UC00003 – UltraCover

Claim Details for: UC00003

Valid Till:
11/04/2026

Customer Name:

MR PRANTOR BORDOLOI

Phone:
950086076

Address:
NO 58, BHUVANESWARI NAGAR, 2 nd STREET, ADAMBAKKAM CHENNAI Pin:600088

GST No:
NA

Current Kms:
35279

Part No	Description	Batch	HSN/SAC	Tax %	Quantity	Rate	Taxable Amount	Tax Paid Amount	Tax Paid Amount	Total
41800M68P21	ABSORBER ASSY,REAR SHOCK	AA	87088000	28	2	2187.50	4375.00	1225.00	1225.00	5600.00

Total Cost:
5600.00

Labour Code	Description	HSN/SAC	Tax %	Labour Charge	Tax Paid Amount	Total
ZA07L1	FREE CHECK UP	998729		0	0.00	0.00

Total Cost:
5600.00

Invoice Number:
BR/24002567

Amount Paid:
5600

Status:
Approved