Roche Diagnostics India Pvt. Ltd.

Field Service Report

Case number: CAS-0017766721 Order Number: WO-13812075 | Ser. Report Created Date: 21/06/2023

Instrument Details Customer details

Instrument/Module: cobas b 221<6>=Roche OMNI Customer Number: 0052044235

S6 system
Serial Number: 28071 Customer Name: Sir Sunder lal Hospital, IMS, BHU
Internal Instrument Name: Street Address: Opp IMS , BHU Campus
Zip: 221005 - Varanasi
Additional Details Contact Name: Ranjith Saha

: Contact Phone:

Service Activity Code: Application Visit

Purpose of Visit
Waste separator issue
28071 - cobas b 221 6 Roche OMNI S6 system
Performed Activities
Checked and found that waste docking mechanism was little bit broken and hence fixed waste docking mechanism because waste
system was leaking. Checked and found that vaccum release valve v13 in vaccum pump was not working and hence repaired valve
working. After Doing maintenance run and aspirated all fluidic routines and system calibration done. Run samples and observed
machine. Found k

Service enginer remarks - please operate machine properly so that consumables donot get broken

Time Report

Category Start End Hours Invoice Type

05913616001-Service labour time 21/06/2023 6:15 am 21/06/2023 11:00 am 4.75 Warranty

Travel

Value Hours
Travel 0.75
Roche Diagnostics India Pvt. Ltd.
Field Service Report

Case number: CAS-0017766721 Order Number: WO-13812075 | Ser. Report Created Date: 21/06/2023

Signature

Customer Signature Roche support

Ranjith Saha Pranshu Sharma

Customer Signature Roche Signature

The customer acknowledges the service intervention as performed in accordance with Roche recommendations:
- This Service report has been signed by the authorized representative of your organization.
- Discrepancies if any must be intimated within a period of seven (7) days of the receipt of the email, in the absence of which the report will be final and conclusive.
- This report shall be governed by the laws of India and the courts at Mumbai shall have the exclusive jurisdiction to deal with the disputes arising hereunder.

Customer Support Center No: Thank You

Toll Free No: 1800-123-7599 || Phone No: 044-43900345 ||
(Mon to Sat 8 AM to 8 PM)
e-mail: customersupportcenterIndia@roche.com |||||||||||||||||
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