SR.
CUSTOMER DETAILS
Customer Name
New kushwaha medico store
Card No: 0004619508
E-Mail:
Ph. 9854037771 Mobile:
VEHICLE DETAILS
| VIN: | MALPC812TSM247453 |
| MAKE: | Hyundai |
| MODEL: | Creta |
| COLOUR: | Abyss black pearl |
| CHASSIS No.: | G4FLSV196047 |
| REGD. No.: | B.P. 01 033 cha 2248 |
| KMS: | 11116 km |
| SALE DATE: |
RO NO:
RO-0186
RO DATE & TIME:
20-06-2026 18:49
BS: 2083-03-06 13:04
BS: 2083-03-06 13:04
PROMISED DATE & TIME:
ESTIMATION AMT:
NPR 12446.32
ADVISOR:
Ranjan rauniyar
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
Servicing
SR.
PART NAME
QTY
1
FILTER ASSY-AIR
1.00
2
SERVICE KIT-OIL FILTER
1.00
3
Mobil
4.00
4
FILTER-AIR CLEANER
1.00
PMS REMARK
Tech/F.S.Sig.
Balram 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: 15616 km
DATE: 20-Oct-2026
Whichever comes first
अर्को सर्भिसिङमा change गर्नुपर्ने सामानहरू:
Engine oil + Oil filter
Mech's Name: Balram chaudhary
Time In: 12:08 p.m.
Time Out:
Supervisor's Signature: __________
Time In: 12:08 p.m.
Time Out:
Supervisor's Signature: __________
BILL NO.: A142
DATE: 21-06-2026
GP NO.:
DATE:
DATE: 21-06-2026
GP NO.:
DATE: