PROJECT FOR SUPPLY, INSTALLATION, OPERATION and MAINTENANCE OF 64 Slice or more CT SCAN MACHINE 01 Nos ALONG WITH PROVIDING INVESTIGATION RELATED SERVICES ON REVENUE SHARING BASIS ON PPP MODE FOR RMRS, GOVT BDM DISTRICT HOSPITAL KOTPULTI

Select, Excess (+), Less (-)

Tender Inviting Authority: PRINCIPAL MEDICAL OFFICER GOVT BDM DISTRICT HOSPITAL KOTPUTLI

Name of Work: Project for Supply, Installation, Operation, Maintenance of 01 Nos. 64-Slice (OR MORE) CT-SCAN MACHINE

Contract No: 2262/06-12-2025

Name of the Bidder/ Bidding Firm / Company :

Sl. No. Detail of PPP Project 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 Revenue to be shared with Member Secretary, Rajasthan Medicare Relief Society, Govt BDM District Hospital Kotputli quoted by the bidder (In Percentage) Excise Duty Amount in INR Rs. P GST Amount in INR Rs. P Freight Charges ( Unloading & Stacking) in Rs. P Any Other Taxes in Rs. P Percentage revenue Sharing (words) IIIrd Party i.e DGS&D / RITES etc Inspection Charges @0.34%+Service Tax Less for Cenvat Credit,if any respect of Supplies Under full Excise Duty Category Total Percentage Total Percentage TOTAL Percentage In Words

1 CT PPP Project:- 1 Construction of chamber for 100mm sluices valve item1 10 1 Nos

1.01 Project for Supply, Installation, Operation, Maintenance of 01 Nos 64 Slice OR MORE CT SCAN MACHINE System along with providing investigation services on revenue sharing basis on PPP mode for Member Secretary, Rajasthan Medicare Relief Society, Govt BDM District Hospital Kotputli. item1 1 Nos 1 Excess(+) Full Conversion INR 1.01 Supplying, Conveying and fixing spls. Including eart item1 123.223 Nos

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

Quoted Rate in Figures Select %

Quoted Rate in Words