SR.
CUSTOMER DETAILS
Customer Name
Birgunj health care
Card No:
E-Mail:
Ph. 9802946041 Mobile:
VEHICLE DETAILS
| VIN: | |
| MAKE: | MG |
| MODEL: | Zs ev |
| COLOUR: | White |
| CHASSIS No.: | |
| REGD. No.: | B p 01 025cha 8525 |
| KMS: | |
| SALE DATE: |
RO NO:
RO-0060
RO DATE & TIME:
05-05-2026 13:53
BS: 2083-01-22 08:08
BS: 2083-01-22 08:08
PROMISED DATE & TIME:
ESTIMATION AMT:
ADVISOR:
CUSTOMER REQUEST
DIAGNOSIS/WORK INSTRUCTION
MENU/OPERATIONS PERFORMED
1
Cleaning and washing
PMS REMARK
Tech/F.S.Sig.
Krishnanmohan
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.
Mech's Name: Krishnanmohan
Time In: 11:10 p.m.
Time Out:
Supervisor's Signature: __________
Time In: 11:10 p.m.
Time Out:
Supervisor's Signature: __________
BILL NO.:
DATE:
GP NO.:
DATE:
DATE:
GP NO.:
DATE: