Procurement of Anti Cancer Medicines

Select, Excess (+), Less (-)

Tender Inviting Authority: Government of India Dr. Ram Manohar Lohia Hospital

Name of Work: Procurement of Anti Cancer Medicines

Contract No: 011-23404428

Name of the Bidder/ Bidding Firm / Company :

Sl. No. Name of medicines Item Code / Make Quantity Dosage Form Estimated Rate in Rs. P Strength/Specification 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 Excise Duty Amount in INR Rs. P GST Amount % Freight Charges ( Unloading & Stacking) in Rs. P Any Other Taxes in Rs. P MFG/MKTD 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

1 Name of Medicines

1.01 Inj.Gemcitabine 1gm Lyophilized item1 Tab Excess(+) Full Conversion INR

2.01 Inj.Bleomycin 15 units item2 Tab Excess(+) Full Conversion INR

3.01 Tab.Methotrexate 2.5mg item3 Tab Excess(+) Full Conversion INR

Total in Figures

Quoted Rate in Figures Select %

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