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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-12/1/2019-CH-NHM/SPO-14402
Date: 08/11/2023
ECF: 110724


From:

Dr. M.S. Lakshmi Priya, IAS
Mission Director
National Health Mission, Assam


To,

M/S Navanita Printers
Bamunimaidam, Industrial area, Guwahati

Subject: Printing & Supply of PICU/Pediatric HDU Materials

Ref: Your quotation against NHM, Assam Tender No. NHM/12027/3/2021-CH-NHM. , DATE:-27-07-2023

Sir,

With reference to above, we are pleased to place this order for printing & supply of PICU/Pediatric HDU printing materials as per “DETAILS OF ITEMS & PRICES” and “TERMS & CONDITIONS” stated herein below:

 

FMR Code : 94102

ITEM DETAILS & PRICE:

Item Name Quantity Rate(Exclussive of GST) GST(%)
Total Amount(Incl. GST)
 Delivery Destinations
Pediatric Ward Admission Register ( ) 48 78.000 18
4,417.92
As per annexure A
OPD Register ( ) 180 78.000 18
16,567.20
As per annexure A
PICU Admission Register ( ) 43 78.000 18
3,957.72
As per annexure A
Pediatric Ward Referral Register ( ) 40 78.000 18
3,681.60
As per annexure A
PICU referral register ( ) 40 78.000 18
3,681.60
As per annexure A
PICU referral out register ( ) 34 78.000 18
3,129.36
As per annexure A
Pediatric Ward Referral Register ( ) 34 78.000 18
3,129.36
As per annexure A
Referral summary book ( ) 83 60.000 18
5,876.40
As per annexure A
Discharge note ( ) 213 71.000 18
17,845.14
As per annexure A
Investigation Sheet ( ) 425 37.000 18
18,555.50
As per annexure A
Treatment continuation ( ) 638 37.000 18
27,855.08
As per annexure A
Child case record sheet ( ) 21250 37.000 18
927,775.00
As per annexure A
MONITORING SHEET ( ) 1275 37.000 18
55,666.50
As per annexure A
Nurses order sheet ( ) 1275 37.000 18
55,666.50
As per annexure A
Grand Total
1,147,804.88
  

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

 

  • SCOPE OF WORK

A Bank Guarantee of Rs. 57390/- (Rupees Fifty SevenThousand Three Hundred Ninty 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.

  Delivery: The supply order should be delivered within 30 days from the date of purchase order. The item should be delivered at 34 NHM district drug warehouse in respective district. Prior to the delivery of the items to the warehouse 3 copies of the sample copies and softcopy both 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:

  1. 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. 
  2. 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: NHM/12027/3/2021-CH-NHM. , DATE:-27-07-2023  shall be applicable.


Annexure A:

Sl Item Name Specification Rate(Exclussive of GST) GST(%) Total quantity to be supplied Total Amount Delivery Destinations
1 Pediatric Ward Admission Register 78.000 18 48 4417.92
1) DDWH, Baksa
1
2) Central Store, JMCH
2
3) DDWH, Barpeta
1
4) DDWH, Karbi Anglong
1
5) Central Store, GMCH
4
6) DDWH, Karimganj
1
7) Central Store, TMCH
2
8) DDWH, Cachar
1
9) DDWH, Kokrajhar
1
10) Central Store, MMCH
2
11) DDWH, Chirang
1
12) DDWH, Lakhimpur
1
13) DDWH, Majuli
1
14) DDWH, Darrang
1
15) DDWH, Morigaon
1
16) DDWH, Dhemaji
1
17) DDWH, Nagaon
1
18) DDWH, Dhubri
1
19) DDWH, Nalbari
1
20) DDWH, Dibrugarh
1
21) DDWH, Sivasagar
1
22) DDWH, Hojai
1
23) DDWH, Dima Hasao
1
24) DDWH, Sonitpur
1
25) DDWH, West Karbi Anglong
1
26) DDWH, Goalpara
1
27) DDWH, Tinsukia
1
28) DDWH, Charaideo
1
29) DDWH, Golaghat
1
30) DDWH, Udalguri
1
31) DDWH, Hailakandi
1
32) Central Store, FAAMCH
2
33) DDWH, South Salmara
1
34) DDWH, Jorhat
1
35) Central Store, SMCH
2
36) Central Store, Diphu Medical College
2
37) DDWH, Kamrup Metro
1
38) Central Store, AMCH
2
2 OPD Register 78.000 18 180 16567.2
1) DDWH, Baksa
4
2) Central Store, JMCH
8
3) DDWH, Barpeta
4
4) DDWH, Karbi Anglong
4
5) Central Store, GMCH
8
6) DDWH, Karimganj
4
7) Central Store, TMCH
8
8) DDWH, Cachar
4
9) DDWH, Kokrajhar
4
10) Central Store, MMCH
8
11) DDWH, Chirang
4
12) DDWH, Lakhimpur
4
13) DDWH, Majuli
4
14) DDWH, Darrang
4
15) DDWH, Morigaon
4
16) DDWH, Dhemaji
4
17) DDWH, Nagaon
4
18) DDWH, Dhubri
4
19) DDWH, Nalbari
4
20) DDWH, Dibrugarh
4
21) DDWH, Sivasagar
4
22) DDWH, Hojai
4
23) DDWH, Dima Hasao
4
24) DDWH, Sonitpur
4
25) DDWH, West Karbi Anglong
4
26) DDWH, Goalpara
4
27) DDWH, Tinsukia
4
28) DDWH, Charaideo
4
29) DDWH, Golaghat
4
30) DDWH, Udalguri
4
31) DDWH, Hailakandi
4
32) Central Store, FAAMCH
7
33) DDWH, South Salmara
4
34) DDWH, Jorhat
4
35) Central Store, SMCH
7
36) Central Store, Diphu Medical College
7
37) DDWH, Kamrup Metro
4
38) Central Store, AMCH
7
3 PICU Admission Register 78.000 18 43 3957.72
1) DDWH, Baksa
1
2) Central Store, JMCH
2
3) DDWH, Barpeta
1
4) DDWH, Karbi Anglong
1
5) Central Store, GMCH
2
6) DDWH, Karimganj
1
7) Central Store, TMCH
2
8) DDWH, Cachar
1
9) DDWH, Kokrajhar
1
10) Central Store, MMCH
2
11) DDWH, Chirang
1
12) DDWH, Lakhimpur
1
13) DDWH, Majuli
1
14) DDWH, Darrang
1
15) DDWH, Morigaon
1
16) DDWH, Dhemaji
1
17) DDWH, Nagaon
1
18) DDWH, Dhubri
1
19) DDWH, Nalbari
1
20) DDWH, Dibrugarh
1
21) DDWH, Sivasagar
1
22) DDWH, Hojai
1
23) DDWH, Dima Hasao
1
24) DDWH, Sonitpur
1
25) DDWH, Goalpara
1
26) DDWH, Tinsukia
1
27) DDWH, Charaideo
1
28) DDWH, Golaghat
1
29) DDWH, Udalguri
1
30) DDWH, Hailakandi
1
31) Central Store, FAAMCH
2
32) DDWH, South Salmara
1
33) DDWH, Jorhat
1
34) Central Store, SMCH
2
35) Central Store, Diphu Medical College
2
36) DDWH, Kamrup Metro
1
4 Pediatric Ward Referral Register 78.000 18 40 3681.6
1) DDWH, Baksa
1
2) Central Store, JMCH
2
3) DDWH, Barpeta
1
4) DDWH, Karbi Anglong
1
5) Central Store, GMCH
2
6) DDWH, Karimganj
1
7) Central Store, TMCH
2
8) DDWH, Cachar
1
9) DDWH, Kokrajhar
1
10) Central Store, MMCH
2
11) DDWH, Chirang
1
12) DDWH, Lakhimpur
1
13) DDWH, Majuli
1
14) DDWH, Darrang
1
15) DDWH, Morigaon
1
16) DDWH, Dhemaji
1
17) DDWH, Nagaon
1
18) DDWH, Dhubri
1
19) DDWH, Nalbari
1
20) DDWH, Dibrugarh
1
21) DDWH, Sivasagar
1
22) DDWH, Hojai
1
23) DDWH, Dima Hasao
1
24) DDWH, Sonitpur
1
25) DDWH, Goalpara
1
26) DDWH, Tinsukia
1
27) DDWH, Charaideo
1
28) DDWH, Golaghat
1
29) DDWH, Udalguri
1
30) DDWH, Hailakandi
1
31) Central Store, FAAMCH
1
32) DDWH, South Salmara
1
33) DDWH, Jorhat
1
34) Central Store, SMCH
1
35) Central Store, Diphu Medical College
1
36) Central Store, AMCH
1
5 PICU referral register 78.000 18 40 3681.6
1) DDWH, Baksa
1
2) Central Store, JMCH
2
3) DDWH, Barpeta
1
4) DDWH, Karbi Anglong
1
5) Central Store, GMCH
2
6) DDWH, Karimganj
1
7) Central Store, TMCH
2
8) DDWH, Cachar
1
9) DDWH, Kokrajhar
1
10) Central Store, MMCH
1
11) DDWH, Chirang
1
12) DDWH, Lakhimpur
1
13) DDWH, Majuli
1
14) DDWH, Darrang
1
15) DDWH, Morigaon
1
16) DDWH, Dhemaji
1
17) DDWH, Nagaon
1
18) DDWH, Dhubri
1
19) DDWH, Nalbari
1
20) DDWH, Dibrugarh
1
21) DDWH, Sivasagar
1
22) DDWH, Hojai
1
23) DDWH, Dima Hasao
1
24) DDWH, Sonitpur
1
25) DDWH, Goalpara
1
26) DDWH, Tinsukia
1
27) DDWH, Charaideo
1
28) DDWH, Golaghat
1
29) DDWH, Udalguri
1
30) DDWH, Hailakandi
1
31) Central Store, FAAMCH
1
32) DDWH, South Salmara
1
33) DDWH, Jorhat
1
34) Central Store, SMCH
1
35) Central Store, Diphu Medical College
1
36) DDWH, Kamrup Metro
1
37) Central Store, AMCH
1
6 PICU referral out register 78.000 18 34 3129.36
1) DDWH, Baksa
1
2) Central Store, JMCH
1
3) DDWH, Barpeta
1
4) DDWH, Karbi Anglong
1
5) Central Store, GMCH
1
6) DDWH, Karimganj
1
7) Central Store, TMCH
1
8) DDWH, Cachar
1
9) DDWH, Kokrajhar
1
10) Central Store, MMCH
1
11) DDWH, Chirang
1
12) DDWH, Lakhimpur
1
13) DDWH, Majuli
1
14) DDWH, Darrang
1
15) DDWH, Morigaon
1
16) DDWH, Dhemaji
1
17) DDWH, Nagaon
1
18) DDWH, Dhubri
1
19) DDWH, Nalbari
1
20) DDWH, Sivasagar
1
21) DDWH, Hojai
1
22) DDWH, Dima Hasao
1
23) DDWH, Goalpara
1
24) DDWH, Tinsukia
1
25) DDWH, Charaideo
1
26) DDWH, Golaghat
1
27) DDWH, Udalguri
1
28) DDWH, Hailakandi
1
29) Central Store, FAAMCH
1
30) DDWH, South Salmara
1
31) Central Store, SMCH
1
32) Central Store, Diphu Medical College
1
33) DDWH, Kamrup Metro
1
34) Central Store, AMCH
1
7 Pediatric Ward Referral Register 78.000 18 34 3129.36
1) DDWH, Baksa
1
2) Central Store, JMCH
2
3) DDWH, Barpeta
1
4) DDWH, Karbi Anglong
1
5) Central Store, GMCH
2
6) DDWH, Karimganj
1
7) Central Store, TMCH
2
8) DDWH, Cachar
1
9) DDWH, Kokrajhar
1
10) Central Store, MMCH
2
11) DDWH, Chirang
1
12) DDWH, Lakhimpur
1
13) DDWH, Majuli
1
14) DDWH, Darrang
1
15) DDWH, Morigaon
1
16) DDWH, Dhemaji
1
17) DDWH, Nagaon
1
18) DDWH, Dhubri
1
19) DDWH, Nalbari
1
20) DDWH, Dibrugarh
1
21) DDWH, Sivasagar
1
22) DDWH, Hojai
1
23) DDWH, Dima Hasao
1
24) DDWH, Sonitpur
1
25) DDWH, Goalpara
1
26) DDWH, Tinsukia
1
27) DDWH, Charaideo
1
28) DDWH, Golaghat
1
29) DDWH, Udalguri
1
30) DDWH, Hailakandi
1
31) Central Store, FAAMCH
1
32) DDWH, South Salmara
1
33) DDWH, Jorhat
1
34) Central Store, SMCH
1
35) Central Store, Diphu Medical College
1
36) Central Store, AMCH
1
8 Referral summary book 60.000 18 83 5876.4
1) DDWH, Baksa
2
2) Central Store, JMCH
2
3) DDWH, Barpeta
2
4) DDWH, Karbi Anglong
2
5) Central Store, GMCH
4
6) DDWH, Karimganj
2
7) Central Store, TMCH
2
8) DDWH, Cachar
2
9) DDWH, Kokrajhar
2
10) Central Store, MMCH
2
11) DDWH, Chirang
2
12) DDWH, Lakhimpur
2
13) DDWH, Majuli
2
14) DDWH, Darrang
2
15) DDWH, Morigaon
2
16) DDWH, Dhemaji
2
17) DDWH, Nagaon
2
18) DDWH, Dhubri
2
19) DDWH, Nalbari
2
20) DDWH, Dibrugarh
2
21) DDWH, Sivasagar
2
22) DDWH, Hojai
2
23) DDWH, Dima Hasao
2
24) DDWH, Sonitpur
2
25) DDWH, Goalpara
2
26) DDWH, Tinsukia
2
27) DDWH, Charaideo
2
28) DDWH, Golaghat
2
29) DDWH, Udalguri
2
30) DDWH, Hailakandi
2
31) Central Store, FAAMCH
4
32) DDWH, South Salmara
2
33) DDWH, Jorhat
2
34) Central Store, SMCH
4
35) Central Store, Diphu Medical College
4
36) DDWH, Kamrup Metro
2
37) Central Store, AMCH
3
9 Discharge note 71.000 18 213 17845.14
1) DDWH, Baksa
2
2) Central Store, JMCH
20
3) DDWH, Barpeta
2
4) DDWH, Karbi Anglong
2
5) Central Store, GMCH
23
6) DDWH, Karimganj
2
7) Central Store, TMCH
10
8) DDWH, Cachar
2
9) DDWH, Kokrajhar
2
10) Central Store, MMCH
10
11) DDWH, Chirang
2
12) DDWH, Lakhimpur
2
13) DDWH, Majuli
2
14) DDWH, Darrang
2
15) DDWH, Morigaon
2
16) DDWH, Dhemaji
20
17) DDWH, Nagaon
2
18) DDWH, Dhubri
10
19) DDWH, Nalbari
5
20) DDWH, Dibrugarh
2
21) DDWH, Sivasagar
15
22) DDWH, Hojai
2
23) DDWH, Dima Hasao
2
24) DDWH, Sonitpur
2
25) DDWH, Goalpara
2
26) DDWH, Tinsukia
2
27) DDWH, Charaideo
2
28) DDWH, Golaghat
2
29) DDWH, Udalguri
2
30) DDWH, Hailakandi
2
