4-Dimensional Computer Tomography Simulator Machine Dedicated for Radiation Therapy Planning on Turnkey

Select, Excess (+), Less (-)

Tender Inviting Authority: Principal Government Medical College, Haldwani

Name of Work: Supply of Items

Sl. No. Item Description Item Code / Make Quantity Units Estimated Rate Addition / Deduction Addition / Deduction Values Currency Convertion against each Item Quoted Currency in INR / Other Currency BASIC RATE In Figures To be entered by the Bidder for each quantity IGST (ONLY for Indian Bidders) (in INR only) CGST (ONLY for Indian Bidders) (in INR only) SGST (ONLY for Indian Bidders) (in INR only) Any Other Taxes/Duties/Levies for each quantity (if applicable) Other Charges for each quantity (if applicable) CMC for 1st year and applicable from 2nd year for each quantity CMC for 2nd year and applicable from 3rd year for each quantity CMC for 3st year and applicable from 4th year for each quantity CMC for 4nd year and applicable from 5th year for each quantity CMC for 5rd year and applicable from 6th year for each quantity CMC for 6th year and applicable from 7th year for each quantity CMC for 7th year and applicable from 8th year for each quantity CMC for 8th year and applicable from 9th year for each quantity CMC for 9th year and applicable from 10th year for each quantity TOTAL AMOUNT Without Taxes (INR) TOTAL AMOUNT With Taxes (INR) TOTAL AMOUNT With Taxes In Words

1 4-Dimensional Computer Tomography Simulator Machine Dedicated for Radiation Therapy Planning on Turnkey Basis with buyback offer (With complete dismantling of old C.T Simulator) As per Detailed technical Specification are at “A” of bid document Item1 1 1 Set 0 Excess(+) Full Conversion INR 1.02 Construction of chamber for 100mm sluice plates item2 213 Nos

2 Local Accessories such as UPS, Printer, Computer/Civil & Electrical Work etc. as per Detailed technical Specification at “B” of bid document Item2 1 1 Set 0 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