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PHILIPS

HEALTH SYSTEMS- AUTHORISED


SERVICE SUPPORT PARTNER

Zing Medical Systems


572, AM, Sch. No. 140, Behind Narayani Hospital,
Plpllyahana, Indore 452016 (M.P.) S. NO. 486

CUSTOMER NAME
Mitewe He REPORT DATE

ADDRESS
CASE ID/Swo

N.) 4g2001 VIsIT DATESS

CM/PMFCO-Selection

JOB COMPLETED YES NO


EQ.NO PROBLEM SYMPTOM
NAME

Sr. NO.
M b Ev3oo
O PRE INST. OWARRANTY OCMA AMC OPAID OOTHERSS
Activity Perlormed
FQE Chpalasho EvRoo Jonhltol,
AvalaldiA
i A _ naup
In HKo131435849 0_ H9945t21l1305
H19445TS5FH 7 H29H93413ANgAM?EH50OMAB
SL
Part Name Part No.(12NC) Serial No.
NO.
1.

2.

3.

Notes

ENGINEER NAME (CAPs): CUSTOMER SIGN & SEAL

SIGN
REACH PHILIPS HEALTH SYSTEMS CUSTOMER CARE CENTER AT 1800-419-6788 (TOLL FREE)
Form No. P-CS-02-F-03 R3
PHILIPS COPY

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