Fresenius Kabi India Pvt Ltd,

Registered Office: A-3, MIDC,

FRESENIUus Ranjangaon Ganpati, Tal Shirur,
Dist Pune, PIN - 412220,
KABI Maharashtra, India
caring for life Tel No.: 02138 -232283-4-5 Extn. No.: 678
Email 1D: Nilesh. Shimpi@fresenius-kabi.com

SERVICE REPORT
Report: No.

Coll27e andHosyto1
Customer's Name ndeX Medla
Contact Person
P e e f a _ B i o medicl)
Address

Tel./Fax No.

E-Mail ID

Nature of Call
Repair Calibration D Preventive Maintenance
Service Call Application
Complaint Reported :
Product Details:
Complaint Forwarded By Peapa2
Product Name: nSa
SPtg
Date R: 00
Product Code No EDZ Complaint Call Time: O o

Serial Number: 31)28 80

B3H63Y Reported Fault

Equipment (E) Code: Version No

No: of_16 Fo0 14
Installation Date Ih_ Auz doR Error(tCode
any)
End of Warranty Date: 3 AyoR Shot/Photos available: Yes No
Any Printer Protocol or Snap
Yes N o (Incase of TT products))
Under Maintenance Contract (AMCICMC):

Fault/Cause Diagnosed: Maán An

Corrective/Preventive Action Taken: Por_ Cheteed

Spare Part Details:

Description Qty.
Part No.

Man booad_

Complete
9 Deed_o
Summary: O Engineer's Comments:
Incomplete
Start Time 20 WadDenX-
End Time:12 00
For Engineer Only:
For Customer Only:

Satisfied with Service Yes No Distributor's Name:2rreditol SYtem

Comments: Au {u a e osiheeded
Comments
befam 47d enseg
Customer's Name:-
Engineer's Name: KLh/ ALS
Comoanv Seal/Stamo
Customer's Seal/Stamo
MS
E