u

d . d 4t ff uo i 1 n 1 fr o tTfr irl n'r : ru ri s rYt rfl ura fi.: do iu : o.i s 1 n fY? tLvr u'i r u il r fl

f f e ^

d av u 6 ' o ' e

[rrsm:.i S1fl L?.:.t1u{zu6nu5OlTtgiln']LLiluq1uu1fl LutJlvt?lFI 1\5O}'lttill-l

o -ALo n d1?hJ{'uEutsn al:il?Yfl ? Fl?'l F}1

a i A a; 2YgYg ol6,.d l.rLFr?o.tyttUu%uFIt6fl.tfY:-.lfitAuo?1Fl1ti'l?o.l ffi-ffifurafifirn6oldrlntt^v5CI

, o y tv I u f 2rA e - v o

n T : cis it.i't u.l u hi tio g n'i r )sr o o u L n eJ 3..l o l-l Li fi ff 1 ufl {'l ud'l f 1 ? ru 4fl s'1 14'l Fl

d9'L%A.311,1N

d'.b rfl u? fl .r?ra ri fiTil r nr fl Tfis'ruer I ri ou

d.60l ?fi{rduo?1nld1tn6ss6'eod''}.ttttJLtdsefYLd,Arut.^.}.11d16mfl1??frsru

?u{ufl urss to n dltil ? vfl 'l rt tr Ft't

I

a.i?fo ilrvnru

(u'lu Lfl a.l?iEJ Ln e.l fl .itl.l )

nsfio nfr< n?:Nr.r?

n{?io fl??etfl'l?

(u1afl r'r?'r?,d Trt rg rfi )

(u'rrlvr:{uFt rirrYu)

Q,td_

Page 4: 11,l L5 tLa - Chiangmaihealth.go.th · 2017. 6. 24. · v +,9'. j d--.-n 6Hd'fl u 6H r I qfl 1Y fl 5 v til r Id u n5as N a ttu u ar fl 6f s v{ 1 el I v +rQr, ! -4-6). a?1t{fi4{fl15

,t?

o. FI?11{BA{fl15

b. {Frgrilffia.:riq

rrrudnu orv tarry1v [ilil fq riraou tor ttau BM It

rmr-l{n nir:olj Lo? rrfi v BMI

fi qrxdn:u mv tqil 1vFr1l.rfl sri'nrupt

[rl rfr o auu nqun r ::-J fl I Ft tuz s'l o dN. Lufl 15 I rl Fl'l:ol-.] Lo'l Fl'

rLlt 1-r dv n t fi ?un r :vr nlt'l

en. qrua'nu6lJUtqil1y en.o ?u'tflLrrrrln{rt ery.a fiadttgt? ule o:,doo fiafitln: fiunr-Jfr:rqdrsnirq

<. utauTzreil'Iv

ar:{ersdrsfiofl .n frusrnrirsrYu 6o rlnfi tdfl{ ttavfiqilnfid 6) v A gt 6r-

en.tca frertn:lunr:'lFt )qe l.l19l? fro {ntiJurtufitln: ttavfi'l

en. en d'lu Lyr:Jr-.l ::q?urr frift zufinsra{aq AB S fi fi nrrll nrtvtu

en.< nd'ufi:afirrJntita{1fl't?ttdct.lFilnr:il:ytfiu BMI (BMl Colculotor) dttr;

fi,t ra?fn ueu n ss r ttArrs uar.L derqtirs ni r n r:il : y tfi uo ci rsfl s s * fr irmn ri'rs fiua^tr6s ilnfi rfrEr.i ruavfrFrLlnfi

en. < tvtil {q ar elta n d'u duqf n dl ( Retrocts) ter fl dslTufifi 6r u n r: n o rl rfi n dld j Aa, 2w\v9 al ., ^t

c'.o riLFt?o.iyruJutunt6fl.lffLfiuauo:rnrrirtosffilfilunterifirnr6osrirlaLLnv?o

n.r:dsu"iru.:uTririoEtn.ir oo du TerfluelT{firir#n{'lud1f 15tlJdz4'tr,r{er

AS,r{fl.t 11,1N

d, 6) ,i'a ' 9vd. \6r tl u? o { Lu }.1

yl= L}.1 t n g L?i.l'l u ll'l fl o u

<. * ?rI fr rauo i 1 n 1 d1 t Fl6 os d'e o d 1 { tLL L td a e fYL d,auu t. ^.

s.t't d16 n fl 1:Tfi s r u

?u{rru^utuo ro fl d1?il i vn ? n?1 a'r

arfro il:vrru(u'isl rfi ufrEt rfia-rEsss)

\ p-", t fri'a'rfio.......... ........(...:.... ..........fl??e.rfl"r?

