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: | |
| SALE DATE: |
RO NO:
RO-0383
RO DATE & TIME:
10-08-2026 23:01
BS: 2083-04-25 17:16
BS: 2083-04-25 17:16
PROMISED DATE & TIME:
11-08-2026 10:34
ESTIMATION AMT:
ADVISOR:
Ranjan rauniyar
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
General check up
SR.
PART NO
PART NAME
QTY
1
97133-S5000
FILTER ASSY-AIR
1.00
PMS REMARK
Tech/F.S.Sig.
Baliram
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.
Mech's Name: Baliram
Time In:
Time Out:
Supervisor's Signature: __________
Time In:
Time Out:
Supervisor's Signature: __________
BILL NO.:
DATE:
GP NO.:
DATE:
DATE:
GP NO.:
DATE: