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: NHM/PROC/NMHP/Equip-Inst/3751/2018-19/SPO-12269

Date: 00/00/0000

From:

Dr Lakshmanan S, IAS
Mission Director
National Health Mission, Assam

To,

MS Prasad Psycho Corporation
10 A Veer Savarkar Block, Shakarpur, New Delhi-110092

Subject: Supply order of Psychological assessment Tools under NMHP programme to different Health Institutions of the State

Ref: Your quotation against NHM, Assam Tender No: NHM/PROC/NMHP/3751/2018-19/29293 Date : 14/2/2019

Sir,

With reference to above, we are pleased to place this order for supply of Psychological assessment Tools under NMHP programme as per “DETAILS OF ITEMS & PRICES” and “TERMS & CONDITIONS” stated herein below:

FMR Code : 6.1.1.20.a

ITEM DETAILS & PRICE:

Item Name	Quantity	Rate(Exclussive of GST)	GST(%)	Total Amount(Incl. GST)	Delivery Destinations
Binet Kamat Test of Intelligence ( 5th Edition) ( )	27	3500.000	12	105,840.00	As per annexure A
Five Factor Personality Inventory-Children ( )	22	11990.000	0	263,780.00	As per annexure A
State Trait Anxiety Inventory for Children ( STAI) by Charles D.Spielberger ( )	27	3990.000	0	107,730.00	As per annexure A
State Trait Anxiety Inventory for Adults ( STAI) by Charles D.Spielberger ( )	27	3990.000	0	107,730.00	As per annexure A
Thematic Apperception Test (TAT) (Indian) by L.P. Mehrotra ( )	27	3200.000	0	86,400.00	As per annexure A
Rorshach Ink Blot Test (RIBT) by Hermann Rorschach ( )	27	19500.000	0	526,500.00	As per annexure A
Seguin Form Broad Test (SFBT) ( )	22	3000.000	12	73,920.00	As per annexure A
Parent Child Relationship Scale for Children by Dr. Nalini Rao ( )	27	1000.000	0	27,000.00	As per annexure A
Parent Child Relationship Scale for Parents by Dr. Harishchand & Dr. N.S. Chauhan ( )	27	750.000	0	20,250.00	As per annexure A
16 Personality Factors (PF) Questionnaire by R.B. Cattell and IPAT Staff ( )	27	14000.000	0	378,000.00	As per annexure A
Specific Learning Disability: Comprehensive Diagnostic Battery by Dr. Manju Mehta & Co. ( )	27	4150.000	0	112,050.00	As per annexure A
P.G.I. Memory Scale by D. Pershad & N.N. Wig (Hindi and English) ( )	27	1300.000	0	35,100.00	As per annexure A
Malin's Vineland Social Maturity Scale (VSMS) by J. Bharat Raj (English) ( )	22	1400.000	0	30,800.00	As per annexure A
Grand Total				1,875,100.00

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

The above price is on FOR destination basis inclusive of all costs. All admissible taxes as applicable as per existing Govt. rules are liable to be deducted from invoices.
The total ordered quantity must be delivered at District Drug Warehouse as indicated at Annexure-‘A’ within 45 days from the date of issue of the purchase order.
The supplied items shall be strictly in conformity with the specifications. If any of the items are found to be inferior or sub standard in quality the same must be replaced with acceptable quality at supplier’s cost within a period of two weeks from date of intimation. In case of failure to replace the defective goods on time or in the event the replaced goods are found inferior or substandard in quality, the supplier will be liable to be blacklisted.
Payment terms will be 100 % within 45 days from date of receipt and acceptance. Payment will be released on satisfactory completion of supply of entire ordered quantities and against submission of bills and challan bearing stock entry details.
In case there is delay in delivery beyond the stipulated period as mentioned, there shall be reduction in price @0.5% of the value of delayed goods per week of delay or part thereof subject to a maximum of 10% of the total order value.
The suppliers shall have to enter into a "Deed of Agreement" valid for 2 years for execution of the supply order as per terms & condition given herewith within 10(ten) days of issue of this order.
The Supplier shall have to furnish “Security Deposit” @ 5% of the total order value in the form of “Bank Guarantee” of a scheduled Indian Bank in favour of “State Health Society, Assam” valid for a period of 1 year from the date of the order. However, if you fail to execute the order or to perform the services as per agreement, in addition to other penal actions, the bank guarantee shall be encashed and the amount forfeited.
Any Dispute arising out of the above order shall be referred to the Court within the Guahati Jurisdiction of State of Assam.
All other Terms & Conditions incorporated in the NHM/PROC/NMHP/3751/2018-19/29293, Date : 14/2/2019 shall be applicable.