(ulrJvr?.r u Ft r{rfr'tL )

/1 <2-(l,J b_-I

n{1Jo

(ursr:s:rsd Trurgrfi)

fl??ilfl''r?

Page 5: 11,l L5 tLa - Chiangmaihealth.go.th · 2017. 6. 24. · v +,9'. j d--.-n 6Hd'fl u 6H r I qfl 1Y fl 5 v til r Id u n5as N a ttu u ar fl 6f s v{ 1 el I v +rQr, ! -4-6). a?1t{fi4{fl15

vLvafHaf'r19 fi{v tq?\1u14u'Ifl 1fIOU13'l u

q

sbvvo.FI?'IN9l0.:fl'I5 fiUlallflOille]tl

u. {srnrltvasd

fi nr rudnu ruv tqv\ 1vfl 14.tfr orirvurrau) v ,ava -- ^-^ ?^. v-.t...&-f^^..^ vIfr rfi o Atjl Auun 1?ilfi ilfi {1u? o.i o fl }.1. [un1?! asnut'ds L? n ttavu No fl Fl Qu--- e aU

*.t, d"ln6io{ fr o{ ttofl sqn1fl ttff Fl'il'ls av 16 fl Pl d'sd

{u r6ou fl dzu6n utouerrrorq firotrr1uTfrilan,u

en.\ca.)ee :rr; nr{1fi 26fl (Lot Number)

en.l9l. 6n ?v]l?u1fl ttavdlu'lu? gs zufi nfiruE4

en.)ca.d ?v!Nla:S'lu l]ofl. / ISO ra6se'r1fl?S'ludu

en.en 1J??f,flAiosaY co du

.,. a6gdfluCIrvreyr1y t.o frcviltn1nzu6ms1nrfiu?fld'sroalr"$ fi':d'errYar4r Tilfirtruzunil?o'i FlberI

g I o ss a': er?ai aL 1 ElTil ?ir rfr n o r n I : : v Fl'l El t d o'3

c'.ka fi?uron{rs .e rrufrriln:fiuTil flr'l aer/.d ttufit}ln?

<.* finqruilil't en',iu r^Tl * vrl duTrl

<. < fr crtillrn r n fi a.l e fi o u fi r u:-t u d I {lTfi s s o m I I : il u fi r z o s { nt rtdTfi afl vr

d.d fiargnfrasr4 r, flTs dri.u.nu.s6fl urfisLL:{ Til?1nirs Trinnvi'Lfi':il#t

LE rr rua'ur?ai un vTil fr s.: fi n'r: r4 n eYnr

<. < r-1os rYun r :fi I ni rut ss zt o s uu n':T 6 a o o o/o Tri fi *':fi l.r

i,d,. r.tou[?[qy{1y d.o i.rdnfieud'fissr.jrunr:vtaffoLltn:gruTnsanltTufll:?lrrasLfiT6

N1nta1ud1fl^d

d, 6) 'iv 9va.tor til utt o'i 114 [.] fl L]..l tn El L?,.1 1ue..l'l fl o u

gvv r d oc' o v

d.en LilhLfluo?1Fl'lu1n.loEt1.rLrLJt-Jrrrflxnl-.lfitduo?1Fl''ll..l'ldr6fln'l:Iffsluluxu

e^u"itg{ to n a1 ?il ? vfl e n ?'l Ft't

6.i?ro

en. qrud''nurucvY?Til en.o l-.1??a?unaio.:fifinre'ultt6{tL:{ vurionr:zuai'l

(uT stfiu*'u r6lrE{u'l)'., v)

^*du.......... ) f7r ..........n??Nn1?

(u'rsvr?.iu FI ri'rrYu )

&t*n.i?,o

(u'r Er vr i.r i'r{ci Ttg rU r fi )

n::Hfl'.15

Page 6: 11,l L5 tLa - Chiangmaihealth.go.th · 2017. 6. 24. · v +,9'. j d--.-n 6Hd'fl u 6H r I qfl 1Y fl 5 v til r Id u n5as N a ttu u ar fl 6f s v{ 1 el I v +rQr, ! -4-6). a?1t{fi4{fl15

qrudnu ruv tavlrsosfi a Di sposob le

qsffo oisposoble rit,aium:qsT:r,

fi q rud'nrs flJv tail 1vfi 1e-.1fl o ritaurr

,o. O?1$lFl0tlfl,]t

u. ina:Jtva.lriq

dl *>en. OflJEfl 1{6}JVYI? [U

q

guA v ,^va -----.2^. ILl..rt-.:,- &IIfi ufi o Aril AUun 1i il fl tJfi .i'lu? o.1 o ds.l . [un 1 ? d? [r Ld tfl o 1] 2.1 fl u tfl o L: F)

u I , d --)^. ' d 2/-- o ' ^*.o frosl::lTunaiostL:?lfiLlttd.l ylueiofll??uai.: tlavufrt-t{fl:g1lun1xvilfl6

er.u fie n ai os fi os tlans q^'t fl tLdrt.l?'l fl a v 16 s Fl rYs d

en.'tc!.o ivl;{u rdou fl fizufifl vt6svreorq fiuotr#uTfr*'nreu,t

en.'le.loc :vunrisfi nr6n (Lot Number)q

en.'lor. en ?yll ?J u1 a tLfl y4i1u'lu? os zu 6 fr:Yfuda,

en.\or.d ?vLl.l1n?f;'1u l]on. / ISO ra4ol'1Fl?S']u6il-q4

I

en.en lJ??gllAiglaY ooo 8UI

c,. qor#ntsrusray{1y <.o rfluq.rfisrirsrnflrs ur-rLTfin{{t6flefi{ rfion:':sfifisfro{il:rflsrngi'1ufifi'

,rluzunrfisrisnr?Tfi{1u L?iuTilfiv{o{ornrrru6sft{uilflflil^oil?uudog'rs ?oLq'l

d. t.lOUtll tA?'{1C

Lr^s Er rs fi o{Til ri'run du z cuv?fi .i'ru

<.te, fl .i fi o tfl u?,f, prTei%i 1 tdo tla vfi rrfls ?u'l Fl tl-ro{ L

r.* *Ft,l.tNr1,l .l d,l uurTilriofln.jr o.od fiafitlm: n1Nl.l1a?Slu?0'l

fl ?ilQilsJ't Ftraqin ra ttYlYr ri

<. < fi frt::s.r%14 (?1'lu6o nrtar )

d. o i.t 6 fl ,Yfli d fr o w,i I u n 1 i'n Ftff o 1-l N'l n : S r uTn fl n a r lYu n r : vr n A o I fiTd

l.r1n?3'1ufr']nfi

d'.)o Lfl u? os?u rifiTri rnr s?fis rua-r rriou>vv r d ow I u

d.en L1rhL6uo51a1u1Ft'totl't.lLLLLLoflefl]lfitfluo?1FI'llllffrEmnr:lffsru1u'luq

fl uryos ron ar?il ?vn? n:t Ft1

^.1?roil:vtru

aA(u']fl toiN%Et LFI l..l 9l.i tl.i )

(urgil:sEtFf rirr'u)

fl?f 31fl''l?

n{%o

(urflfl:str{ri TtfltUrfr)

fl5?Nfl']tr

Page 7: 11,l L5 tLa - Chiangmaihealth.go.th · 2017. 6. 24. · v +,9'. j d--.-n 6Hd'fl u 6H r I qfl 1Y fl 5 v til r Id u n5as N a ttu u ar fl 6f s v{ 1 el I v +rQr, ! -4-6). a?1t{fi4{fl15

vo. a?1ilna{fl1t

u. inarJrvasriq

v t €aFrflJAfl U 6I{v tAfl lvuqou fl56lJyl1 [tru aq- - q q

v

rn o rl n : nIli1 Ltr.r fi ?rfl FIil fi o a tfr o

fi n rud'nrg ruv tqil 1vn1Nfr o ritaurrov A v t^ua E['8 rtf s aul auufl 1 ?il fl lJ n.:'tu? o.i o d]..l . Lun 1 ?11'l LL,{ a

en. qru#nuruvfi?Til en.o {nlirtli'Jn o {rl lavnsvdcilqrJn:cl r' ai'lu 6oX A I 6) ?r+---!-+y^

6n.o. o gnli,tuzuailffontBofrL??1 Luflo.i Ld 1lFIduyl L[.]l.l1flu5'l ilne

fl .rflilyL:?sfi es:rq{u u6eu tl fi zu6 n u4ouu norq fi e-res u#uTfi #o rsu'iru'lu

< rnrisn:vrflr

en. o .,tse q :-J n : rfi rJ : r n s lTun r : vi1 u zu n L ?: q rfl udu rifl n e r n g er vir rtzu a?u

" lflanlllrtclldlr#fiuailrY?O en.o.o ?'ltl^Ylf q

' o j^, o'Y,a Laen.te! o t-l n : ffivt nAuL ??s1un rtuvfi i] n dfi v [ri fi :o u f']fr ]r

9!q

c'. a6H#fl u fi v tqvt'lu srl n:oiliT rtt lfi il tvfl oL fr eglqcI

d.o {nriruzuailnarrtdo c'qo/a:vtflr iltvnoLfr'1fl

d.c).s [t'lrlli\alflfin?ulfl adxa,.d zl.u. tfluTrl @ fl1fl

d.o.lsl ilT ndurnrafin a du

d.o.en rirdrisu >-< riou9d

d.a.d zulrisanl] d-d tLr"lu

c'.lr, qilfl ttfidu1 :J:vnol 6rl

e'. rtauTzrevr,tu

c'.l€e.o l^tampn{firuulmfinfr'ruurflFn'leltrifthiogn'ir 6/t}l. "o

d'u

d.\er.)€r fld6iru^aan$\STeruToTodu oo% zurrtTilflssn'irtrcr.n. @ ltxo1

d.)es.en rvr:-lfiofrrfl'oa Tronspor 7z d": o naio'l

Y a v Y twd.\sr.c'ilrtndoaltttrin ?Ju'lFlLr]uggn':r ooo il.fi. o ?'lfl

c'.)6r.d'Ltonfloflod'evo% zuroTririofln'ir\ao L1.fi. o ?QFt

d, 6) 'i'z , 9vd'. o rilu?o.i Lv[.]]1Ls.l tFlu L?r.i1U]]1flOU

d'.* hlfitduo?1n'1d16'eodrsu:-tlt6fl'lrYl-Jfirauo?'lFl1N'ldr6ernT:?frs'ru?u{u

fi utos rgn al?r-l ?vfl 'l Fr?'r fn

il:vrru(u"rflrfi[r?ffl u6u0{es)

arno )fi%(ursil:rflFf rilfcl)

fl??Nfl'I?

n{?io

(u''rsvri'i?'rrid Ttu rg rfi )

fl??r..1fl11

Page 8: 11,l L5 tLa - Chiangmaihealth.go.th · 2017. 6. 24. · v +,9'. j d--.-n 6Hd'fl u 6H r I qfl 1Y fl 5 v til r Id u n5as N a ttu u ar fl 6f s v{ 1 el I v +rQr, ! -4-6). a?1t{fi4{fl15

q

L

o. A?1NnB\:fl15i L Y u v v d r I

r nA o { {{ il.r v u n n uvl 5 s I fl 1 }.t 1 : fl e fl o.l rl :J ? v n o L ? o.l 3'l.i fl 'l EJ tLL L q s n o ^

dovo3..r nflJafl lg ruv tav\ 1va'l&.1 ? ofl lvua

u. inn:Jtyasd Tfi ufi o ari:: aqu fl 1 : il fl Lffi .: 1 u? o.i o a ll . Tun T tr?s th u rin rl ? vri'l rlu?uq er ?tu

v j d, ? v v d | ^-l--- aaaCI{afrUfrJytet^l'lyIFlfo.:u.tu1t4ufi?qa{6ilf,cfloUzo{i1$f]1tlttuu66naa

(urtrm:ssFI rirt'stt

A. br?b>-

it*> a, A L y u aa e g,9y.{--V----"1,^ d I vcn. nard'nu6uyli'?ftJ en.o tflurrr6o{{.i}i'tilun frQnsn dlfi?ltL?ittuluunnuttlll-.1flu }ll,lu?tlfl''1?'lrl

d,^filr]Jlrfl L^fl53.1

en.'ror 6.ril1't?a{nssrirl:uflot-.1?o.ii1.in1flTfr il:vno!fi'ls Firfitfiu'lan'ltl (BMl)

dd dY vQn,ttiloiL"itunL?NuLui'l{fl1u (Body Fot Percentoge) dn:rn1?tr'.|1r{AlfuvldslruY & Yot

? il1^iua']u q 1 il 5 [.]''t rHu1 Lu: 1.i fl ''l tl "1 a "1

-l -! ^ - a a d 4----.^ o ' €r

*. * ri'r t nr4osvi, o'r n {a qfi rrfr .: ur:s l^ q run rn r u?l'lu ra6s n: vs nfi :n'u s d rs fr

- A d y 'J f vg d {lu d-. < rie LFteo{ fr ?il1 Fr [t ritn.jr )or d x tCI d ril Fr ? tn fl ri t14 fU fr ''t ].t 1?fl El u%{ LFl tFl [.]

rfrru d e I ulvl tv | - .'.YY-il-S d Yg

en.dd1Lll?nfufrnzoqaairust,l[ohruoE]nq1 d'FtutFlFllLrlvl.lLutPlfltLavriLilrU

en .b d'r &r'r ? a r nr 6 o u fi r flTil?fi s'r un r fl uo n dfi 1 ufiTd

G,. a6ud'nu6uy[q?\1s <.o yfirso LCD ?u'tprbd'x]eed fiafiurm:duTr-l d1].J'1?fitelrt-flrrTfiTnfldmTueYfi

c,.)se 1rfi1qoLtdrl.:hatflud'qtazttttl66noa zu'ro?raqi No.it#uTfr*'FItqu (o1s

rrdrl.tFilnl?*'srfluei,:rnzufiLriru'lu u6svr6flEJlr o-tcr ri'lttuut) finr':re-rrrriud'l

u@ u f L Y v2v +f--:r-.&^:?-,..^^.+?o.t[l'1r15?'a[u:vet-14.: Letelalilrtarisu'trunLaq.Iqfl oeno flLafl?l.J?u[1] tLav[]

a'l'llavLdafl o.od fiTanil'r (c'o nier) v6o o'o fiTanil'r (ooo nill)

<. en u fi r s o fiTv{ 15 o s urat fi rirTr1 :.r a s u# u m-q t^ ?Td *'q ts u, * tdt ri. u tin ut a rda9f,a

fl a't'i Fru y?o Luvl 3.1 fl

a{?ro ..................ilivrtu

(u1svr:.i?1{{ Trm rg rfi )

Page 9: 11,l L5 tLa - Chiangmaihealth.go.th · 2017. 6. 24. · v +,9'. j d--.-n 6Hd'fl u 6H r I qfl 1Y fl 5 v til r Id u n5as N a ttu u ar fl 6f s v{ 1 el I v +rQr, ! -4-6). a?1t{fi4{fl15

c. rtouTzratnnv

-)qe -

osu f, e d -!-.o^,.,,. f^-.s,,^.,. ,'...r'-.-4^-<.<lffuuunrng6r.raLrfi{ ySoLrLntmoG?Jfrn Lithlum LaflNttfle.Jil'lflllFl'lLolo'3 o

Ea rn y {,i1r,l ilr u fi os aril arlu ur:-r n tsrot dr:os n 5o e.rtfi s ru nr #s ur:n 6 n "

qn

d.d fid'rgd'nufl:rfiourflor]:yqrLt-letrqto6ai,y6o rfiofinr:r'sri'rvrinufiufifior

fl1?{PI

c. o il tl : y fiu q run I w n'r i?fi .i 1 uTil rio ei n'j 1 " fl Trr EJ Liti'v ar :r r: n rio x rai s

.-i Yvv d alril 6fl u [fi v'ufr n:rfifi rfi nr n1:",Er: er udt]u'r u

d'.tc! tfl u? os?r,r ri fiTri rn stf i'lusr'l ri o u

c. an rfl uzu fi nfirudd zu fi fl slfl il ?y Lyt oqT:r-l o Lilefl 't \6uffu tfl .lil 6 ra6a 4jqud' a - tAvu ^ cE tLffv lso tlSoltuut-ltonor:?u{u€,. d tij u zu 6 n fl fuvlll L n 3.J'l n ?S'l ufl 'l ? r'.1 ff 91

Lduo?'la1

6,.d, frrduo?'tn1fio.tTfriunr:rrris#srflurarisdoit-l:sssrnpi'lttl'lu'i1uilrEJa f Y 4 ^v

v O 'Loflfl:s s'lfl L?.i.l1u{zu6nuEolE:silrl'ltL14uqluulu LUIJ?vLflFI 1\?oelLtull

o)ua

Lo fl d151ui'lJguto n ar:il?vfl ? PI5'l rl'l

c.> fi r nr6 s s fi rfl urfi rr r d s q fiu fi rauo : r nr r ziT : s {T{?fi?un : rfi fi r n4 o s rEr l n Lt n u ? o

n r :rio x "i,r u? uTil rio fl n.i r o o unr6 s t 1o fl [r o LTfi fi zir rin l r u al f 1? il q?'i"i u {adG),L?ifl.t 11,1[.]

