Purchsde of ARV

Select, Excess (+), Less (-) Less (-)

Tender Inviting Authority: SUPERINTENDENT, SHAHEED NIRAMLA MAHATO MEDICAL COLLEGE HOSPITAL, DHANBAD

Name of Work:Purchase of A.R.V (Anti Rabies Vaccine)

Contract No: 1590/SNMMCH

Name of the Bidder/ Bidding Firm / Company :

Sl. No. Item Description Item Code / Make Quantity Units Estimated Rate Addition / Deduction Addition / Deduction Values Currency Convertion against each Item Quoted Currency in INR / Other Currency RATE Without any TaxesIn Figures To be entered by the Bidder Rs. P Excise Duty VAT Freight Charges ( Unloading & Stacking) Any Other Taxes/Duties/Levies Make/ Model 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 TOTAL AMOUNT With Taxes TOTAL AMOUNT In Words

1 A.R.V (Anti Rabies Vaccine) 0.5 ml. itemH1Code1 1 Nos 0 Excess(+) Full Conversion INR 1.01 Supplying, Conveying and fixing spls. Including eart item1 123.223 Nos

2 A.R.V (Anti Rabies Vaccine) 1 ml. code1.02 1 Nos 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

Quoted Rate in Figures Select

Quoted Rate in Words