Annexure A:

Item Name

Specification

Rate(Exclussive of GST)

GST(%)

Total quantity to be supplied

Total Amount

Delivery Destinations

Binet Kamat Test of Intelligence ( 5th Edition)

3500.000

105840

1)	DDWH, Baksa	1
2)	DDWH, Jorhat	1
3)	DDWH, Udalguri	1
4)	DDWH, Barpeta	1
5)	DDWH, Bongaigaon	1
6)	DDWH, Kamrup Rural	1
7)	DDWH, Cachar	1
8)	DDWH, Karbi Anglong	1
9)	DDWH, Chirang	1
10)	DDWH, Karimganj	1
11)	DDWH, Darrang	1
12)	DDWH, Kokrajhar	1
13)	DDWH, Dhemaji	1
14)	DDWH, Lakhimpur	1
15)	DDWH, Dhubri	1
16)	DDWH, Morigaon	1
17)	DDWH, Dibrugarh	1
18)	DDWH, Nagaon	1
19)	DDWH, Dima Hasao	1
20)	DDWH, Nalbari	1
21)	DDWH, Goalpara	1
22)	DDWH, Sivasagar	1
23)	Central Drug Ware House, NHM, Narengi, Guwahati, Assam	1
24)	DDWH, Golaghat	1
25)	DDWH, Sonitpur	1
26)	DDWH, Hailakandi	1
27)	DDWH, Tinsukia	1

Five Factor Personality Inventory-Children

11990.000

263780

1)	DDWH, Baksa	1
2)	DDWH, Jorhat	1
3)	DDWH, Udalguri	1
4)	DDWH, Bongaigaon	1
5)	DDWH, Kamrup Rural	1
6)	DDWH, Karbi Anglong	1
7)	DDWH, Karimganj	1
8)	DDWH, Darrang	1
9)	DDWH, Kokrajhar	1
10)	DDWH, Dhemaji	1
11)	DDWH, Lakhimpur	1
12)	DDWH, Morigaon	1
13)	DDWH, Dibrugarh	1
14)	DDWH, Nagaon	1
15)	DDWH, Nalbari	1
16)	DDWH, Goalpara	1
17)	DDWH, Sivasagar	1
18)	Central Drug Ware House, NHM, Narengi, Guwahati, Assam	1
19)	DDWH, Golaghat	1
20)	DDWH, Sonitpur	1
21)	DDWH, Hailakandi	1
22)	DDWH, Tinsukia	1

State Trait Anxiety Inventory for Children ( STAI) by Charles D.Spielberger

3990.000

107730

1)	DDWH, Baksa	1
2)	DDWH, Jorhat	1
3)	DDWH, Udalguri	1
4)	DDWH, Barpeta	1
5)	DDWH, Bongaigaon	1
6)	DDWH, Kamrup Rural	1
7)	DDWH, Cachar	1
8)	DDWH, Karbi Anglong	1
9)	DDWH, Chirang	1
10)	DDWH, Karimganj	1
11)	DDWH, Darrang	1
12)	DDWH, Kokrajhar	1
13)	DDWH, Dhemaji	1
14)	DDWH, Lakhimpur	1
15)	DDWH, Dhubri	1
16)	DDWH, Morigaon	1
17)	DDWH, Dibrugarh	1
18)	DDWH, Nagaon	1
19)	DDWH, Dima Hasao	1
20)	DDWH, Nalbari	1
21)	DDWH, Goalpara	1
22)	DDWH, Sivasagar	1
23)	Central Drug Ware House, NHM, Narengi, Guwahati, Assam	1
24)	DDWH, Golaghat	1
25)	DDWH, Sonitpur	1
26)	DDWH, Hailakandi	1
27)	DDWH, Tinsukia	1

State Trait Anxiety Inventory for Adults ( STAI) by Charles D.Spielberger

3990.000

107730

1)	DDWH, Baksa	1
2)	DDWH, Jorhat	1
3)	DDWH, Udalguri	1
4)	DDWH, Barpeta	1
5)	DDWH, Bongaigaon	1
6)	DDWH, Kamrup Rural	1
7)	DDWH, Cachar	1
8)	DDWH, Karbi Anglong	1
9)	DDWH, Chirang	1
10)	DDWH, Karimganj	1
11)	DDWH, Darrang	1
12)	DDWH, Kokrajhar	1
13)	DDWH, Dhemaji	1
14)	DDWH, Lakhimpur	1
15)	DDWH, Dhubri	1
16)	DDWH, Morigaon	1
17)	DDWH, Dibrugarh	1
18)	DDWH, Nagaon	1
19)	DDWH, Dima Hasao	1
20)	DDWH, Nalbari	1
21)	DDWH, Goalpara	1
22)	DDWH, Sivasagar	1
23)	Central Drug Ware House, NHM, Narengi, Guwahati, Assam	1
24)	DDWH, Golaghat	1
25)	DDWH, Sonitpur	1
26)	DDWH, Hailakandi	1
27)	DDWH, Tinsukia	1

Thematic Apperception Test (TAT) (Indian) by L.P. Mehrotra

3200.000

86400

1)	DDWH, Baksa	1
2)	DDWH, Jorhat	1
3)	DDWH, Udalguri	1
4)	DDWH, Barpeta	1
5)	DDWH, Bongaigaon	1
6)	DDWH, Kamrup Rural	1
7)	DDWH, Cachar	1
8)	DDWH, Karbi Anglong	1
9)	DDWH, Chirang	1
10)	DDWH, Karimganj	1
11)	DDWH, Darrang	1
12)	DDWH, Kokrajhar	1
13)	DDWH, Dhemaji	1
14)	DDWH, Lakhimpur	1
15)	DDWH, Dhubri	1
16)	DDWH, Morigaon	1
17)	DDWH, Dibrugarh	1
18)	DDWH, Nagaon	1
19)	DDWH, Dima Hasao	1
20)	DDWH, Nalbari	1
21)	DDWH, Goalpara	1
22)	DDWH, Sivasagar	1
23)	Central Drug Ware House, NHM, Narengi, Guwahati, Assam	1
24)	DDWH, Golaghat	1
25)	DDWH, Sonitpur	1
26)	DDWH, Hailakandi	1
27)	DDWH, Tinsukia	1

Rorshach Ink Blot Test (RIBT) by Hermann Rorschach

19500.000

526500

1)	DDWH, Baksa	1
2)	DDWH, Jorhat	1
3)	DDWH, Udalguri	1
4)	DDWH, Barpeta	1
5)	DDWH, Bongaigaon	1
6)	DDWH, Kamrup Rural	1
7)	DDWH, Cachar	1
8)	DDWH, Karbi Anglong	1
9)	DDWH, Chirang	1
10)	DDWH, Karimganj	1
11)	DDWH, Darrang	1
12)	DDWH, Kokrajhar	1
13)	DDWH, Dhemaji	1
14)	DDWH, Lakhimpur	1
15)	DDWH, Dhubri	1
16)	DDWH, Morigaon	1
17)	DDWH, Dibrugarh	1
18)	DDWH, Nagaon	1
19)	DDWH, Dima Hasao	1
20)	DDWH, Nalbari	1
21)	DDWH, Goalpara	1
22)	DDWH, Sivasagar	1
23)	Central Drug Ware House, NHM, Narengi, Guwahati, Assam	1
24)	DDWH, Golaghat	1
25)	DDWH, Sonitpur	1
26)	DDWH, Hailakandi	1
27)	DDWH, Tinsukia	1

Seguin Form Broad Test (SFBT)

3000.000

73920

1)	DDWH, Baksa	1
2)	DDWH, Jorhat	1
3)	DDWH, Udalguri	1
4)	DDWH, Bongaigaon	1
5)	DDWH, Kamrup Rural	1
6)	DDWH, Karbi Anglong	1
7)	DDWH, Karimganj	1
8)	DDWH, Darrang	1
9)	DDWH, Kokrajhar	1
10)	DDWH, Dhemaji	1
11)	DDWH, Lakhimpur	1
12)	DDWH, Morigaon	1
13)	DDWH, Dibrugarh	1
14)	DDWH, Nagaon	1
15)	DDWH, Nalbari	1
16)	DDWH, Goalpara	1
17)	DDWH, Sivasagar	1
18)	Central Drug Ware House, NHM, Narengi, Guwahati, Assam	1
19)	DDWH, Golaghat	1
20)	DDWH, Sonitpur	1
21)	DDWH, Hailakandi	1
22)	DDWH, Tinsukia	1

Parent Child Relationship Scale for Children by Dr. Nalini Rao

1000.000

27000

1)	DDWH, Baksa	1
2)	DDWH, Jorhat	1
3)	DDWH, Udalguri	1
4)	DDWH, Barpeta	1
5)	DDWH, Bongaigaon	1
6)	DDWH, Kamrup Rural	1
7)	DDWH, Cachar	1
8)	DDWH, Karbi Anglong	1
9)	DDWH, Chirang	1
10)	DDWH, Karimganj	1
11)	DDWH, Darrang	1
12)	DDWH, Kokrajhar	1
13)	DDWH, Dhemaji	1
14)	DDWH, Lakhimpur	1
15)	DDWH, Dhubri	1
16)	DDWH, Morigaon	1
17)	DDWH, Dibrugarh	1
18)	DDWH, Nagaon	1
19)	DDWH, Dima Hasao	1
20)	DDWH, Nalbari	1
21)	DDWH, Goalpara	1
22)	DDWH, Sivasagar	1
23)	Central Drug Ware House, NHM, Narengi, Guwahati, Assam	1
24)	DDWH, Golaghat	1
25)	DDWH, Sonitpur	1
26)	DDWH, Hailakandi	1
27)	DDWH, Tinsukia	1

Parent Child Relationship Scale for Parents by Dr. Harishchand & Dr. N.S. Chauhan

750.000

20250

1)	DDWH, Baksa	1
2)	DDWH, Jorhat	1
3)	DDWH, Udalguri	1
4)	DDWH, Barpeta	1
5)	DDWH, Bongaigaon	1
6)	DDWH, Kamrup Rural	1
7)	DDWH, Cachar	1
8)	DDWH, Karbi Anglong	1
9)	DDWH, Chirang	1
10)	DDWH, Karimganj	1
11)	DDWH, Darrang	1
12)	DDWH, Kokrajhar	1
13)	DDWH, Dhemaji	1
14)	DDWH, Lakhimpur	1
15)	DDWH, Dhubri	1
16)	DDWH, Morigaon	1
17)	DDWH, Dibrugarh	1
18)	DDWH, Nagaon	1
19)	DDWH, Dima Hasao	1
20)	DDWH, Nalbari	1
21)	DDWH, Goalpara	1
22)	DDWH, Sivasagar	1
23)	Central Drug Ware House, NHM, Narengi, Guwahati, Assam	1
24)	DDWH, Golaghat	1
25)	DDWH, Sonitpur	1
26)	DDWH, Hailakandi	1
27)	DDWH, Tinsukia	1

16 Personality Factors (PF) Questionnaire by R.B. Cattell and IPAT Staff

14000.000

378000

1)	DDWH, Baksa	1
2)	DDWH, Jorhat	1
3)	DDWH, Udalguri	1
4)	DDWH, Barpeta	1
5)	DDWH, Bongaigaon	1
6)	DDWH, Kamrup Rural	1
7)	DDWH, Cachar	1
8)	DDWH, Karbi Anglong	1
9)	DDWH, Chirang	1
10)	DDWH, Karimganj	1
11)	DDWH, Darrang	1
12)	DDWH, Kokrajhar	1
13)	DDWH, Dhemaji	1
14)	DDWH, Lakhimpur	1
15)	DDWH, Dhubri	1
16)	DDWH, Morigaon	1
17)	DDWH, Dibrugarh	1
18)	DDWH, Nagaon	1
19)	DDWH, Dima Hasao	1
20)	DDWH, Nalbari	1
21)	DDWH, Goalpara	1
22)	DDWH, Sivasagar	1
23)	Central Drug Ware House, NHM, Narengi, Guwahati, Assam	1
24)	DDWH, Golaghat	1
25)	DDWH, Sonitpur	1
26)	DDWH, Hailakandi	1
27)	DDWH, Tinsukia	1

Specific Learning Disability: Comprehensive Diagnostic Battery by Dr. Manju Mehta & Co.

4150.000

112050

1)	DDWH, Baksa	1
2)	DDWH, Jorhat	1
3)	DDWH, Udalguri	1
4)	DDWH, Barpeta	1
5)	DDWH, Bongaigaon	1
6)	DDWH, Kamrup Rural	1
7)	DDWH, Cachar	1
8)	DDWH, Karbi Anglong	1
9)	DDWH, Chirang	1
10)	DDWH, Karimganj	1
11)	DDWH, Darrang	1
12)	DDWH, Kokrajhar	1
13)	DDWH, Dhemaji	1
14)	DDWH, Lakhimpur	1
15)	DDWH, Dhubri	1
16)	DDWH, Morigaon	1
17)	DDWH, Dibrugarh	1
18)	DDWH, Nagaon	1
19)	DDWH, Dima Hasao	1
20)	DDWH, Nalbari	1
21)	DDWH, Goalpara	1
22)	DDWH, Sivasagar	1
23)	Central Drug Ware House, NHM, Narengi, Guwahati, Assam	1
24)	DDWH, Golaghat	1
25)	DDWH, Sonitpur	1
26)	DDWH, Hailakandi	1
27)	DDWH, Tinsukia	1

P.G.I. Memory Scale by D. Pershad & N.N. Wig (Hindi and English)

1300.000

35100

1)	DDWH, Baksa	1
2)	DDWH, Jorhat	1
3)	DDWH, Udalguri	1
4)	DDWH, Barpeta	1
5)	DDWH, Bongaigaon	1
6)	DDWH, Kamrup Rural	1
7)	DDWH, Cachar	1
8)	DDWH, Karbi Anglong	1
9)	DDWH, Chirang	1
10)	DDWH, Karimganj	1
11)	DDWH, Darrang	1
12)	DDWH, Kokrajhar	1
13)	DDWH, Dhemaji	1
14)	DDWH, Lakhimpur	1
15)	DDWH, Dhubri	1
16)	DDWH, Morigaon	1
17)	DDWH, Dibrugarh	1
18)	DDWH, Nagaon	1
19)	DDWH, Dima Hasao	1
20)	DDWH, Nalbari	1
21)	DDWH, Goalpara	1
22)	DDWH, Sivasagar	1
23)	Central Drug Ware House, NHM, Narengi, Guwahati, Assam	1
24)	DDWH, Golaghat	1
25)	DDWH, Sonitpur	1
26)	DDWH, Hailakandi	1
27)	DDWH, Tinsukia	1