d.6'/ ?fifrtduo:'tFt'tdltnr6s{rY'loEir.iLtLLt6fl'lfYllfiuaus:rnr}'l1d'l6na'l??frtru

?r{uduiu., ton ff 1?:l rvn? n?'t Fr1

atfrs rl:vrru- aA

(uru ifi Lt{fl tfr utl..'iel.i)

nsdo

_^(1)"M;'

(u'ruvr:sgFi rirrYfl)

n??8.rfl'l:

(ursilt{:r?iri Trlfl c! rfi )

ft??l.lf,i'l?

Page 10: 11,l L5 tLa - Chiangmaihealth.go.th · 2017. 6. 24. · v +,9'. j d--.-n 6Hd'fl u 6H r I qfl 1Y fl 5 v til r Id u n5as N a ttu u ar fl 6f s v{ 1 el I v +rQr, ! -4-6). a?1t{fi4{fl15

qrud'nu ruv ual'lrv ud uiolars nr tluu E -c h o rt

@. a21s.tfia{fl'If, tlilu{rra'rse}'tltlu E-Chort

fi q rud'n u ruv tav{ 1 v n'"} N fr s riruun

rr. {nqrJ*asd tfin^ioafiiarlunr:rJflfifi{'lu?ro.t oar. tunr:fl:'ls{narsnrrdotfru

en. qar6'nu aryvYeTil *. o li1 fr 'le n:ynru tt6t rdo 6 zurrr en o)Co o ttrufi tN fl :* . b ri,l dn E : fi t uT rr ri'r s #u m r I rt m :3 r uvirTrl a n6 u fi ': fl fi r{ r Afi vr s Ei r s 6 Til

uqnnon(rt

*.* ?fi{eralssrr 6'lfln'r:fiffifi2ri1 luavsvt r+'rn: Td

<. qru#nu6r{yray{1s <.o vierirur.ium:.Jsirra1flnrfr'lfll nrafin?adnrY*rfio rftsrTss#urirLrfivsotl

&LIlOU

<.u fi fi o qr n : r q I o d r.lrio fl 't€r 6'? zita il?fr 6 rr zu#tTfr

c. rtouTzreil.rv a,.o uflutot?uilfiTilunfllfi{ruerrriou

c.r, ?fi { rAuo :'r nr r rir pi. s d r t ltt-l l t 6 fl 'l ffu fi tAuo ?'l Fl''1 3'l'r ff rG n n r :?fr s ru?u{u

duqlos to n ar:iltvnt net nr

4.1?jO il:vtru

(urflrfis-{#El u6rEtss)

1p__-^0du..........

.......... "/.../!..(.'-.................... n??['] n'r:

(urflvr:sflFr ri'r#u)

(l,tk ----^'t?Jo

n??ilfl'l?

(urfl fl :s:'r{ri Tta rg r fi )

Page 11: 11,l L5 tLa - Chiangmaihealth.go.th · 2017. 6. 24. · v +,9'. j d--.-n 6Hd'fl u 6H r I qfl 1Y fl 5 v til r Id u n5as N a ttu u ar fl 6f s v{ 1 el I v +rQr, ! -4-6). a?1t{fi4{fl15

irtgauuzm?a{.:lu (Terms of Reference : TOR)vvAvdo.i1Hqq"d0?dFlfl1f[[1^lfl?J q1H?U 6n 31elfi']3

q

o. Fl?1$ltlllJlrl

rir#nsruarnr:suar4'sra{'nrdss?uil Tfiir4'nd??tLil?yN'rru?1Er6i'rEr il:yd'rtlq

.:lt-l:vurru v\.o. terd'd'6r/ arirauunr:4'ndeorln:nifi"irrflurir:aiu oau.?unt:nrrafl?nl?\Fr1sl9qsq

n{l{t nrilufi{don:la#lar.1ut-Linr:arLnrn fi Ao oer/od.en/t eno as{uff oen Nn?1fiN )ced'd'6d

tsr. inoiltrasriq

4 nd o 4 a qnr : uyl yr ri rfi o a#rl arlu n r : rJ fr #fr { 1 u? o { s n u . ?un r ? E uff qz fl 'r v\ n'l Nt o o -Xflfi,.]?Ej qlU?U en ?1Ejfl'l? fN]l-J

c

rvrflr?airnr6srfionSoa-ro:-ln:oi .iru.lu <c,o h nrfl?uL::sqq

o.o {prQiln:nilirrularrfo'rfru .i'ru,lu @ qF)

