SR.
CUSTOMER DETAILS
Customer Name
Shyam Sundar sah
Card No:
E-Mail:
Ph. 9819210410 Mobile:
VEHICLE DETAILS
| VIN: | MA3JMT81SNB628156 |
| MAKE: | Suzuki |
| MODEL: | Wagonr |
| COLOUR: | |
| CHASSIS No.: | K12mn9126187 |
| REGD. No.: | B.P-01 027 cha 6478 |
| KMS: | 105675 km |
| SALE DATE: |
RO NO:
RO-0621
RO DATE & TIME:
08-10-2026 17:01
BS: 2083-06-22 17:01
BS: 2083-06-22 17:01
PROMISED DATE & TIME:
ESTIMATION AMT:
ADVISOR:
Ranjan rauniyar
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
SERVICING
SR.
PART NO
PART NAME
QTY
1
13780M72R00
.ELEMENT
1.00
2
16510M65L10
FILTER ASSYOIL
1.00
3
55210M79F00
PAD FR DISC BRAKE(1 PCS)
4.00
4
95850M69RB0
CABIN AIR FILTER WAGONR
1.00
5
5W-30
Engine Oil
3.50
6
15410M68P00
FILTER FUEL
1.00
PMS REMARK
Tech/F.S.Sig.
BALIRAM 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: 110175 km
DATE: 07-Feb-2027
Whichever comes first
अर्को सर्भिसिङमा change गर्नुपर्ने सामानहरू:
Engine oil + Oil filter · Air filter · AC filter
Mech's Name: BALIRAM CHAUDHARY
Time In:
Time Out:
Supervisor's Signature: __________
Time In:
Time Out:
Supervisor's Signature: __________
BILL NO.:
DATE:
GP NO.:
DATE:
DATE:
GP NO.:
DATE: