9025/ECHS/RE-197 PP/2025-26

Select, Excess (+), Less (-)

Tender Inviting Authority: COMMANDANT MILITARY HOSPITAL JAIPUR

Name of Work: Rate Enquiry of Medicines For ECHS

Contract No:9025/MS/ECHS/RE-197/2025-26

Sl. No. Item Description ItemCode Annual Quantity approx (subject to change) Units Estimated Rate Addition / Deduction Addition / Deduction Values Currency Convertion against each Item Quoted Currency in INR UNIT PRICE (Basic Rate) per item in Rs p Excise Duty GST % in whole number (eg 5% will be entered as 5 in the column) MRP per Unit Other Tax if any in % (eg 5% will be entered as 5 in the column) 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 Manufacturer Name GST amount on Basic Rate Other Tax amount on Basic Rate UNIT AMOUNT Without Taxes UNIT AMOUNT With Taxes UNIT AMOUNT In Words

1 Urostomy Bag 1910 15-35mm (Coloplast) Item 1 90 No 0 Excess(+) Full Conversion INR

2 Skin Barrier Spray Item 2 6 No 46 Excess(+) Full Conversion INR

Total in Figures

Quoted Rate in Figures Select %

Quoted Rate in Words