SR.
CUSTOMER DETAILS
Customer Name
Griyah Laxmi saving and credit cooperative ltd
Card No:
E-Mail:
Ph. 9845266550 Mobile:
VEHICLE DETAILS
| VIN: | Malae51clmm163452 |
| MAKE: | Hyundai |
| MODEL: | Santro |
| COLOUR: | |
| CHASSIS No.: | G4hgmm109709 |
| REGD. No.: | B.P-01 026 cha 3572 |
| KMS: | 18466 km |
| SALE DATE: |
RO NO:
RO-0393
RO DATE & TIME:
11-08-2026 22:21
BS: 2083-04-26 16:36
BS: 2083-04-26 16:36
PROMISED DATE & TIME:
13-08-2026 15:35
ESTIMATION AMT:
NPR 8414.57
ADVISOR:
Ranjan rauniyar
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
Servicing
SR.
PART NO
PART NAME
QTY
1
28113-C4200
FILTER-AIR CLEANER
1.00
2
97133-C4000
FILTER ASSY-AIR
1.00
3
26300-02752
FILTER ASSY-ENGINE OIL
1.00
4
5W-30
Engine oil
3.50
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: 22966 km
DATE: 11-Dec-2026
Whichever comes first
अर्को सर्भिसिङमा change गर्नुपर्ने सामानहरू:
Engine oil + Oil filter · Air filter · AC filter · Spark plugs · D bush · Brake inspection
Mech's Name: Balram chaudhary
Time In: 3:41 p.m.
Time Out:
Supervisor's Signature: __________
Time In: 3:41 p.m.
Time Out:
Supervisor's Signature: __________
BILL NO.: B53
DATE: 13-08-2026
GP NO.:
DATE:
DATE: 13-08-2026
GP NO.:
DATE: