Inventory Management System

OFFICE OF THE MISSION DIRECTOR

NATIONAL HEALTH MISSION, ASSAM

Saikia Commercial Complex, Sri Nagar Path, Near Post office Bus Stand
G. S. Road, Christianbasti, Guwahati - 781005
Website : https://nhm.assam.gov.in E_mail ID : mdnrhmasm@gmail.com

File No: NRHM/CH/SNCU/Online Reporting/2014-15/2/SPO-11770

Date: 02/09/2019

From:

J.V.N. Subramanyam, IAS
Mission Director
National Health Mission, Assam

To,

M/S Darpan Publications
3RD MILE SEVOKE ROAD OPP SONA PETROL PUMP, SILIGURI, Jalpaiguri, West Bengal

Subject: Printing & Supply of SNCU Reporting Materials

Ref: Your quotation against NHM, Assam Tender No. NRHM/CH/SNCU/Online Reporting/2014-15/256, DATE:-06/07/2019.

Sir,

With reference to above, we are pleased to place this order for printing & supply of SNCU reporting materials as per DETAILS OF ITEMS & PRICES and TERMS & CONDITIONS stated herein below

FMR Code : 12.2.10

ITEM DETAILS & PRICE:

Item Name	Quantity	Rate(Exclussive of GST)	GST(%)	Total Amount(Incl. GST)	Delivery Destinations
Treatment Continuation Sheet and Clinical Condition record sheet ( )	955	51.290	12	54,859.78	As per annexure A
Investigation Book ( )	955	51.290	12	54,859.78	As per annexure A
Referral Summary Sheet Book ( )	995	51.290	12	57,157.58	As per annexure A
Discharge Note for SNCU record Sheet Book ( )	955	51.290	12	54,859.78	As per annexure A
SNCU Admission Registers Sheet Book ( )	560	64.360	12	40,366.59	As per annexure A
Facility follow up record book Sheet Book ( )	540	39.960	12	24,167.81	As per annexure A
OPD register Sheet Book (per book ( )	540	102.930	12	62,252.06	As per annexure A
Community followup of SNCU discharge baby Card ( )	95500	1.110	12	118,725.60	As per annexure A
Antenatal Steroid record register ( )	560	64.360	12	40,366.59	As per annexure A
Facility follow up register Sheet Book ( )	540	102.930	12	62,252.06	As per annexure A
Grand Total				569,867.65

Terms & Conditions of the Supply order is described below: -

A Bank Guarantee of Rs. 28493/- (Rupees Twenty Eight thousand Four hundred Ninty Three only) for the Items having validity not less than one year as security deposit is to be submitted within 7 days from the date of order placed.

A Deed of Agreement has to be signed with the Tender inviting authority on deposit of Bank Guarantee

Delivery: The supply order should be delivered within 40 days from the date of purchase order. The item should be delivered at 27 NHM district drug warehouse in respective district. Prior to the delivery of the items to the warehouse 3 copies of the sample copies are to be submitted to the undersigned for verification and quality check for confirmation to as per tender specification. The challan should be submitted with seal, signature and stock entry details along with the bill.

Penalty:

In case there is delay in delivery beyond the stipulated period as mentioned in the purchase order, there shall be penal deduction @ 0.5 per cent of the value of the delayed goods per week of delay or part thereof subject to a maximum of 10 per cent of the total order value.
Once the maximum price reduction is reached, termination of the contract may be considered. Non-compliance of the contract provisions shall make the successful bidder liable to be disqualified to participate in any tender for the next 5 years, in addition to forfeiture of Security Deposit and other penal actions.

All other Terms & Conditions as specified in the TENDER NO: NRHM/CH/SNCU/Online Reporting/2014-15/256, DATE:-06/07/2019. shall be applicable.

Annexure A:

Item Name

Specification

Rate(Exclussive of GST)

GST(%)

Total quantity to be supplied

Total Amount

Delivery Destinations

Treatment Continuation Sheet and Clinical Condition record sheet

51.290

955

54859.784

1)	DDWH, Baksa	10
2)	DDWH, Udalguri	10
3)	DDWH, Kamrup Metro	10
4)	Central Store, FAAMCH	50
5)	DDWH, Bongaigaon	20
6)	Central Store, SMCH	80
7)	DDWH, Karbi Anglong	15
8)	Central Store, AMCH	80
9)	DDWH, Karimganj	25
10)	Central Store, JMCH	60
11)	DDWH, Darrang	50
12)	DDWH, Kokrajhar	25
13)	Central Store, GMCH	100
14)	DDWH, Dhemaji	25
15)	DDWH, Lakhimpur	30
16)	Central Store, TMCH	40
17)	DDWH, Dhubri	30
18)	DDWH, Morigaon	15
19)	Central Store, MMCH	20
20)	DDWH, Nagaon	50
21)	DDWH, Dima Hasao	10
22)	DDWH, Nalbari	30
23)	DDWH, Goalpara	30
24)	DDWH, Sivasagar	30
25)	DDWH, Golaghat	30
26)	DDWH, Sonitpur	30
27)	DDWH, Hailakandi	30
28)	DDWH, Tinsukia	20

Investigation Book

51.290

955

54859.784

1)	DDWH, Baksa	10
2)	DDWH, Udalguri	10
3)	DDWH, Kamrup Metro	10
4)	Central Store, FAAMCH	50
5)	DDWH, Bongaigaon	20
6)	Central Store, SMCH	80
7)	DDWH, Karbi Anglong	15
8)	Central Store, AMCH	80
9)	DDWH, Karimganj	25
10)	Central Store, JMCH	60
11)	DDWH, Darrang	50
12)	DDWH, Kokrajhar	25
13)	Central Store, GMCH	100
14)	DDWH, Dhemaji	25
15)	DDWH, Lakhimpur	30
16)	Central Store, TMCH	40
17)	DDWH, Dhubri	30
18)	DDWH, Morigaon	15
19)	Central Store, MMCH	20
20)	DDWH, Nagaon	50
21)	DDWH, Dima Hasao	10
22)	DDWH, Nalbari	30
23)	DDWH, Goalpara	30
24)	DDWH, Sivasagar	30
25)	DDWH, Golaghat	30
26)	DDWH, Sonitpur	30
27)	DDWH, Hailakandi	30
28)	DDWH, Tinsukia	20

Referral Summary Sheet Book

51.290

995

57157.576

1)	DDWH, Baksa	50
2)	DDWH, Udalguri	10
3)	DDWH, Kamrup Metro	10
4)	Central Store, FAAMCH	50
5)	DDWH, Bongaigaon	20
6)	Central Store, SMCH	80
7)	DDWH, Karbi Anglong	15
8)	Central Store, AMCH	80
9)	DDWH, Karimganj	25
10)	Central Store, JMCH	60
11)	DDWH, Darrang	50
12)	DDWH, Kokrajhar	25
13)	Central Store, GMCH	100
14)	DDWH, Dhemaji	25
15)	DDWH, Lakhimpur	30
16)	Central Store, TMCH	40
17)	DDWH, Dhubri	30
18)	DDWH, Morigaon	15
19)	Central Store, MMCH	20
20)	DDWH, Nagaon	50
21)	DDWH, Dima Hasao	10
22)	DDWH, Nalbari	30
23)	DDWH, Goalpara	30
24)	DDWH, Sivasagar	30
25)	DDWH, Golaghat	30
26)	DDWH, Sonitpur	30
27)	DDWH, Hailakandi	30
28)	DDWH, Tinsukia	20

Discharge Note for SNCU record Sheet Book

51.290

955

54859.784

1)	DDWH, Baksa	10
2)	DDWH, Udalguri	10
3)	DDWH, Kamrup Metro	10
4)	Central Store, FAAMCH	50
5)	DDWH, Bongaigaon	20
6)	Central Store, SMCH	80
7)	DDWH, Karbi Anglong	15
8)	Central Store, AMCH	80
9)	DDWH, Karimganj	25
10)	Central Store, JMCH	60
11)	DDWH, Darrang	50
12)	DDWH, Kokrajhar	25
13)	Central Store, GMCH	100
14)	DDWH, Dhemaji	25
15)	DDWH, Lakhimpur	30
16)	Central Store, TMCH	40
17)	DDWH, Dhubri	30
18)	DDWH, Morigaon	15
19)	Central Store, MMCH	20
20)	DDWH, Nagaon	50
21)	DDWH, Dima Hasao	10
22)	DDWH, Nalbari	30
23)	DDWH, Goalpara	30
24)	DDWH, Sivasagar	30
25)	DDWH, Golaghat	30
26)	DDWH, Sonitpur	30
27)	DDWH, Hailakandi	30
28)	DDWH, Tinsukia	20

