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Fresenius Kabi India Pvt Ltd,

FRESENIUS Registered Office: A-3, MIDC,


Tal Shirur,
Ranjangaon Ganpati,
KABI Dist Pune, PIN -412220,
Maharashtra, India
Caring for ite 02138 232283-4-5 Extn. No.
:678
Tel No.
Email ID: Nilesh.Shimpi@fresenius-kabi.com

Report: No.
INSTALLATION REPORT

Customer'sName: ct» Meduual.(a llase Cwc HAktad


Contact Person c o k B i o clucai )
Address :Khude i l l a r Ne o i mdore
M 1.2
Tel/Fax No.
S83SI6T43
E-Mail 1D

SPE Product Code No


Product Name: mtLC
Software Version No.
Equipment (E) Code
End of Warranty Date
Flu 2021
Installation Date:
Invoice Date:
Invoice No

Serial Numbers

12
3u632_
13 23
SI134 603- 24
14
3 13463u
15
|&L28280 26
16

27

18 28
8 29
19
9
20 30
10

Engineer's Comments:

No
Operator's Training Done: Yest
For Engineer Only
For Customer Only:
Satisfie Distributor's Name:
Job Complete
Unsalisied Comments
Job Incomplete
Comments
sHABH EANAR
Engineer'sName
Customer's Name
Company Seal/ Stamp
Customer's Seal/Sta 14/8/2) Engineer's Signature
.al
Customer's Signature
Date
Date
DOR

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