File No:

Date: //

From:

To,

Itas G Pharma
ML Nehru Road, Panbazar, Guwahati-781001

Subject:

Ref:

 

FMR Code :

ITEM DETAILS & PRICE:

Item Name	Quantity	Rate(Exclussive of GST)	GST(%)	Total Amount(Incl. GST)	Delivery Destinations
Syringe Pump ( )	4	23000.000	12	103,040.00	As per annexure B
Bubble cpap with Compressor ( )	20	168000.000	12	3,763,200.00	As per annexure B
Ventilator (Paediatric & Adult ( )	7	1149000.000	12	9,008,160.00	As per annexure B
ETCO2 FOR vENTILATOR ( )	7	298000.000	12	2,336,320.00	As per annexure B
Defibrilator ( )	1	545000.000	12	610,400.00	As per annexure B
LED Phototherapy ( )	6	27800.000	12	186,816.00	As per annexure B
Patient Monitor ( )	4	225000.000	12	1,008,000.00	As per annexure B
Grand Total				17,015,936.00

Annexure A:

Sl	Item Name	Rate(Exclussive of GST)	GST(%)	Total quantity to be supplied	Total Amount	Delivery Destinations' Districts
1	Syringe Pump Make: AllieD MEDICAL Model: SYRN 200 Warranty: 2 years	23000.000	12	4	103040	1) Central Store, FAAMCH 4
2	Bubble cpap with Compressor Make: FANEM MEDICAL DEVICE Model: BABYPAP 11505 Warranty: 5 YEARS	168000.000	12	20	3763200	1) DDWH, Kamrup Metro 8 2) Central Store, FAAMCH 3 3) Central Store, AMCH 2 4) Central Store, JMCH 4 5) Central Store, TMCH 3
3	Ventilator (Paediatric & Adult Make: HAMILTON MEDICAL Model: C1+H900 Warranty: 5 YEARS	1149000.000	12	7	9008160	1) Central Store, FAAMCH 1 2) Central Store, SMCH 2 3) Central Store, AMCH 2 4) Central Store, GMCH 2
4	ETCO2 FOR vENTILATOR Make: HAMILTON MEDICAL Model: C1+H900 Warranty: 5 years	298000.000	12	7	2336320	1) Central Store, FAAMCH 1 2) Central Store, SMCH 2 3) Central Store, AMCH 2 4) Central Store, GMCH 2
5	Defibrilator Make: NIHON KOHDEN Model: TEC-5600 Warranty: 5 YEARS	545000.000	12	1	610400	1) Central Store, SMCH 1
6	LED Phototherapy Make: MEDI WAVES Model: P-003/LED Warranty: 5 YEARS	27800.000	12	6	186816	1) Central Store, JMCH 6
7	Patient Monitor Make: MEDITEC INTERNATIONAL Model: M-757 Warranty: 5 YEARS	225000.000	12	4	1008000	1) Central Store, SMCH 4

Memo No:

Date: //

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