SNCU Admission Registers Sheet Book

64.360

560

40366.592

1)	DDWH, Baksa	20
2)	DDWH, Udalguri	20
3)	DDWH, Kamrup Metro	20
4)	Central Store, FAAMCH	20
5)	DDWH, Bongaigaon	20
6)	Central Store, SMCH	20
7)	DDWH, Karbi Anglong	20
8)	Central Store, AMCH	20
9)	DDWH, Karimganj	20
10)	Central Store, JMCH	20
11)	DDWH, Darrang	20
12)	DDWH, Kokrajhar	20
13)	Central Store, GMCH	20
14)	DDWH, Dhemaji	20
15)	DDWH, Lakhimpur	20
16)	Central Store, TMCH	20
17)	DDWH, Dhubri	20
18)	DDWH, Morigaon	20
19)	Central Store, MMCH	20
20)	DDWH, Nagaon	20
21)	DDWH, Dima Hasao	20
22)	DDWH, Nalbari	20
23)	DDWH, Goalpara	20
24)	DDWH, Sivasagar	20
25)	DDWH, Golaghat	20
26)	DDWH, Sonitpur	20
27)	DDWH, Hailakandi	20
28)	DDWH, Tinsukia	20

Facility follow up record book Sheet Book

39.960

540

24167.808

1)	DDWH, Baksa	20
2)	DDWH, Udalguri	20
3)	DDWH, Kamrup Metro	20
4)	Central Store, FAAMCH	20
5)	DDWH, Bongaigaon	20
6)	Central Store, SMCH	20
7)	DDWH, Karbi Anglong	20
8)	Central Store, AMCH	20
9)	DDWH, Karimganj	20
10)	Central Store, JMCH	20
11)	DDWH, Darrang	20
12)	DDWH, Kokrajhar	20
13)	Central Store, GMCH	20
14)	DDWH, Dhemaji	20
15)	DDWH, Lakhimpur	20
16)	Central Store, TMCH	20
17)	DDWH, Dhubri	20
18)	DDWH, Morigaon	20
19)	DDWH, Nagaon	20
20)	DDWH, Dima Hasao	20
21)	DDWH, Nalbari	20
22)	DDWH, Goalpara	20
23)	DDWH, Sivasagar	20
24)	DDWH, Golaghat	20
25)	DDWH, Sonitpur	20
26)	DDWH, Hailakandi	20
27)	DDWH, Tinsukia	20

OPD register Sheet Book (per book

102.930

540

62252.064

1)	DDWH, Baksa	20
2)	DDWH, Udalguri	20
3)	DDWH, Kamrup Metro	20
4)	Central Store, FAAMCH	20
5)	DDWH, Bongaigaon	20
6)	Central Store, SMCH	20
7)	DDWH, Karbi Anglong	20
8)	Central Store, AMCH	20
9)	DDWH, Karimganj	20
10)	Central Store, JMCH	20
11)	DDWH, Darrang	20
12)	DDWH, Kokrajhar	20
13)	Central Store, GMCH	20
14)	DDWH, Dhemaji	20
15)	DDWH, Lakhimpur	20
16)	Central Store, TMCH	20
17)	DDWH, Dhubri	20
18)	DDWH, Morigaon	20
19)	DDWH, Nagaon	20
20)	DDWH, Dima Hasao	20
21)	DDWH, Nalbari	20
22)	DDWH, Goalpara	20
23)	DDWH, Sivasagar	20
24)	DDWH, Golaghat	20
25)	DDWH, Sonitpur	20
26)	DDWH, Hailakandi	20
27)	DDWH, Tinsukia	20

