Procurement of Equipments namely Motorized ICU bed 4 section with Mattress, Multipara monitor with Central station, ICU ventilator, Syringe pump, ECG Machine 12 Channel, Electrical Suction Apparatus, Aneasthesia workstation, Portable Ventilator, Infu

Select, Excess (+), Less (-)

Tender Inviting Authority: MEDICAL SUPERINTENDENT, AGMC & GBPH

Name of Work: E-Tender for establishment of 50 bedded Critical Care Block at AGMC & GBP Hospital, Agartala.

Contract No: F.3(324)/AGMC&GBPH/e-S&P/2025-26

Name of the Bidder/ Bidding Firm / Company :

Sl. No. Item Description [ Please refer the concerned tender document(s) for detailed reference and specifications. In case of any discrepancy, the authenticated tender documents shall be considered as true, valid and correct ] Item Code / Make Quantity Units Estimated Rate in Rs. P Addition / Deduction Addition / Deduction Values Currency Convertion against each Item Quoted Currency in INR / Other Currency BASIC RATE (Rate should be quoted in total quantity of required item) In Figures To be entered by the Bidder in Rs. P GST in % to be entered by the bidder Total Calculated GST amount in Figures Rs. P Total Amount of Basic Rate & GST Rs. h P 1st Year CAMC (Rate should be quoted in total quantity of required item) (Without GST) Rs. P 2nd Year CAMC (Rate should be quoted in total quantity of required item) (Without GST) Rs. P 3rd Year CAMC (Rate should be quoted in total quantity of required item) (Without GST) Rs. P 4th Year CAMC (Rate should be quoted in total quantity of required item) (Without GST) Rs. P 5th Year CAMC (Rate should be quoted in total quantity of required item) (Without GST) Rs. P Total Amount of 5 years CAMC with out GST (10+11+12+13+14) Rs. P GST Amount on CAMC Col= (10+11+12+13+14)x (15) Basic Rate in total of required items & Total 5 years CAMC (With out GST) Amount in Rs. (7+15) Rs. P BASIC RATE for Old existing Digital X-Ray System machine (including of GST) In Figures To be entered by the Bidder in Rs. P (Please refer DNIT for the Details of Old X-Ray machine) TOTAL AMOUNT (Basic Rate + GST Amount) (7+9) in Rs. P TOTAL AMOUNT With Taxes column (7+9) - 26 in Rs. P TOTAL AMOUNT In Words

1 Motorized ICU bed 4 section with Mattress As per DNIT item1 10 Nos -2 Excess(+) Full Conversion INR

2 Multipara monitor with Central station As per DNIT item2 19 Nos -2 Excess(+) Full Conversion INR

3 ICU ventilator As per DNIT item3 11 Nos -2 Excess(+) Full Conversion INR

4 Syringe pump As per DNIT item4 25 Nos -2 Excess(+) Full Conversion INR

5 ECG Machine 12 Channel As per DNIT item5 2 Nos -2 Excess(+) Full Conversion INR

6 Electrical Suction Apparatus As per DNIT item6 5 Nos -2 Excess(+) Full Conversion INR

7 Aneasthesia workstation As per DNIT item7 1 Nos -2 Excess(+) Full Conversion INR

8 Portable Ventilator As per DNIT item8 1 Nos -2 Excess(+) Full Conversion INR

9 Infusion Pump As per DNIT item9 1 Nos -2 Excess(+) Full Conversion INR

Total in Figures 4 Construction of chamber for 100mm sluice plates item5 10 Nos

Quoted Rate in Figures Select %

Quoted Rate in Words