SR.
CUSTOMER DETAILS
Customer Name
Archana Koirala
Card No: 0010374659
E-Mail:
Ph. 981-4852863 Mobile: 981-4852863
VEHICLE DETAILS
| VIN: | MALA841CLJM324757 |
| MAKE: | Hyundai |
| MODEL: | Xcent |
| COLOUR: | silver |
| CHASSIS No.: | G4LAJM922202 |
| REGD. No.: | Ba 20 Cha 1664 |
| KMS: | 59135 km |
| SALE DATE: | 2018-10-18 |
RO NO:
RO-0125
RO DATE & TIME:
29-05-2026 04:09
BS: 2083-02-14 22:24
BS: 2083-02-14 22:24
PROMISED DATE & TIME:
ESTIMATION AMT:
NPR 19035.00
ADVISOR:
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
Servicing
engine oil,oil filter air filter ac filter brake pad, door handle assy lh fr
changed
SR.
PART NAME
QTY
1
FILTER-AIR CLEANER
1.00
2
FILTER ASSY-ENGINE OIL
1.00
3
FILTER ASSY-AIR
1.00
4
PAD KIT-FRONT BRAKE
1.00
5
engine oil
3.50
6
HANDLE ASSY-DOOR INSIDE,LH
1.00
PMS REMARK
Tech/F.S.Sig.
Baliram chaudhary
OTHER OBSERVATIONS
EF
| Service Booklet | ☐ |
| Spare Wheel | ☐ |
| Jack & Handle | ☐ |
| Toolkit | ☐ |
| Mats | ☐ |
| Mud Flaps | ☐ |
| Stereo | ☐ |
| Clock | ☐ |
| Wheel Cover | ☐ |
I hereby authorize the above work to be done with necessary Material & Additional work if required shall also at my cost.
Customer's Signature
Customer's Signature
On completion of above work, I have taken the trial to my vehicle and satisfied with the work done.
Signature __________ Date: __________
Authorised Signatory
Signature __________ Date: __________
Authorised Signatory
DELIVERY ONLY ON ACCEPTANCE OF CASH/DO OR P.O. SHOULD BE IN THE NAME OF
SANIYA ENTERPRISES PVT. LTD.
SANIYA ENTERPRISES PVT. LTD.
⚙ NEXT SERVICE DUE
KMS: 63635 km
DATE: 28-Sep-2026
Whichever comes first
अर्को सर्भिसिङमा change गर्नुपर्ने सामानहरू:
Engine oil + Oil filter · Air filter · AC filter · Spark plugs · D bush · Brake inspection · Gear oil
Mech's Name: Baliram chaudhary
Time In: 3:04 p.m.
Time Out:
Supervisor's Signature: __________
Time In: 3:04 p.m.
Time Out:
Supervisor's Signature: __________
BILL NO.: A107
DATE: 29-05-2026
GP NO.:
DATE:
DATE: 29-05-2026
GP NO.:
DATE: