FIELD SERVICE REPORT For Service Dealer) FSR NO.; D> 16060 SCHILLE! AUTHORISED SERVICE DEALER: (gumbo Bro SCHILLER HEALTHCARE INDIA PVT. LTD. HEAD OFFICE: Advance Howe, 2x flor, Mawasa Rod, Hea aka sation, Andheri (E), Mumbai « 400 058 Mar 261933) at: 02 R092 Tele Free No. 190020898 Peer appenctileiséacon We: wvmcleiéacoe SERVICE CENTRE:“SCHILLER INIA BUILDING RS Na 186, Sea Virhediaver Revd, Keren p mnSZSET REET edihery ~ 65 08 Te: 1) IMGHOTRIDMO Fe: O41) 226 PROBLEM IDENTIFIED / OBSERVATION: SH PS. (CUSTOMER NAMIE & ADDRESS an moh LG dokigedd 100 Bhavan Git UNITSR.No: TOIL? BOAbS CONTACT PERSON sTarus :1W /OW/LAMC/ CAME CONTACT NO. Guts CALLTVPE:INST/COMPL/PMITRAINING/DEMO/COURSTEY/SER SALE COMPLAINT: DATE OF CALL ATTENDED: CALL COMPLETED ON.: CRM REF NO. PROBLEM REPORTED: defilprlater ret Ansikering Ot ACTIONTAKEN: HPs beodd seoh ed eosd. DATE: ‘CUSTOMER COPY EQUIPMENT TESTING: REPORTABLE COMPLAINT: YES/NO Mechanical Assembly Checking [Check forall srew fixing, knobs & sub-assembly ok | NOTOK Controls & Settings [Check forall controls on panel & settings NoToK | | Parameters & sample readings [Confirm parameters working & take sample readings (write below) | . 4 ‘DEFECTIVE MODULES / PCB /ACCESSORIES BILLING DETAILS AMOUNT IN Rs. DESCRIPTION PARTNO. SR.NO. 1 |, SPARE CHARGES. 2 2, REPAIR / EXCHANGE, 3 5. LABOUR CHARGES 44, MISC, TRANSPORT CHARGES TOTAL PAYMENT RECEIPT DETAILS: ENGINEER REMARKS: |ENGINEER’S NAME: lenaweer'ssion: WAZ > CUSTOMER'S NAME & SIGN. DATE: TEFEN REV DO OVOTADY: SCHILL! 0 m SCHILLER HEALTHCARE INDIA PVT. LTD. ce: ce Vet, In Fl, Ma Rd HAD OE mand (8), Mana 0 38 seas ha ‘SERVICE CENTRE: SCHILLER INDIA BUILDING, S.No & 16, Varhudbaver Road, Kurambapel, Villianwr, SORTA ytdchery - WS O19. Te 413 Z202H0729260 Fax 41) 220670, ‘CUSTOMER NAME & ADDRESS: NOPE Tepe gerd Yoo Bharani br UnITsr.no: ¥O122 BOL bS ane sn /STATUS : IW / OW / LAMC/ CAMC CONTACTO, = CAL :: INST/ COMPL/ PM/TRAINING/ DEMO/COURSTEY/ SER SALES} DATE OF COMPLAINT: LUTPRIY DATE OF CALL ATTENDED: CALL COMPLETED ON ‘CRM REF NO. PROBLEM REPORTED: Pronvanrive Harrtonane rom BOMMED HSI AS ack owed webig dow [ACTION TAKEN _ EQUIPMENT TESTING: REFORTABLE COMPLAINT: YES/NO Mechanical Aseably Chesing heck orale fing noise & a ase OKT NOTOK Controls & Settings Check for all controls on panel & settings O& | NOTOK Parmeter & sample edge Gt prs woking 2 ic aegis leg (slow) = - t 7 DEFECTIVE MODULES / PCB /ACCESSORIES BILLING DETAILS: AMOUNT IN Rs. DESCUPTION TARTNO, —— SRNO. LV 1, SPARE CHARGES: 2 2, REPAIR EXCHANGE ‘ 3. LABOUR CHARGES REPLACED MODULES / PCB /ACCESSORIES 4. MISC. TRANSPORT CHARGES DESCRIPTION ARTNO. SRN. \ TOTAL > PAYMENT RECEIPT DETAILS 3 ‘CUSTOMER REMARKS: eee EMAILID. \ I pu dieno INEER'S NAME: |ENGINEER’S SIGN. Thave received the equipment in satisfactory condition. (CUSTOMER'S NAME & SIGN. ‘civ SURGEON ad neg loess ‘CUSTOMER COPY TBHWAN. ‘OS? TIGA REV OOD OVOITNRN= Se Sn VICEREFORT SCHILLER (For Service Dealer) 1w oT A Da HCARE INDIA PVT. LTD. AUTHORISED SERVICE DEALER: SCHILLER HEALT! aoner He, 2 Far, Maa Red HAD OIE: ME dhe), Mam 4 38 Mal tet nt ei Toe acon We: wile cm seas NRE "CHLER NOBLES 9589, tari Villisaeee a ag, Kurembapel. mSPSEAT gy hey 5 09 oO ZDNEIDO FO 2. ‘CUSTOMER NAME & ADDRESS: MODEL: suger bo W220 3010 (B2asont Gc H) Junrrsr. no. 23\) 22246 Poidon Hodica roaologur CONTACT PERSON: STATUS : 1W/OW/ LAMC/CAMC CONTACT NO.: CALLTYPE: INST/COMPL/ PM/TRAINING/ DEMO /COURSTEY/SER SALES| DATE OF COMPLAINT: | DATE OF CALL ATTENDED: CALL COMPLETED ON: | CRMREFNO: PROBLEM REPORTED: Fievortive Manntonarte ye PROBLEM ee be tee cbed a doved wading dene ACTION TAKEN: EQUIPMENT TESTING: REPORTABLE COMPLAINT: YES/NQ~} Mechanical Assembly Checking [Check for all screw fixing, knobs & sub-assembly OK] _NOTOK Controls & Settings [Check forall controls on panel & settings ox | NOTOK | Parameters & sample readings (Confirm parameters working & take sample readings (write below) 2 € b 4 LPCB Us RIES BILLING DETAILS AMOUNT IN Rs. DESCRIPTION PARTNO, SR.NO. 1 1. SPARE CHARGES 2 2, REPAIR/ EXCHANGE 3 3, LABOUR CHARGES REPLACED MODULES / PCB /ACCESSORIES 4. MISC, ‘TRANS?ORT CHARGES DESCRIPTION PART NO. SR. NO. 1 TOTAL 2 PAYMENT RECEIPT DETAILS 3 ‘CUSTOMER REMARKS: ENGINEER REMARKS: EMAIL ID: ft. douo Thave received the equipment in satisfactory working condition. ENGINEER'S NAME: patton CUSTOMER'S NAME & SIGN ENGINEER'S SION: 3 - | \ DATE: L- E: ne Oy Dar! ‘CUSTOMER COPY (QSP 1716A REV 00 Dx 0110172038(For Service Dealer) pean SERVICE REPORT ]_ eNO = somite | somuen a a a ‘AUTHORISED SERVICE DEAL SCHILLER HEALTHCAR! OFFICE ; Advance Howe, We Rate Salon, Ade Email: suppon@scillerindia.com SERVICE CENTRE: "SCHILLER INDIA ree sGan 6182333 Fax: 022 2920914 Tol Free No: 18002098958 Varbodbavur Rod, Kurumbapet, Villianur, 7 1B INDIA PYT. LTD. 2nd, Flor, Malwans Road, (6), Mumbai - 400 039 ‘Web: wwii com BUILDING RS. NaS & 1% MSTA Zeon Foley + 68 OD, Te: O13 OHOAIND ax 1) ZaN70 CUSTOMER NAME & ADDRESS: MOPELERED PAWI TW 20 3558 Ceometopalayon C ) rs. 12491 008916 3 CONTACT PERSON: ‘STATUS : IW/OW/ LAMC/CAMC CONTACT NO. CALLTYPE: INST/COMPL/PM/TRATNING/ DEMO /COURSTEY/ SER SALE: DATE OF COMPLAINT: ‘DATE OF CALL ATTENDED: CALL COMPLETED ON: ‘CRM REF NO. PROBLEM REPORTED: PROBLEM IDENTIFIED / OBSERVATION: ACTION TAKEN; tM dove. AED Choebed Prenkive Hainkanante EQUIPMENT TESTING: REPORTABLE COMPLAINT: YES/NO™ Mechanical Assembly Checking | Check for all screw fixing, knobs & sub-assembly OK] NOTOK Controls & Settings [Check forall controls on panel & stings (O&-{_NOTOK Parameters & sample readings [Confirm parameters working & ake sample readings (wt below) . a ‘DEFECTIVE MODULES / PCB /ACCESSORIES BILLING DETAILS AMOUNT IN Rs, DESCRIPTION PARTNO. sR No. 1. |. SPARE CHARGES 2. 