BECKMAN FIELD SERVICE REPORT

COULTER
Beckman Coulter India Pvt. Ltd.
No.
23083
CUSTOMER NAME SKB Pwuu MODEL:
Date: 1loi)
SERIAL NO:
Cytof
WARRANT ACTIVE OWNED OTL
AS3 422*
INSTANCE NO:
SERVICE REQUEST NO. (S.R NO.):
TASK NO: Wo-0286 4Sq24wo 028e2p44
DEPARTMENT Zoolw DATE TIME TYPETYPE OF CALL
CONTACT PERSON:
S nt acy ya COMPLAINT RECD INSTALLATION
ADDRESS:

2n
ap). Ztoar RESPONSE | t801lo0 DE-INSTALLATION
COMPLETION |101ta:oPM ViSIT
HRS MINS BREAKDOWN
CITYIPOSTAL CODE: Pmanu q. LABOUR HRS
| STATE/ COUNTRY:
W aa 12| T MODIFICATION
TRAVEL HRS L 12 od APPLICATION
MOB.TEL. No.:
TOTAL HRS
E-MAIL Smkar- bhalaha @ Sku ta in
| PROBLEM REPORTED/ SYMPTOM No evnks netel
OBSERVATIONS! CAUSE The udi y 1S wnstnhle.
ACTION TAKEN/ RESOLUTION:

m udnk _ AL_ mnltrple eded Sys lnn'usom s{4L,|

VERIFICATION OF REPAIR:
Ram 8C ber
VERIFICATION STATEMENT: ()HE COREECT OPTION
Service activity performed is verified to meet the
specified requirements as per established procedures. Results meet published
perfomance specifications.
Verified as per established procedures. Documented Verification in
Service Report Debrief Notes.
FOLLOWING PARTS HAVE BEEN REPLACED FROM-
BECKMAN COULTER OR CUSTOMER STOCK
Sr. No. PART No.
DESCRIPTION UNIT PRICE QTY TOTAL NS

2
3
4

q yu axes Extra) TOTAL Rs.

ADDITIONAL COMMENTS:

|CF RAISED Y/N IF YES CF TYPE-

W e approve the above charges. Sankar Bhattrchuryya. Ph.D
I certify that the above work has been carrled out to my satisfactlon. Assistant Professor
Immunobiology Lab,
epartment af Zoolaer
SidhoKiho
Date..... Bisha University,
hewoobrd
ENGINEERSNAME &SIGNAHRE V
CHECKED BY
CUSTOMER SIGNATURE
Head Office: Unit Nos.TF-B-07(A) toF Third Floor, Wing B, Art Gulld House, Phoenix
Market
Telephone: 6838 5000, Fax: 6838 5060/61 city, LBS Road, Kurla
(West), Mumbai- 400 070
 BECKMAN FIELD SERVICE REPORT
COULTER. 23083 Date: 19)2
Beckman CoulterIndia Pvt.Ltd. No.
CUSTOMER NAME: SKBu Puu' MODEL: CHto-fUA
SERIAL NO: As3 4229
WARRANTY: ACTIVE OWNED OTL
INSTANCE NO:
SERVICE REQUEST NO. (S.R NO.): Wo-0286 4S924wo 02Feer 44
TASK NO:
DEPARTMENT: Zoo w DATE TIME TYPE OF CALL
CONTACT PERSON: 3 . s.8 attatdm YA COMPLAINT RECD 171 14 60 INSTALLATION
ADDRESS:
Dop). Zrtot RESPONSE8 o i
COMPLETION
|lo:o DE-INSTALLATION
9 0 1 a t o | P M VISIT

HRS MINS BREAKDOWN

CITY/POSTAL CODE: Pmul A LABOUR HRS 12 r MODIFICATION
STATEI COUNTRY: W arta TRAVEL HRS 12 APPLICATION
MOB.TEL. No.:
TOTAL HRS
E-MAIL: SaKar-bhottadan L2 4 D
Skbu epa in
PROBLEM REPORTEDI SYMPTOM No evms tel

OBSERVATIONS/ CAUSE Te du e s wnstle.

ACTION TAKEN/ RESOLUTION : CliamD
rw usn darp eluanin 4 Sb up
VERIFICATION OF REPAIR unltple eladdH Sys mn'um sll,
Ram aC benl
bm
VERIFICATION STATEMENT: ()Ë COREECT OPTION
Service activity performed is verified to meet the specified requirements as
per established procedures. Results meet
perfomance specifications. published
Verified as per established procedures. Documented Verification in Service
Report Debrief Notes.
FOLLOWING PARTS HAVE BEEN REPLACED FROM -
| Sr. No. PARTNo.
BECKMAN COULTER OR CUSTOMER STOCK
DESCRIPTION UNIT PRICE
QTY TOTAL NS

DIIG"**i**
bLifg-
t Ka laxes Extra) TOTAL Rs.
ADDITIONAL COMMENTS:

CF RAISED Y/N IF YES CF TYPE

We approve the above
charges.
I certify that the above work has
been carried
Sankar Bhattacharyya. Ph.D
out to my
satisfaction. Assistant Professor
o-nomia eeby ImmunobiologyZoolLab,eey
Departmentaf
eorlbrd SidhhoKapho Birsha University,
ate.. . Nuli
ENGINEERS NAME&SIGNATRE
CHECKED BY
Head Office: Unit CUSTOMER SIGNATURE
Nos.TF-B-07(A) td Third Floor,
Wing B, Art Guild House, Phoenix
Telephone: 6838 5000, Fax: 6838 Market city, LBS Road, Kurla (West), Mumbai-
5060/61 400 070