Community followup of SNCU discharge baby Card

1.110

95500

118725.6

1)	DDWH, Baksa	1000
2)	DDWH, Udalguri	1000
3)	DDWH, Kamrup Metro	1000
4)	Central Store, FAAMCH	5000
5)	DDWH, Bongaigaon	2000
6)	Central Store, SMCH	8000
7)	DDWH, Karbi Anglong	1500
8)	Central Store, AMCH	8000
9)	DDWH, Karimganj	2500
10)	Central Store, JMCH	6000
11)	DDWH, Darrang	5000
12)	DDWH, Kokrajhar	2500
13)	Central Store, GMCH	10000
14)	DDWH, Dhemaji	2500
15)	DDWH, Lakhimpur	3000
16)	Central Store, TMCH	4000
17)	DDWH, Dhubri	3000
18)	DDWH, Morigaon	1500
19)	Central Store, MMCH	2000
20)	DDWH, Nagaon	5000
21)	DDWH, Dima Hasao	1000
22)	DDWH, Nalbari	3000
23)	DDWH, Goalpara	3000
24)	DDWH, Sivasagar	3000
25)	DDWH, Golaghat	3000
26)	DDWH, Sonitpur	3000
27)	DDWH, Hailakandi	3000
28)	DDWH, Tinsukia	2000

Antenatal Steroid record register

64.360

560

40366.592

1)	DDWH, Baksa	20
2)	DDWH, Udalguri	20
3)	DDWH, Kamrup Metro	20
4)	Central Store, FAAMCH	20
5)	DDWH, Bongaigaon	20
6)	Central Store, SMCH	20
7)	DDWH, Karbi Anglong	20
8)	Central Store, AMCH	20
9)	DDWH, Karimganj	20
10)	Central Store, JMCH	20
11)	DDWH, Darrang	20
12)	DDWH, Kokrajhar	20
13)	Central Store, GMCH	20
14)	DDWH, Dhemaji	20
15)	DDWH, Lakhimpur	20
16)	Central Store, TMCH	20
17)	DDWH, Dhubri	20
18)	DDWH, Morigaon	20
19)	Central Store, MMCH	20
20)	DDWH, Nagaon	20
21)	DDWH, Dima Hasao	20
22)	DDWH, Nalbari	20
23)	DDWH, Goalpara	20
24)	DDWH, Sivasagar	20
25)	DDWH, Golaghat	20
26)	DDWH, Sonitpur	20
27)	DDWH, Hailakandi	20
28)	DDWH, Tinsukia	20

Facility follow up register Sheet Book

102.930

540

62252.064

1)	DDWH, Baksa	20
2)	DDWH, Udalguri	20
3)	DDWH, Kamrup Metro	20
4)	Central Store, FAAMCH	20
5)	DDWH, Bongaigaon	20
6)	Central Store, SMCH	20
7)	DDWH, Karbi Anglong	20
8)	Central Store, AMCH	20
9)	DDWH, Karimganj	20
10)	Central Store, JMCH	20
11)	DDWH, Darrang	20
12)	DDWH, Kokrajhar	20
13)	Central Store, GMCH	20
14)	DDWH, Dhemaji	20
15)	DDWH, Lakhimpur	20
16)	Central Store, TMCH	20
17)	DDWH, Dhubri	20
18)	DDWH, Morigaon	20
19)	DDWH, Nagaon	20
20)	DDWH, Dima Hasao	20
21)	DDWH, Nalbari	20
22)	DDWH, Goalpara	20
23)	DDWH, Sivasagar	20
24)	DDWH, Golaghat	20
25)	DDWH, Sonitpur	20
26)	DDWH, Hailakandi	20
27)	DDWH, Tinsukia	20

(J.V.N. Subramanyam, IAS)
Mission Director
National Health Mission, Assam

Memo No: NRHM/CH/SNCU/Online Reporting/2014-15/2/SPO-11770

Date: 02/09/2019

Copy to:
1) The Director Finance, NHM Assam for kind information
2) The Child Health Consultant, NHM, Assam for kind information
3) The State store Manager, NHM, Assam for kind information & necessary action
4) The DDSM/DME/DPM, NHM, Assam all district for kind information & necessary action

Mission Director
National Health Mission, Assam