, vY, o vo.\se L?Oyl'lFlL?ttLUnSnOff 9'.I1.J'111 o fllJ

o.en tm:l{q{flnrfiflLrir AA t oiru,lu o ouv

o.d Qsl^o ooo 8u/naio.l niru'lu o naios

o.c urirnrnoillfa co du/naiss 'iru,ru o nais.r

nitu':u <ro tn6g.l9u

en. ttr.iu{narflq}r E-chort zfiein:vnr:gu6l 'iru':u )s3,d6co Ltr.iu

en. ao{6truU-6?osfi :J ?uds dsy tduotr nrqqr

( o ) {rJ : ; 4.: ri's v rauo : r n r fi o s r:1 u { fi o r fi v,r z r s }Ta q fi rJ : r n,: n : r n r do fr ': fl Q 6 n r : vr r s

616nvr:oflnd

(rsr) {il:rarnisvrauo:'rnrrfrorTrirflufiqn:rqdoT{?ur-irgfi:',tdoryntsru?o.ril'r'i2v v a j v a 2 r d, uAru- Lqo^^ d .] d, vX

?1rfl1? [LfiUtfitts.it?EJu%oLrff? 1r?oL].Jrllur.ryrLfr?Lzun%o.1fl'r?fl.iLuumLnnail?o1_rfrFr^ouH_lur{yr't.r1ugqqg

da1:..r ?v [lJ fl lJ?O.tyr1.i?1fl fl 1?

' 'ir-.J:varrievuauo:'rnrfrosTrir:1ufrfie'ra:l:vTEirriiuriuffufiilava{nisyrauo(6n) h, ! s

r1a1i1sdu *avluftailnrTrirflufrfiruar-l:vTflrlfii,:rriuiirfr?rh:6nrtmarrrnnrrErfinyr:sflnd flrq9,

{urj:vn'rnil 7yfi1an1n1tisfi,:fl46nr:yrrsd 16nil?ofifld ra6oTrir:1ufin:vrirnr:d'uulunr:rirr?,lr.ig

tvrd,fl 't ? tt?.3? 1{?1 Fl'to EJ't.i tlJ uf :: }.i

(<) {:J:rarrisvrauo:rnrfrorTriulu{Tfriuronfivrd ra6snr,:rr{rrYu firoroilflrar.-sJ9q

Yt C 2 e tv , Yedo Je>y ^ X y v YLNETON?UFt','rff LvrEJ rellrLqr?fllj1n?o{ri rfiuo?'r n1 LnN n1d.i Lilflaufr71f Fl?1Nq3.rflurtu'l1uu

Page 12: 11,l L5 tLa - Chiangmaihealth.go.th · 2017. 6. 24. · v +,9'. j d--.-n 6Hd'fl u 6H r I qfl 1Y fl 5 v til r Id u n5as N a ttu u ar fl 6f s v{ 1 el I v +rQr, ! -4-6). a?1t{fi4{fl15

-)Ee-

(c) rlnrnrara6ofifiqnrnrafisvrflrrflu{d'rgryrfrorTiloqj?ugrurrflu{Teiurarrsr-irg6

:rflir:'tus'rEJ il6o uanr.:rirgfr:rrir-r:lusrflTliqnfror nr:rfreu?uar:vrirnirg

b) qnrnrnr,rtoflfiqnnraftsvrfiruflu{d'qrUrrYLililrEr{ruflotigdsTfrrirrflunr:4'ndoueYadsnsl.iqeeJ?vlrlJfltnflil?oflnd (e-Government Procurement : e-GP) fiosnsvrvtfiflu?u:yLr-jad<udAaw4ie-&-evo tafl il?oufl d?o.ifl 53.tLru{fl a1.:yr r,lu Lfl Fr quEJ?oHfi s Flflosns1{n1 n53

("2) {d'rgrUrfrssirunyqirflrQu,.iru#rgflrurnrT: r{uurinr:srsriuurinyr,{.ldsfi,Yra i t d, o dYv

