BECKMAN FIELD SERVIGE REPORT
COULTER.
Beckman Coulter India Pvt. Ltd.
CUSTOMER NAME No.:
Mzorm Uuvwm MODEL: 2309 Date: 24 p3/
SERIAL NO:
INSTANCE NO: BB48 302
WARRANTY ACTIVE OWNED
OTL
g4 429
SERVICE REQUEST NO. (S.R NO.):
DEPARTMENT: TASK NO: WO -0191132
CONTACT PERSON: DATE TIME
ADDREsS: Robeot COMPLAINT RECD TYPE OF CALL
Dept. iotesbnadoq RESPONSE
INSTALLATION
24|0 | 2:30 DE-INSTALLATION
COMPLETION 24 03 3300 PM VISIT
CITY/PoSTAL CODE HRS MINS BREAKDOWNN
Az ood LABOUR HRS
STATE/ CoUNTRY: 20o TRAVEL HRS
30 MODIFICATION
MOB.TEL. No.:
70-0 6 280 APPLICATION
TOTAL HRRS O130
E-MAIL:
PROBLEM REPORTED/ SYMPTOM
MeD-1pe-S Cckepplaz Lozly
OBSERVATIONS/ CAUSE: NA
ACTION TAKEN/ RESOLUTION
Cnsomer s tiuira t prda _platalordy
VERIFICATION OF REPAIR: Ka C beado e PAm Sweslu
VERIFICATION STATEMENT: ()THE COREECT OPTION
Service activity performed is verified to meet the specified requirements as per established procedures. Results meet published
performance specifications.
Verified as per established procedures. Documented Verification in Service Report Debrief Notes.
COULTER OR CUSTOMER STOCK
FOLLOWING PARTS HAVE BEEN REPLACED FROM - BECKMAN
DESCRIPTION UNIT PRICE QTY TOTAL NS
Sr.No. PART No.
NA
(Taxes Extra) TOTAL Rs.
ADDITIONAL COMMENTS:
TYPE-
IF YES CF
CF RAISED Y/N
the above charges
We approve
above work has
been carried out to my satisfaction. Dep Ho
I certify that the
MIZO
CHECKED BY
ENGINEERS NAME & SIGNATURE CUSTOMER SIGNATURE
lnit Nos.TF-B-07(A) to 15 Third Floo, Wing B, Art Gudouse, Phoenix Market city, LBS Road, Kurla (West), Mumbai- 400 070
Telephone: 6838 5000, Fax: 6838 5060/61