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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: 78345/II/SPO-14567 |
Date: 29/08/2025 |
ECF: 78345 |
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From:
Dr Lakshmanan S, IAS
Mission Director
National Health Mission, Assam
To,
M/S Asomi Enterprise
Chandmari Guwahati
Subject:
Supply order for Patient Referral forms under CPHC Programme
Ref:
Your quotation against NHM, Assam Tender No. 78345/2025-26, DATE:-11-07-2025
Sir,
With reference to above, we are pleased to place this order for printing & supply of Patient Referral forms under CPHC Programme 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 |
| Patient referral forms ( ) |
2350 |
98.000 |
18 |
271,754.00 |
As per annexure A |
Grand Total |
271,754.00 |
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Terms & Conditions of the Supply order is described below: -
A Bank Guarantee of Rs. 3,36,884/- (Rupees Three Lakhs Thirty Six Thousand Eight Hundred Eighty Four 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:
- 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: 78345/2025-26, DATE:-11-07-2025 shall be applicable.
Annexure A:
| Sl |
Item Name |
Specification | Rate(Exclussive of GST) | GST(%) | Total quantity to be supplied |
Total Amount | Delivery Destinations |
| 1 |
Patient referral forms |
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98.000 | 18 | 2350 |
271754 |
| 1) |
DDWH, Baksa |
70 |
| 2) |
DDWH, Kamrup Rural |
120 |
| 3) |
DDWH, Barpeta |
100 |
| 4) |
DDWH, Karbi Anglong |
56 |
| 5) |
DDWH, Bongaigaon |
54 |
| 6) |
DDWH, Karimganj |
108 |
| 7) |
DDWH, Cachar |
100 |
| 8) |
DDWH, Kokrajhar |
85 |
| 9) |
DDWH, Chirang |
45 |
| 10) |
DDWH, Lakhimpur |
77 |
| 11) |
DDWH, Majuli |
18 |
| 12) |
DDWH, Darrang |
80 |
| 13) |
DDWH, Morigaon |
74 |
| 14) |
DDWH, Dhemaji |
46 |
| 15) |
DDWH, Nagaon |
136 |
| 16) |
DDWH, Dhubri |
90 |
| 17) |
DDWH, Nalbari |
69 |
| 18) |
DDWH, Dibrugarh |
110 |
| 19) |
DDWH, Sivasagar |
75 |
| 20) |
DDWH, Hojai |
43 |
| 21) |
DDWH, Dima Hasao |
36 |
| 22) |
DDWH, Sonitpur |
86 |
| 23) |
DDWH, West Karbi Anglong |
28 |
| 24) |
DDWH, Goalpara |
70 |
| 25) |
DDWH, Tinsukia |
100 |
| 26) |
DDWH, Charaideo |
48 |
| 27) |
DDWH, Golaghat |
90 |
| 28) |
DDWH, Udalguri |
80 |
| 29) |
DDWH, Biswanath |
71 |
| 30) |
DDWH, Hailakandi |
50 |
| 31) |
DDWH, South Salmara |
23 |
| 32) |
DDWH, Jorhat |
70 |
| 33) |
DDWH, Kamrup Metro |
42 |
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(Dr Lakshmanan S, IAS)
Mission Director
National Health Mission, Assam |
Memo No: 78345/II/SPO-14567 |
Date: 29/08/2025 |
Copy to:
1) The Director Finance, NHM, Assam for kind information
2) The SPO, NCD, NHM Assam for kind information
3) The State Store Manager, NHM, Assam for information & necessary action
4) The DPM/ DDSM NHM all district for information & necessary action
5) The DPC, NCD, NHM all district will be responsible for overseeing and ensuring the distribution and accessibility of materials, to the peripheral level
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Mission Director
National Health Mission, Assam |
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Inventory management System