N fi Fr 1 L8.t Lfl Ud',t [.] 14 il U]r'r yr n dfl cil 1 0 1 s a 1 fl ril u r.r ud n fl L FlEq

vd. FIfIJANH6IJUTQY{1Yq

?'rtr fi v tda a n tudnuolv rail'r v{nn n'r? rrl\vrri "iru.:u o o ufr rq9

d. €veJU [?arrirufi un'rr

udoutrtg't gu I€e d'd'6d fi { rdouffufl 1EJu )or dd'6r-l

b. f,yejv[?a16i.0].lou?l 0,:

atr r s rTri ufi 1l b o {u riri rYer s r n {uns ur e.r?ua'rg rg rdoz r r

aovYt6r/. ?.3 hlu tUfl 1f Squ'l[tff Ufi,]f tdUOA qtt FIt?-UCir (Mi n i m u m B i d )

erl.o q'lfitiusrtl:yarlfu:'rErs'lurl:y.irfllr.ril:vrtru v\.FI. I€eddoy slrirtfiutru

'l.i Ril o, o do, do o. -u 1vr (rafit fr ru #tuitufifiofl L 1il fr eil)ovu'

ert.ba Tunr:tduo?1Fr'rfrrduo?1n1fiostduofi0r?rnrtriurir (Minimum Bid)Tlifioan'j'lv

nrfsav ba,ooo.-ll1m (Astrr,iulT vrfi'lu) s.]n?1n1q{qfl?o.ifl1?il?vfl?fl?'lFl'l'1(o,odo,doo.-lJ'tyt)

rLnvnl?rduoan?lnlnrir#n 1Tl frssrauono:rnrnr{.:avTririotln'j1 'ba,ooo.-1J1m (norvi'urrvrI

fr ,:u) srn:r nrr nris qorfr rEJfi rauo a n ufr .l

a. uriessruiufi ezaurirrfiunrr.i 1ufidfl n ai r s ru:r6r T :vYrTr-l rir rins r unrr1 ? [ud? d{ra {n rfi El.itu }iqqq

Page 13: 11,l L5 tLa - Chiangmaihealth.go.th · 2017. 6. 24. · v +,9'. j d--.-n 6Hd'fl u 6H r I qfl 1Y fl 5 v til r Id u n5as N a ttu u ar fl 6f s v{ 1 el I v +rQr, ! -4-6). a?1t{fi4{fl15

d^rdga6c. dfi,]ur n FI gto tvtozor?1u?l osln lyt N [9t]Jq

Y, ad I do. vt1.: tlJ:tgflJfl fl.lft.l

u'r EJ r[?\vr Eifl 1r''r?[ud?Jd.: ra{rr rfr iJ.i?u }]

rirfin r r uarrr ?flJd? 4'.r ra {n ldpr s?il }i

clo CI. dtfll\ n.dt11?\'qq

ddg'2.tNO.l S.t?rf i Ll4l.l do)oroo

,ls3. vrrsTvr:rYnl4

Tr:. o d'en'lsso @odd - do rio t o>-trony

il1.iTvrr6"ri

Tyr:. o den'lseo o,eddo

www.chiongmoiheolth.com tLav www.gprocurement.go.th

d'. ?l'l.i E-Moil

[email protected]

ra r n yi r u fi a { ri ,r r r6tua u H ya sl r ni ra€o fi rr tr ru rfr u r fi e e rYu s ru d's n ai ra }.J t or

O* d d, v dv a 6 , d v ' f ar v[fia21Nrfiuru1J01EJAflUCIJAflU? 1450yr1{r?U tggl il18J.:14U?u.l1U[9rgtu9rr^rEr9l? 9l1t{

ai,e.c.Y,-ir\ayAf},/flgaytouotilAett,l.SfiU gl.tltgl?Ul4 Ut9 tNUluU leed'd6r/ Oil?Uyl\:)E tt{U1tlu )eedd6r/

g

a.i{o tl:vrrun::rnr:aA(urflrFn{fl tfr}rE{EJ.i)

4.1{O

asfls fl55r.rfl13

(ulaili.r:'rfl ri Ttr r1 rfi )

6n.

e'. vn{ r6LTtsi't ot rirfin{ 1ud1! 1 ? flrqz'i'.:ra {n rfl fl stil }i ua vfl ? N LfrUfr n a r.l

(u1svr?.igFI rirfr'g)