Malin's Vineland Social Maturity Scale (VSMS) by J. Bharat Raj (English)

1400.000

30800

1)	DDWH, Baksa	1
2)	DDWH, Jorhat	1
3)	DDWH, Udalguri	1
4)	DDWH, Bongaigaon	1
5)	DDWH, Kamrup Rural	1
6)	DDWH, Karbi Anglong	1
7)	DDWH, Karimganj	1
8)	DDWH, Darrang	1
9)	DDWH, Kokrajhar	1
10)	DDWH, Dhemaji	1
11)	DDWH, Lakhimpur	1
12)	DDWH, Morigaon	1
13)	DDWH, Dibrugarh	1
14)	DDWH, Nagaon	1
15)	DDWH, Nalbari	1
16)	DDWH, Goalpara	1
17)	DDWH, Sivasagar	1
18)	Central Drug Ware House, NHM, Narengi, Guwahati, Assam	1
19)	DDWH, Golaghat	1
20)	DDWH, Sonitpur	1
21)	DDWH, Hailakandi	1
22)	DDWH, Tinsukia	1

(Dr Lakshmanan S, IAS)
Mission Director
National Health Mission, Assam

Memo No: NHM/PROC/NMHP/Equip-Inst/3751/2018-19/SPO-12269

Date: 00/00/0000

Copy to:
1) PS to Honble Minister, H&FW Deptt. GoA for kind information
2) Principal Secretary, H&FW Deptt. GoA. for kind information
3) Principal Secretary, All Autonomous Council for information
4) The Deputy Commissioner, Baksa, Jorhat, Udalguri, Barpeta, Bongaigaon, Kamrup Rural, Cachar, Karbi Anglong, Chirang, Karimganj, Darrang, Kokrajhar, Dhemaji, Lakhimpur, Dhubri, Morigaon, Dibrugarh, Nagaon, Dima Hasao, Nalbari, Goalpara, Sivasagar, Kamrup Metro, Golaghat, Sonitpur, Hailakandi, Tinsukia.
5) The Jt.DHS Baksa, Jorhat, Udalguri, Barpeta, Bongaigaon, Kamrup Rural, Cachar, Karbi Anglong, Chirang, Karimganj, Darrang, Kokrajhar, Dhemaji, Lakhimpur, Dhubri, Morigaon, Dibrugarh, Nagaon, Dima Hasao, Nalbari, Goalpara, Sivasagar, Kamrup Metro, Golaghat, Sonitpur, Hailakandi, Tinsukia for information
6) The DPM/DDSM Baksa, Jorhat, Udalguri, Barpeta, Bongaigaon, Kamrup Rural, Cachar, Karbi Anglong, Chirang, Karimganj, Darrang, Kokrajhar, Dhemaji, Lakhimpur, Dhubri, Morigaon, Dibrugarh, Nagaon, Dima Hasao, Nalbari, Goalpara, Sivasagar, Kamrup Metro, Golaghat, Sonitpur, Hailakandi, Tinsukia for information
7) The JE (Inst),Baksa, Jorhat, Udalguri, Barpeta, Bongaigaon, Kamrup Rural, Cachar, Karbi Anglong, Chirang, Karimganj, Darrang, Kokrajhar, Dhemaji, Lakhimpur, Dhubri, Morigaon, Dibrugarh, Nagaon, Dima Hasao, Nalbari, Goalpara, Sivasagar, Kamrup Metro, Golaghat, Sonitpur, Hailakandi, Tinsukia.They should forward copies of this order and list of institutions where goods are to be delivered, and ensure that receipt certificates duly signed and sealed by the head of the institution are forwarded to this office for release of payment to supplier. (Certificate to the effect that the articles has been entered in to stock ledger no. ……………. At page no ………….. dt………….). They are also requested to receive and issue the items online in the portal nrhmassam.info

Mission Director
National Health Mission, Assam