Roche Diagnostics India Pvt. Ltd.

Field Service Report

Case number: CAS-0017534005 Order Number: WO-11325966 | Ser. Report Created Date: 16/05/2023

Instrument Details Customer details

Instrument/Module: cobas b 221<6>=Roche OMNI Customer Number: 0052311214

S6 system
Serial Number: 28151 Customer Name: KING GEORGE'S MEDICAL
UNIVERSITY, KGMU
Internal Instrument Name: Street Address: KGMU CHOWK,
Zip: 226003 - Lucknow
Additional Details Contact Name:

: Contact Phone:

Service Activity Code: Application Visit

Purpose of Visit
hardware test error and heating issue
28151 - cobas b 221 6 Roche OMNI S6 system
Performed Activities
Checked and found that sd unit has problem hence ordered new sd unit , but optical sensors are also dislocated from their slots.
Hence recorrected them, there are multiple problems in the machine and now it has started working. We had ordered bg measuring
chamber and it is unused now we are returning same. Except mss parameters , machine got calibrated and as there is no s3 pack
solution , those parameters were left not calibrated

Service enginer remarks - status ok

Time Report

Category Start End Hours Invoice Type

05913616001-Service labour time 17/05/2023 1:30 pm 17/05/2023 11:15 pm 9.75 Warranty

05913616001-Service labour time 21/05/2023 2:00 pm 21/05/2023 10:30 pm 8.50 Warranty

05913616001-Service labour time 20/05/2023 5:15 pm 20/05/2023 11:00 pm 5.75 Warranty

05913616001-Service labour time 16/05/2023 1:00 pm 16/05/2023 11:00 pm 10.00 Warranty

05913616001-Service labour time 18/05/2023 1:30 pm 18/05/2023 11:45 pm 10.25 Warranty

05913616001-Service labour time 19/05/2023 1:30 pm 19/05/2023 11:45 pm 10.25 Warranty

Travel

Value Hours
Travel 5.5
Roche Diagnostics India Pvt. Ltd.
Field Service Report

Case number: CAS-0017534005 Order Number: WO-11325966 | Ser. Report Created Date: 16/05/2023

Spare Parts

Part Number Description Quantity Invoice Type

07831692001-SAMPLE DISTRIBUTOR BG
SAMPLE DISTRIBUTOR BG ISE MSS COB. B 221 1 Warranty
ISE MSS COB. B 221
Roche Diagnostics India Pvt. Ltd.
Field Service Report

Case number: CAS-0017534005 Order Number: WO-11325966 | Ser. Report Created Date: 16/05/2023

Signature

Customer Signature Roche support

Pradeep Pandey 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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Service Report Version Number: 1 Page 3 out of 3