Tender for rate contract and supply of Drugs for different healthcare facilities of state of Bihar

FINANCIAL BID SHEET

Name of Department : BIHAR MEDICAL SERVICES AND INFRASTRUCTURE CORPORATION LIMITED

Notice Inviting Tender No : BMSIC/DRUGS/26-10

Name of Work : Tender for rate contract and supply of Drugs for different healthcare facilities of state of Bihar

Earnest Money Deposit(EMD in Rs) : As mentioned in bid document[Clause 3 (b)].

Tender Fee (in Rs.) : Rs 11,800/-

Period of contract : 2026-2028

Details : To be Filled in color cells by Bidder

FINANCIAL BID FORM

TO BE FILLED IN BY BIDDER

Name of the Bidder :

Address of the Bidder (Corporate Address) :

Address of the Bidder (Manufacturing Unit Address) :

Name of the Drug/ tendered item NIT Price (Per Tablet/Per Capsule/Per Vial/Per Ampoule/Per Bottle/Per Unit/Per Pack etc.) inclusive of all taxes(excluding GST), if any as per clause 4(c) and 2(a) of NIT

TO BE FILLED IN BY BIDDER In Figure (Upto 2 digits after Decimal) In words viz.0.19 shall be written as "zero decimal one nine" GST (%)

Acetylsalicylic acid 75 mg Gastro Resistant Tablet 1

Acyclovir 400 mg Tablet 2

Amoxycillin 500 mg Capsule 3

Ampicillin 1 g Powder for Injection Vial 4

Anti Diptheria Serum(ADS)/ Diptheria Anti Toxin 10000 IU Injection 10 ml 5

Anti-D immunoglobulin 300mcg Injection Vial 6

Artesunate 120 mg Powder for Injection 2 ml Vial with Solvent 7

Ascorbic acid (Vitamin C) 500 mg Tablet 8

Cefixime 200 mg Tablet 9

Dicyclomine HCL 10mg/5ml Oral Solution 30 ml 10

Dried Human Antihaemophilic Fraction (Freezed dried Human Coagulation factor VIII) 250 IU Dried Powder for Injection Vial 11

Dried Human Antihaemophilic Fraction (Freezed dried Human Coagulation factor VIII) 500 IU Dried Powder for Injection Vial 12

Drotaverine HCL 40mg Tablet 13

Ferrous salt (A) + Folic acid (B) Elemental Iron 20 mg+ Folic Acid 100 mcg per ml 14

Fluoxetine 20 mg Capsule 15

Haloperidol 1.5 mg Tablet 16

Levocetirizine Dihydrochloride 2.5mg/5ml Syrup 30 ml bottle 17

Lopinavir (A) + Ritonavir (B) 200 mg (A) + 50 mg (B) Tablet 18

Lorazepam 1 mg Tablet 19

Permethrin 1% w/v Lotion 60 ml bottle 20

Phenobarbitone 30 mg Tablet 21

Phenobarbitone 20 mg/5 ml Oral liquid 100 ml 22

Phenytoin 100 mg Tablet 23

Prednisolone 5 mg Tablet 24

Prednisolone 10 mg Tablet 25

Snake venom antiserum Lyophilized polyvalent Powder for Injection 10 ml 26

Tenofovir (A) + Lamivudine (B) 300 mg (A) +300 mg (B) Tablet 27

Tetanus immunoglobulin 250IU Injection 1 ml Vial 28

Tetanus immunoglobulin 500IU Injection 2 ml Vial 29

Tetanus Vaccine (Adsorbed) 0.5 ml Injection Ampoule 30