BECKMAN FIELD SERVICE REPORTT

COULTER. 230955
Beckman Coulter India Pvt. Ltd. No. Date: a a
CUSTOMER NAME: e bhut Royem MODEL: NarioS
agnestks SERIALNO: A 7o l8_
WARRANTY: ACTIVE OWNED OTL
INSTANCE NO: 693 SI oy
SERVICE REQUEST NO. (S.R NO.): WO- 0194 3S3&
TASK NO:
DATE TIME TYPE OF CALL
DEPARTMENT: Ploaytome _
CONTACT PERSON: Mr. `ado COMPLAINT RECD INSTALLATION
ADDRESS: RESPONSSE 1 0 6 0DE-INSTALLATION
Keevboyk |COMPLETION |/02 |8:nPM VISIT
MINS BREAKDOWN
HRS
MODIFICATION
CITYIPOSTAL CODE: Paluia LABOURHRS
|APPLICATION
STATE/ COUNTRY: BAan TRAVEL HRS
2
-
MOB.TEL. N.: 8 3S678 23. TOTAL HRS
E-MAIL:
PROBLEM REPORTED/SYMPTOM: MOD-Tope -s char L hab to Colo applila |
AJewios. MoD I D -12/ 22
OBSERVATIONS/ CAUSE

|ACTION TAKEN/ RESOLUTION:

VERIFICATION OF REPAIR: | Ram ac dala e ig Povmza nceopry

VERIFICATION STATEMENT: ()THE COREECT

OPTION
Results meet published
verified to meet the specified requirements as per established procedures.
sevice activity performed is
performance specifications.
Documented Verification in Service Report Debrief Notes.
|LVerified a s per established procedures.
OR CUSTOMER STOCK
|FOLLOWING PARTS HAVE BEEN
REPLACED FROM-BECKMAN COULTER
UNIT PRICE QTY TOTAL NS
PART No. DESCRIPTION
Sr. No.
1

3
N
4 TOTAL Rs.
(Taxes Extra)

ADDITIONAL COMMENTS:

|CF RAISED Y/N IF YES CF TYPE

We approve the above charges.

has been carried out to my satisfaction.
I certify that the above work
Prhmrlk
a/3/-Bmrnb
Cvanrrbo cUSTOMER SIGNATURE
CHECKED BY
ENGINEERS NAME & SIGNATURE
Kurla (West), Mumbai- 400 070
Phoenix Market city, LBS Road,
Head Office: Unit Nos.TF-B-07(A) to 15 Third Art Guild House,
Floor, Wing B, 6838
Telephone: 5000, Fax: 6838 5060/61