File No:

Date: //

From:

To,

Alliance Scientific
H.No. 1, Natun Path, Hatigaon, Guwahati-781038

Subject:

Ref:

 

FMR Code :

ITEM DETAILS & PRICE:

Item Name	Quantity	Rate(Exclussive of GST)	GST(%)	Total Amount(Incl. GST)	Delivery Destinations
Glucometer Strips (1packet containing 100 strips) ( )	33	370.000	12	13,675.20	As per annexure B
Glucometer ( )	33	1.000	12	36.96	As per annexure B
Water Bath ( )	33	16300.000	18	634,722.00	As per annexure B
Grand Total				648,434.16

Annexure A:

Sl	Item Name	Rate(Exclussive of GST)	GST(%)	Total quantity to be supplied	Total Amount	Delivery Destinations' Districts
1	Glucometer Strips (1packet containing 100 strips) Make: Sensa Core Model: R-3 Warranty: 1 year	370.000	12	33	13675.2	1) DDWH, Baksa 1 2) DDWH, Hailakandi 1 3) DDWH, Barpeta 2 4) DDWH, Jorhat 2 5) DDWH, Tinsukia 2 6) DDWH, Udalguri 1 7) DDWH, Cachar 2 8) DDWH, Kamrup Rural 3 9) DDWH, Chirang 1 10) DDWH, Karbi Anglong 2 11) DDWH, Darrang 1 12) DDWH, Karimganj 2 13) DDWH, Dhemaji 1 14) DDWH, Dibrugarh 1 15) DDWH, Morigaon 1 16) DDWH, Nagaon 2 17) DDWH, Goalpara 2 18) DDWH, Nalbari 2 19) DDWH, Golaghat 4
2	Glucometer Make: Sensa Core Model: R-3 Warranty: 2 years	1.000	12	33	36.96	1) DDWH, Baksa 1 2) DDWH, Hailakandi 1 3) DDWH, Barpeta 2 4) DDWH, Jorhat 2 5) DDWH, Tinsukia 2 6) DDWH, Udalguri 1 7) DDWH, Cachar 2 8) DDWH, Kamrup Rural 3 9) DDWH, Chirang 1 10) DDWH, Karbi Anglong 2 11) DDWH, Darrang 1 12) DDWH, Karimganj 2 13) DDWH, Dhemaji 1 14) DDWH, Dhubri 1 15) DDWH, Morigaon 1 16) DDWH, Nagaon 2 17) DDWH, Goalpara 2 18) DDWH, Nalbari 2 19) DDWH, Golaghat 4
3	Water Bath Make: Icon Instruments Co. Model: IIC-103A Warranty: 2 years	16300.000	18	33	634722	1) DDWH, Baksa 1 2) DDWH, Hailakandi 1 3) DDWH, Barpeta 2 4) DDWH, Jorhat 2 5) DDWH, Tinsukia 2 6) DDWH, Udalguri 1 7) DDWH, Cachar 2 8) DDWH, Kamrup Rural 3 9) DDWH, Chirang 1 10) DDWH, Karbi Anglong 2 11) DDWH, Darrang 1 12) DDWH, Karimganj 1 13) DDWH, Dhemaji 1 14) DDWH, Dibrugarh 2 15) DDWH, Morigaon 1 16) DDWH, Nagaon 2 17) DDWH, Goalpara 2 18) DDWH, Nalbari 2 19) DDWH, Golaghat 4

Memo No:

Date: //

Copy to:
1)