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: | 120697 km |
| SALE DATE: |
RO NO:
RO-0548
RO DATE & TIME:
22-09-2026 01:41
BS: 2083-06-06 01:41
BS: 2083-06-06 01:41
PROMISED DATE & TIME:
ESTIMATION AMT:
ADVISOR:
Ranjan rauniyar
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
HEAD LAMP QOUTATION
1
Fitting charge
SR.
PART NO
PART NAME
QTY
1
92101-A0100
Headligh
1.00
PMS REMARK
Tech/F.S.Sig.
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.
अर्को सर्भिसिङमा change गर्नुपर्ने सामानहरू:
Engine oil + Oil filter
Mech's Name:
Time In:
Time Out:
Supervisor's Signature: __________
Time In:
Time Out:
Supervisor's Signature: __________
BILL NO.:
DATE:
GP NO.:
DATE:
DATE:
GP NO.:
DATE: