Procurement of 1 number High performance Liquid Chromatography and 1 number of Fully Automated Coagulometer for use in the department of Pathology AGMC and GBPH Agartala

Select, Excess (+), Less (-)

Tender Inviting Authority: MEDICAL SUPERINTENDENT, AGMC & GBPH

Name of Work: E-Tender for 01(one) no. HPLC (High Performance Liquid Chromatography) and 01(one) no. Fully Automated Coagulometer

Contract No: F.3(332)-AGMC & GBPH/e-S&P/2025-26

Name of the Bidder/ Bidding Firm / Company :

Sl. No. Item Description [ Please refer the concerned tender document(s) for detailed reference and specifications. In case of any discrepancy, the authenticated tender documents shall be considered as true, valid and correct ] 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 BASIC RATE (Rate should be quoted in total quantity of required item) In Figures To be entered by the Bidder in Rs. P GST in % to be entered by the bidder Total Calculated GST amount in Figures Rs. P Total Amount of Basic Rate & GST Rs. h P 1st Year CAMC (Rate should be quoted in total quantity of required item) (Without GST) Rs. P 2nd Year CAMC (Rate should be quoted in total quantity of required item) (Without GST) Rs. P 3rd Year CAMC (Rate should be quoted in total quantity of required item) (Without GST) Rs. P 4th Year CAMC (Rate should be quoted in total quantity of required item) (Without GST) Rs. P 5th Year CAMC (Rate should be quoted in total quantity of required item) (Without GST) Rs. P Total Amount of 5 years CAMC with out GST (10+11+12+13+14) Rs. P GST Amount on CAMC Col= (10+11+12+13+14)x (15) Basic Rate in total of required items & Total 5 years CAMC (With out GST) Amount in Rs. (7+15) Rs. P BASIC RATE for Old existing Digital X-Ray System machine (including of GST) In Figures To be entered by the Bidder in Rs. P (Please refer DNIT for the Details of Old X-Ray machine) TOTAL AMOUNT (Basic Rate + GST Amount) (7+9) in Rs. P TOTAL AMOUNT With Taxes column (7+9) - 26 in Rs. P TOTAL AMOUNT In Words

1 HPLC (High Performance Liquid Chromatography) As per DNIT item1 1 Nos -2 Excess(+) Full Conversion INR

2 Fully Automated Coagulometer As per DNIT item2 1 Nos -2 Excess(+) Full Conversion INR

3 Reagent for HPLC (High Performance Liquid Chromatography) per packet As per DNIT item3 1 Nos -2 Excess(+) Full Conversion INR 0 0 0 0 0 0

4 Reagent for Fully Automated Coagulometer per packet As per DNIT item4 1 Nos -2 Excess(+) Full Conversion INR 0 0 0 0 0 0

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

Quoted Rate in Figures Select %

Quoted Rate in Words