31) Central Store, FAAMCH
10
32) DDWH, South Salmara
2
33) DDWH, Jorhat
2
34) Central Store, SMCH
25
35) Central Store, Diphu Medical College
5
36) DDWH, Kamrup Metro
2
37) Central Store, AMCH
10
10 Investigation Sheet 37.000 18 425 18555.5
1) DDWH, Baksa
4
2) Central Store, JMCH
40
3) DDWH, Barpeta
4
4) DDWH, Karbi Anglong
4
5) Central Store, GMCH
50
6) DDWH, Karimganj
4
7) Central Store, TMCH
40
8) DDWH, Cachar
4
9) DDWH, Kokrajhar
4
10) Central Store, MMCH
40
11) DDWH, Chirang
10
12) DDWH, Lakhimpur
4
13) DDWH, Majuli
4
14) DDWH, Darrang
4
15) DDWH, Morigaon
4
16) DDWH, Dhemaji
4
17) DDWH, Nagaon
4
18) DDWH, Dhubri
11
19) DDWH, Nalbari
4
20) DDWH, Dibrugarh
4
21) DDWH, Sivasagar
4
22) DDWH, Hojai
4
23) DDWH, Dima Hasao
4
24) DDWH, Sonitpur
4
25) DDWH, Goalpara
4
26) DDWH, Tinsukia
4
27) DDWH, Charaideo
4
28) DDWH, Golaghat
4
29) DDWH, Udalguri
4
30) DDWH, Hailakandi
4
31) Central Store, FAAMCH
40
32) DDWH, South Salmara
4
33) DDWH, Jorhat
4
34) Central Store, SMCH
40
35) Central Store, Diphu Medical College
10
36) Central Store, AMCH
40
11 Treatment continuation 37.000 18 638 27855.08
1) DDWH, Baksa
6
2) Central Store, JMCH
60
3) DDWH, Barpeta
6
4) DDWH, Karbi Anglong
9
5) Central Store, GMCH
70
6) DDWH, Karimganj
9
7) Central Store, TMCH
24
8) DDWH, Cachar
9
9) DDWH, Kokrajhar
9
10) Central Store, MMCH
15
11) DDWH, Chirang
9
12) DDWH, Lakhimpur
15
13) DDWH, Majuli
6
14) DDWH, Darrang
15
15) DDWH, Morigaon
9
16) DDWH, Dhemaji
9
17) DDWH, Nagaon
15
18) DDWH, Dhubri
30
19) DDWH, Nalbari
15
20) DDWH, Dibrugarh
6
21) DDWH, Sivasagar
9
22) DDWH, Hojai
9
23) DDWH, Dima Hasao
9
24) DDWH, Sonitpur
9
25) DDWH, Goalpara
15
26) DDWH, Tinsukia
9
27) DDWH, Charaideo
9
28) DDWH, Golaghat
45
29) DDWH, Udalguri
9
30) DDWH, Hailakandi
9
31) Central Store, FAAMCH
30
32) DDWH, South Salmara
9
33) DDWH, Jorhat
6
34) Central Store, SMCH
70
35) Central Store, Diphu Medical College
15
36) DDWH, Kamrup Metro
6
37) Central Store, AMCH
24
12 Child case record sheet 37.000 18 21250 927775
1) DDWH, Baksa
200
2) Central Store, JMCH
800
3) DDWH, Barpeta
200
4) DDWH, Karbi Anglong
200
5) Central Store, GMCH
2500
6) DDWH, Karimganj
500
7) Central Store, TMCH
500
8) DDWH, Cachar
200
9) DDWH, Kokrajhar
300
10) Central Store, MMCH
500
11) DDWH, Chirang
200
12) DDWH, Lakhimpur
300
13) DDWH, Majuli
200
14) DDWH, Darrang
1000
15) DDWH, Morigaon
300
16) DDWH, Dhemaji
300
17) DDWH, Nagaon
500
18) DDWH, Dhubri
1000
19) DDWH, Nalbari
2000
20) DDWH, Dibrugarh
200
21) DDWH, Sivasagar
500
22) DDWH, Hojai
200
23) DDWH, Dima Hasao
300
24) DDWH, Sonitpur
300
25) DDWH, Goalpara
300
26) DDWH, Tinsukia
300
27) DDWH, Charaideo
200
28) DDWH, Golaghat
1000
29) DDWH, Udalguri
200
30) DDWH, Hailakandi
250
31) Central Store, FAAMCH
2000
32) DDWH, South Salmara
200
33) DDWH, Jorhat
200
34) Central Store, SMCH
2500
35) Central Store, Diphu Medical College
200
36) DDWH, Kamrup Metro
200
37) Central Store, AMCH
500
13 MONITORING SHEET 37.000 18 1275 55666.5
1) DDWH, Baksa
12
2) Central Store, JMCH
120
3) DDWH, Barpeta
12
4) DDWH, Karbi Anglong
15
5) Central Store, GMCH
150
6) DDWH, Karimganj
30
7) Central Store, TMCH
48
8) DDWH, Cachar
12
9) DDWH, Kokrajhar
20
10) Central Store, MMCH
60
11) DDWH, Chirang
16
12) DDWH, Lakhimpur
20
13) DDWH, Majuli
12
14) DDWH, Darrang
60
15) DDWH, Morigaon
20
16) DDWH, Dhemaji
30
17) DDWH, Nagaon
40
18) DDWH, Dhubri
25
19) DDWH, Nalbari
40
20) DDWH, Dibrugarh
12
21) DDWH, Sivasagar
15
22) DDWH, Hojai
15
23) DDWH, Dima Hasao
12
24) DDWH, Sonitpur
12
25) DDWH, Goalpara
30
26) DDWH, Tinsukia
20
27) DDWH, Charaideo
20
28) DDWH, Golaghat
30
29) DDWH, Udalguri
20
30) DDWH, Hailakandi
12
31) Central Store, FAAMCH
60
32) DDWH, South Salmara
15
33) DDWH, Jorhat
15
34) Central Store, SMCH
150
35) Central Store, Diphu Medical College
30
36) DDWH, Kamrup Metro
15
37) Central Store, AMCH
50
14 Nurses order sheet 37.000 18 1275 55666.5
1) DDWH, Baksa
12
2) Central Store, JMCH
120
3) DDWH, Barpeta
12
4) DDWH, Karbi Anglong
20
5) Central Store, GMCH
150
6) DDWH, Karimganj
30
7) Central Store, TMCH
30
8) DDWH, Cachar
12
9) DDWH, Kokrajhar
15
10) Central Store, MMCH
30
11) DDWH, Chirang
15
12) DDWH, Lakhimpur
15
13) DDWH, Majuli
12
14) DDWH, Darrang
120
15) DDWH, Morigaon
15
16) DDWH, Dhemaji
20
17) DDWH, Nagaon
30
18) DDWH, Dhubri
30
19) DDWH, Nalbari
30
20) DDWH, Dibrugarh
12
21) DDWH, Sivasagar
15
22) DDWH, Hojai
12
23) DDWH, Dima Hasao
12
24) DDWH, Sonitpur
12
25) DDWH, Goalpara
30
26) DDWH, Tinsukia
15
27) DDWH, Charaideo
15
28) DDWH, Golaghat
90
29) DDWH, Udalguri
12
30) DDWH, Hailakandi
12
31) Central Store, FAAMCH
60
32) DDWH, South Salmara
12
33) DDWH, Jorhat
12
34) Central Store, SMCH
146
35) Central Store, Diphu Medical College
30
36) DDWH, Kamrup Metro
12
37) Central Store, AMCH
48



 

(Dr. M.S. Lakshmi Priya, IAS)
Mission Director
National Health Mission, Assam

Memo No: NHM-12/1/2019-CH-NHM/SPO-14402
Date: 08/11/2023

Copy to:
1) The Director Finance, NHM, Assam for kind information
2) The Consultant CH, NHM, Assam for information
3) The State Store Manager, NHM, Assam for information & necessary action
4) The DPM/ DDSM NHM Assam for information & necessary action

 

Mission Director
National Health Mission, Assam