BECKMAN FIELD SERVICE REPORT

COULTER.
Beckman Coulter India Pvt. Ltd.
No. 23094
CUSTOMER NAME: Drs frab Ronia MODEL: Navias
Date: o2 al
SERIAL NO: Aw29018
WARRANTY ACTIVE OWNED OTL
INSTANCE NO: 693 SIoy
| SERVICE REQUEST NO. (S.R NO.): Wd-6 AS7251
TASK NO
DEPARTMENT DATE TIME TYPE OF CALL
CONTACT PERSON: M. Sonlaf COMPLAINT RECD INSTALLATION
ADDRESS:
RESPONSE / 02. 16:00 DE-INSTALLATION
Konerbrgu | COMPLETION 0212: PM VISIT
HRS MINS BREAKDOWN
CITYIPOSTAL CODE: fala |LABOUR HRS MODIFICATION
STATE/ COUNTRY: ha TRAVEL HRS APPLICATION
MOB.TEL No.: 983s678239 TOTAL HRS
E- MAIL
PROBLEM REPORTED/SYMPTOM: Mo Tpe -S, Reloaoe o Win-7ho
Nam / aaluos
OBSERVATIONS/ CAUSE =

ACTION TAKEN/ RESOLUTION Cus tmmem o t to uza to do pnaill2

Pard modiHeasm- (Hiy dno hande ay fud
So clos ig'sMo oflr tmi
VERIFICATION OF REPAIR: U Rerm ac_dal / s Pam
Swieoknl
VERIFICATION STATEMENT: () THE COREECT OPTION
Service activity performed is verified to meet thespacified requirementsasperestablishedprocedures. Results meetpublished
perfomance specifications.
| Verified as per established procedures. Documented Verification in Service Report Debrief Notes.

PARTS HAVE BEEN REPLACED FROM BECKMAN COULTER U OR CUSTOMER SToCK

FOLLOWING
-

Sr. No. PART No. DESCRIPTION UNIT PRICE QOTY TOTAL NS

NA-

(Taxes Extra) TOTAL Rs. |

ADDITIONAL COMMENTS:

CF RAISEÐ Y/N IF YES CF TYPE

We approve the above charges.

to satisfaction.
I certify that the above work has been carried out my

Porahmma Carab@
CHECKEDBY CUSTOMER SIGNATURE
EGINEERS NAME& SIGNATURE
LBS Road, Kurla (West), Mumbai- 400 070
Head Office: Unit Nos.TF-B-07(A)
to 15 Third Art Gulld House,
Floor, Wing B, 6838 Phoenlx Market city,
Telephone: 5000, Fax: 6838 5060/61