TENDER FOR EMPANELMENT OF SERVICE PROVIDER FOR ESTABLISHMENT OF FETAL ANOMALY SCAN SERVICES IN VARIOUS GOVT., MEDICAL INSTITUTIONS THROUGH PUBLIC PRIVATE PARTNERSHIP MODE

Select, Excess (+), Less (-)

Tender Inviting Authority: General Manager (E)

Name of Work: TENDER FOR EMPANELMENT OF SERVICE PROVIDER FOR ESTABLISHMENT OF FETAL ANOMALY SCAN SERVICES IN VARIOUS GOVT., MEDICAL INSTITUTIONS THROUGH PUBLIC PRIVATE PARTNERSHIP MODE

Contract No: E1383/FAS-PPP/NHM/TNMSC/ENGG/2025, DT: 29.07.2025

Name of the Bidder/ Bidding Firm / Company :

Sl. No. Item Description 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 Rate Per scan in Rs. P GST (If applicable in Percentage) GST Amount in Rs. P Rate per scan In Figures To be entered by the Bidder Rs. Packaging & Forwarding in Rs. (b) Inland transport, Insurance and incidental costs incidental delivery in Rs. Incidental Servies in Rs. Custom duty in Rs. Total value without GST Rs. Total value with GST Rs. CAMC for 4th year NPV for 4th year CAMC for 5th year NPV for 5th year CAMC for 6th year NPV for 6th year CAMC for 7th year NPV for 7th year CAMC for 8th year NPV for 8th year CAMC for 9th year NPV for 9th year CAMC for 10th year NPV for 10th year Total NPV value for 7 years without GST Total NPV value for 7 years with GST HSN / SAC Code TOTAL AMOUNT excluding taxes in Rs. P TOTAL AMOUNT including taxes Rs. P TOTAL AMOUNT In Words

1.01 Zone 1 item1 1 Nos Excess(+) Full Conversion INR 1 1 1 1 1 1 1 1.01 Supplying, Conveying and fixing spls. Including eart item1 123.223 Nos

1.02 Zone 2 item2 1 Nos Excess(+) Full Conversion INR 1 1 1 1 1 1 1 1.01 Supplying, Conveying and fixing spls. Including eart item1 123.223 Nos

1.03 Zone 3 item3 1 Nos Excess(+) Full Conversion INR 1 1 1 1 1 1 1 1.01 Supplying, Conveying and fixing spls. Including eart item1 123.223 Nos

1.04 Zone 4 item4 1 Nos Excess(+) Full Conversion INR 1 1 1 1 1 1 1 1.01 Supplying, Conveying and fixing spls. Including eart item1 123.223 Nos

1.05 Zone 5 item5 1 Nos Excess(+) Full Conversion INR 1.02 Construction of chamber for 100mm sluice plates item2 213 Nos

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

Quoted Rate in Figures Select %

Quoted Rate in Words