SR.
CUSTOMER DETAILS
Customer Name
National medical clz/Abid hussain ansari
Card No:
E-Mail:
Ph. 9855020625 Mobile: 9855020625
VEHICLE DETAILS
| VIN: | MALC381CLHM284404 |
| MAKE: | Hyundai |
| MODEL: | Creta |
| COLOUR: | Sleek silver |
| CHASSIS No.: | G4FGHW489070 |
| REGD. No.: | Ba 18 cha 1100 |
| KMS: | 120495 km |
| SALE DATE: |
RO NO:
RO-0508
RO DATE & TIME:
13-09-2026 06:03
BS: 2083-05-28 06:03
BS: 2083-05-28 06:03
PROMISED DATE & TIME:
ESTIMATION AMT:
ADVISOR:
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
Servicing
SR.
PART NO
PART NAME
QTY
1
28113-A0100
FILTER-AIR CLEANER
1.00
2
26300-35505
FILTER ASSY-ENGINE OIL
1.00
3
5W-30
Engine oil
4.00
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: 124995 km
DATE: 13-Jan-2027
Whichever comes first
⚠️ यो सर्भिसमा गर्न बाँकी सामानहरू:
AC filter · Spark plugs · D bush · Fan belt · Fuel filter · Brake fluid · Coolant · Gear oil
अर्को सर्भिसिङमा change गर्नुपर्ने सामानहरू:
Engine oil + Oil filter
Mech's Name: Balram chaudhary
Time In: 11:48 a.m.
Time Out:
Supervisor's Signature: __________
Time In: 11:48 a.m.
Time Out:
Supervisor's Signature: __________
BILL NO.:
DATE:
GP NO.:
DATE:
DATE:
GP NO.:
DATE: