Purchase of Antiseptic Solution Containing Benzalkonium Chloride Solution

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Tender Inviting Authority: Seth A.J.B. Municipal ENT Hospital, Fort, Mumbai-01

Name of Work: Purchase of Antiseptic Solution Containing Benzalkonium Chloride Solution I.P 20% (equivalent to Benzalkonium Chloride 10% w/v)

Contract No: Sanction No. CH.MS./HOD/9137 /SHCS DT.05.12.2025 Adv. No. HO/2833/ENT dt.11.12.2025

Name of the Bidder/ Bidding Firm / Company :

Sl. No. Item Name / 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 (Rate per Vials) Rs. P Excise Duty VAT Freight Charges ( Unloading & Stacking) Any Other Taxes/Duties/Levies Other Taxes 2 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 AMOUNT Without Taxes (Exclusive Of GST) TOTAL AMOUNT With Taxes TOTAL AMOUNT In Words

1 Antiseptic Solution Containing Benzalkonium Chloride Solution I.P 20% (equivalent to Benzalkonium Chloride 10% w/v) (Rate per Can) (1 X 5Litr) BI01010001010000000000000515BI0100001113 200 Can 0 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

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Quoted Rate in Words