2. REPAIR / EXCHANGE 3 3 LABOUR CHARGES REPLACED MODULES / PCB ACCESSORIES 4. MISC. ‘TRANSPORT CHARGES. DESCRIPTION PARTNO, ——-SR.NO. \ TOTAL 7 PAYMENT RECEIPT DETAILS 2 CUSTOMER RENMARICE [ENGINEER REMARKS: ae MM done, Thave received the equipment it condition. [ENGINEER'S NAME: ‘CUSTOMER'S NAME & SIGN, ot ENGINEER'S a DATE: (L3 DATE ‘CUSTOMER COPY ‘GSP TGA REV OO OVOUaRES<..sH#—— SCHILLER SERVICE REPORT FSR No, (For: . Serve Dea D- 16065 AUTHORISED SERVICE DEALER: PAdaQan Hedccad tacdrologiss cordsobpre | CUSTOMER NawE@ aDDRESg TN2.06 4095 CAND fH) SCHILLER HEALTHCARE INDIA PVT, LtD, EAD OFFICE: Advice Hae, 2nd Flow, Mika Red Marol Nake Station, Ander (f), Mambai - 400 050 Ta 26152333 Fu: 02 290142 Te Fee No: 0 mal: spenilindiacon Web: wrshilerdacon SERVICE CENTRE “SCHILLER NOVA BUILIGY RS. Yo 5 186, em Varhudbaver Road, Korumbapet, Villignar SSRBZRIT adh «808 TO SITE Fee ‘MODEL: 7 a UNITSR. No: 22.031 634 CONTACT PERSON: ‘STATUS : IW /OW/ LAMC / CAMC Contact No, 7 DATE OF COMP \LLTYPE: INST/ COMPL/PM/TRAINING/ DENO/COURSTEY/ SER SALES} UAINT, DATE OF CALLATTENDED. | —GRIL COMPLETEDON: —] CRM REFNO | PROBLEM REPORTED Povartire Momnkanoncy PROBLEM. IDENTIFIED / OBSERVATION: > 2 Hiigas bo cuckach and Round worig dine | ACTION TAKEN: ; | Pm done | | | EQUIPMENT TESTING: REPORTABLE COMPLAINT: YES/NO. ‘Mechanical Assembly Checking (Check forall screw fining, knobs & sub-assembly OK] NOTOK Controls & Settings ‘Check for all controls on panel & settings ‘ok | NOTOK Paranses & snp Cot pares wring le cc dg (ino) 5 < DERE ir BILLING DETAILS {AMOUNTING DESCRIPTION PARTNO, SR.NO. \ | aa cA 2 man exci 2. .Lasouncaunaes REPLACED MODULES / PCB /ACCESSORIES 4. MISC. TRANSPORT CHARGES DESCRIPTION PARTNO. ‘SR.NO. Tom L| \ : FASNENT RECEIPT DETAILS : L| ENOTES REWARIS CUSTOMER REMARKS: fr done | EMAIL ID. factoryaworking condition. ENGINEER'S NAME POSE ved he epipment in oy or ee ele eet eae 7 Jenomeen's ston: fp J CUSTOMERSNAME&SIGN: > Ie LJ DATE: NINTH OTF TSP TGA REV OO De OVOVANES COSTONERCOFFSERVICE CENTRE: “SCHILLER INDIA Varhudhavur Road, Pondicheny - 605 09, Tel: o413 UNIT sR. No. Q0b38 Lob4241, STATUS :1W/OW /LAMC/CAMC RAINING/ DEMO ACTION TAKEN: PR dow. CRM REF NO, WILDING, RS. N.1I5& 156, » Villianue, Fax: 0413 zaman (COURSTEY/ SER SALES EQUIPMENT TESTING: REPORTABLE COMPLAINT: _ YES/NO | Mechanical Assembly Checking ico for all crow ing, knobs & sab aneaiy OR] _NOTOK Controls & Settings Check fo all controls on panel & stings Ok | NOTOK Parameters & sample readings Confirm params working & ake sample digs Ge 5) . = b a B e MODULES / PCB / RI BILLING DETAILS AMOUNT IN Rs. DESCRIPTION PARTNO. SR.NO. : |. SPARE CHARGES 2 2. REPAIR / EXCHANGE 2 3. LABOUR CHARGES gi tal 4. MISC. /TRANSPORT CHARGES DESCRIPTION PARTNO. SR.NO. 1 PAYMENT RECEIPT DETAIL 2 3. ENGINEER REMARKS: ‘CUSTOMER REMARKS: Pe dpe EMAIL ID: king cndjtion. ¥ ENGINEER'S NAME: Thave received the equipment in satisfagtory wor FNaneeen aan svn CUSTOMER’: a DATE: ‘GP TEA REV OO De OVO CUSTOMERSERVICE REPORT D-16 (For Service Dealer) 064 AUTHORISED SERVICE DEA Yodel tacdnclogig SCHILLER HEALTHC HEAD OFFICE Maral Nake St Teh 0226152333 SERVICE CENTRE: "SCHILLER IN Varbudhavar Road, K vance Howse, 1nd. lor, Malan. Road, aredteri (E), Mamba - ti 1) 2209182 Tel Free No: 800 209098 Ea: pein SCHILLER ieee ‘ARE INDIA PVT. LID. "00.039 ‘Web: waricherinacom (IA BUILDING S-Ni 136, wrombapel, Villianer, Fr: 0413 Zar, STREET ede 5 0 Te 1) TO CUSTOMER NAME & ADDRESS: MODEL: “Poamope wis QS 1164) OW 5 Remsropagen UNITSR.NO: @EIBOOOINH 5 ABIBOOONAO ,251B000'"%) 5 Bsitoooiib3 CONTACT PERSON: STATUS :IW/ OW/LAMC/CAMC | CONTACT NO.: /CALLTYPE: INST/COMPL/PM/TRATNING/ DEMO/COURSTEY/ SER SALES) DATE OF COMPLAINT. | DATE OF CALL ATTENDED: CALL COMPLETED ON: | CRM REF NO: PROBLEM REPORTED: PROBLEM IDENTIFIED / OBSERVATION: Heaiker Checheed Panenirwe Mainkarconce ACTION TAKEN (A done . EQUIPMENT TESTING: REPORTABLE COMPLAINT: YES/NO~{_ ‘Mechanical Assembly Checking [Cheek forall srew Fin, knobs & subassembly OK] _NOTOK Controls & Settings ‘Check forall controls on pane! & settings Ok | NOTOK Parameters & sample readings [Confirm parameters working & take sample readings (write below) ® t DEFECTIVE MODULES / PCB /ACCESSORIES BILLING DETAILS AMOUNT IN Rs. DESCRIPTION PART NO. sR.No, : 1. SPARE CHARGES 2 ‘2. REPAIR / EXCHANGE 2 3. LABOUR CHARGES REELACED MODULES / PCB /ACCESSORIES 4. MISC. TRANSPORT CHARGES DESCRIPTION PARTNO. SR.NO. \ TOTAL ; PAYMENT RECEIPT DETAILS: 3 CUSTOMER REMAKE ENGINEER REMARKS: EMAIL ID Qu _deno SIS Thave received the equipment in satisfactory web} gondition. JENGINEER’S NAME: f° CUSTOMER'S NAME & SIGN & - ENGINEER'S SIGNS: 3 \ J DATE Snacane tN Dare: ‘CUSTOMER COPY (GSP TIGA REV OO BL OVOIIODeeu SERVICE REPORT WER NO. (For Service Dealer) D- 16059 AUTHORISED SERVICE DEALER: PioMan Hedicad taclaslogue wT T LT ponchey 68 9 Te: On) zmnna 2940 Fn: O43 72067) SCHILLER INDIA PVT. LTD. SCHILLER HEALTHCAR HEAD OFFICE, roan ee eet Road, Gate sation, Ander (2) Mar Nae 2 HDT Fe No: 10 2505" Teal mpericilidicom [SERVICE CENTRE: “SCHILLER | INDIA BUILDING”, Ee ig Sa Oe eyed, Kerambapes, Villiang’, CUSTOMER NAME & ADDRESS: TW20 br Solo CRawar GH) MODEL: pq Drop ole OS UNITSR.NO: @o63EObI S23 CONTACT PERSON: STATUS : 1W/OW/ LAMC / CAMC CONTACT NO. CALLTYPE: INST/COMPL/ PM/TRAINING/ DEMO/COURSTEY/ SER SALFS| DATE OF COMPLAINT: DATE OF CALL ATTENDED: CALL COMPLETED ON. ‘CRM REF NO. PROBLEM REPORTED: PROBLEM IDENTIFIED / OBSERVATION: oaiterr Ce. ane ced ond Jour wsthing dee ACTION TAKEN: per cove EQUIPMENT TESTING: REPORTABLE COMPLAINT: YES/NO | Mechanical Assembly Checking (Check forall screw fixing, knobs & sub-assembly ok | NoTOK Controls & Settings Check for all controls on panel & settings Ok | NOTOK Parameters & sample readings [Confirm parameters working & take sample readings (write below) a © ’. a DEFECTIVE MODULES / PCB /ACCESSORIES BILLING DETAILS ‘AMOUNT IN Rs. DESCRIPTION PART NO. ‘SR. NO. ' 1, SPARE CHARGES: 2 2, REPAIR / EXCHANGE 3 3, LABOUR CHARGES REPLACED MODULES / PCB /ACCESSORIES 4. MISC. TRANSPORT CHARGES DESCRIPTION PARTNO. SR.NO. = 2 PAYMENT RECEIPT DETAILS: a CUSTOMER REMARKS: ENGINEER REMARKS: EMAIL ID: (iM done have received the equipment in satisfactory working contlition. ENGINEER'S NAME; CUSTOMER'S NAME & SIGN. ENGINEER'S SIGN DATE: 7 DATE: ‘CUSTOMER COPY we (QSP (7/6 REV 00 Du O/OT RODS