BECKMAN FIELD SERVICE REPORT

COULTER,
Beckman Coulter India Pvt. Ltd.
CUSTOMER NAME: AIMS Bhub amewarMODEL:
No.: 30863 Date: 13 02
NowI0S 2L6C
WARRANTY: ACTIVE OWNED
SERIAL NO: AWOG D6
OTL
INSTANCE NO: 61 8437
SERVICE REQUEST NO. (S.R NO.):
W0- 03392748
DEPARTMENT: TASK NO:
CONTACT PERSON: .biochLMmIsM
GSalnevua
DATE TIME TYPE OF CALL

ADDRESS:
COMPLAINT RECD |3/07 |INSTALLATION
Is Feor, cndemndc. RESPONSE l/p7 6 oUDE-INSTALLATION
COMPLETION 0713 13 0uPM VISIT
HRS MINS BREAKDOWNN
CITYIPOSTAL CODEbhubamepwaL 1510|9 LABOUR HRS
STATE CoUNTRY: 0disha d MODIFICATION
MOB.TEL. No.:
TRAVEL HRS 4 0 APPLICATION
9438884030 TOTAL HRS
E-MAIL:
PROBLEM REPORTEDI SYMPTOM:
,

OBSERVATIONS/ CAUSE S healh SleauIn m_ aheala Cnlu lrelun Ss

ACTION TAKEN/ RESOLUTION Opeme e Le1wer D 20umt co mnoduule 4
Jhy Da ed Sheal Cnlls bralum Suvr ao s a i n g N
VERIFICATION OF REPAIR
DAmmn Snih

VERIFICATION STATEMENT: ( THE COREECT OPTION

| Vservice activity performed is verified to meet thespecified requirements as per established procedures. Results meet published
perfomance specifications.
Verified as per established procedures. Documented Verificationin Service Report Debrief Notes.
BECKMAN COULTER OR CUSTOMER STOCK
FOLLOWING PARTS HAVE BEEN REPLACED FROM
-

DESCRIPTION UNIT PRICE QTY TOTAL NS

Sr. No. PART No.
N
3
(Taxes Extra) TOTAL Rs.

ADDITIONAL COMMENTS:

CF RAISED Y/N IF YES CF TYPE

We approve the above charges.
satlsfaction.
has been carried out to my
Icertify that the above work
Brnh mmurnla hexhaidy
ENGINEERS NAME & SIGNATURE
CHECKED BY
DETSAEMERSKEMAHRSAHARA
Market city, LBS Road, RERARVasth.Mumbai40&98
Head Office: Unit
Nos.TF-B-07(A) to 15 Third Floor, Wing B, Art Gulld House, Phoenix
5060/61 ALL INDIA
INSTITUTE EMISTAY
Telephone: 6838 5000,, Fax: 6838 OF MEDICAL

aitiait. i2 skiu
BHUBANESWAR,
uieai ODISHA-751019
AR, ODISHA-751010
SCIENCES(AIMSs
hta