SR.
CUSTOMER DETAILS
Customer Name
BALAJI STORES
Card No: OOO1462105
E-Mail:
Ph. 9802723757 Mobile: 9802723757
VEHICLE DETAILS
| VIN: | MALPB812LLM048814 |
| MAKE: | HYUNDAI |
| MODEL: | Creta |
| COLOUR: | Titan Grey |
| CHASSIS No.: | G4FLLV058288 |
| REGD. No.: | (Pradesh3-01) 023Cha-9164 |
| KMS: | 107214 km |
| SALE DATE: |
RO NO:
RO-0681
RO DATE & TIME:
26-10-2026 12:37
BS: 2083-07-10 12:37
BS: 2083-07-10 12:37
PROMISED DATE & TIME:
ESTIMATION AMT:
NPR 25103.50
ADVISOR:
Ranjan rauniyar
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
SERVICING AND WASHING
SR.
PART NO
PART NAME
QTY
1
26350-2M000
SERVICE KIT-OIL FILTER
1.00
2
28113-A0100
FILTER-AIR CLEANER
1.00
3
5W-30
Engine Oil
3.50
4
58101-Q6A30
PAD KIT-FRONT DISC BRAKE
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: 111714 km
DATE: 25-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: 11:40 a.m.
Time Out:
Supervisor's Signature: __________
Time In: 11:40 a.m.
Time Out:
Supervisor's Signature: __________
BILL NO.: B198
DATE: 27-10-2026
GP NO.:
DATE:
DATE: 27-10-2026
GP NO.:
DATE: