BECKMAN FIELD SERVICE REPORT

COUETER.
Beckman Coulter India Pvt.Ltd No. 30866 Date: 4 0a1a|_
CUSTOMER NAME: TMS Sum tosanekMODEL
SERIAL NO:
WARRANTY:
AD30167
ACTIVE OWNED OTL INSTANCE NO: 788 70423
SERVICE REQUEST NO. (S.R NO Wo-0337614 D
TASK NO0:
DEPARTMENT Pro t o mu DATE TIME TYPE OF CALL
CONTACT PERSON: R.su COMPLAINT RECD 140784S INSTALLATION
ADDRESS:
K-8 RESPONSE y02 10:»DE-INSTALLATION
KalingnY COMPLETION I07 3: PMVISIT
HRS MINS BREAKDOWN
CITY/POSTAL CODE: mbernlmr LABOUR HRS 3 0 MODIFICATION
STATE/ COUNTRY: Oisa -7S100 3 TRAVEL HRS APPLICATION
MOB.TEL. No.: a776304 197 TOTAL HRS
E-MAIL:
PROBLEM REPORTED/ SYMPTOM
Windnws Be Seresn t
bnp
OBSERVATIONS/ CAUSE: Ols Cmnd d to u te
ACTION TAKEN/ RESOLUTION AalpD0 pAD(Lewo) eotred drt
Tlondas SotN A permonRet cpu nia to be mulau
VERIFICATION OF REPAIR:
VERIFICATION STATEMENT: (THE COREECTOPTION
Service activityperfomed is verified to meetthe specified requirements as perestablished procedures. Results meet published
perfomancespecifications.
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

(Taxes Extra) TOTALRs.

ADDITIONAL COMMENTS:

CF RAISED Y/N IF YES CF TYPE

W e approve the above charges.

Icertify that the above work has been caied out to my satisfaction.
B n n n a lakneb
ENGINEEs NAME&SIgATURE CHECKED BY CUSTOMER SKSNATURE

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