For refilling and supply of Medical Gases at Pt Jawaharlal Nehru Govt Medical College and Hospital Chamba Distt Chamba HP

Select, Excess (+), Less (-)

Tender Inviting Authority: <Medical Superintendent-cum-Member Secretary RKS, Pt. JLNGMC&H Chamba H.P >

Name of work : <Refilling and supply of Medical Gases at Pt. JLNGMC&H Chamba H.P >

Contract No: < 01899-225170>

Name of the Bidder/ Bidding Firm / Company :

Sl. No. Item Description Note :- GST Will be paid extra as applicable on all the Articles 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 In Figures To be entered by the Bidder in Rs. P GST(%) Entered by the bidder GST Amount in INR Rs. P Freight Charges ( Unloading & Stacking) in Rs. P Any Other Taxes in Rs. P Any Other Duties/Levies in Rs. P 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 in Rs. P TOTAL AMOUNT With Taxes in Rs. P TOTAL AMOUNT In Words

1 Oxygen Cylinder Type D Basic Rate Item - 101 1 Nos Excess(+) Full Conversion INR 1.01 Supplying, Conveying and fixing spls. Including eart item1 123.223 Nos

2 Oxygen Cylinder Type D Other Charges Item - 102 1 Nos Excess(+) Full Conversion INR 1.02 Construction of chamber for 100mm sluice plates item2 213 Nos

3 Oxygen Cylinder Type D Transportation Charges Item - 103 1 Nos Excess(+) Full Conversion INR

4 Oxygen Cylinder Type D Testing Charges Item - 104 1 Nos Excess(+) Full Conversion INR

5 Oxygen Cylinder Type D Replacement of Parts (Valve) Item - 105 1 Nos Excess(+) Full Conversion INR

6 Oxygen Cylinder Type D Replacement of Parts (Spindle) Item - 106 1 Nos Excess(+) Full Conversion INR

7 Oxygen Cylinder Type B Basic Rate Item - 107 1 Nos Excess(+) Full Conversion INR

8 Oxygen Cylinder Type B Other Charges Item - 108 1 Nos Excess(+) Full Conversion INR

9 Oxygen Cylinder Type B Transportation Charges Item - 109 1 Nos Excess(+) Full Conversion INR

10 Oxygen Cylinder Type B Testing Charges Item - 110 1 Nos Excess(+) Full Conversion INR

11 Oxygen Cylinder Type B Replacement of Parts (Valve) Item - 111 1 Nos Excess(+) Full Conversion INR

12 Oxygen Cylinder Type B Replacement of Parts (Spindle) Item - 112 1 Nos Excess(+) Full Conversion INR

13 Oxygen Cylinder Type A Basic Rate Item - 113 1 Nos Excess(+) Full Conversion INR

14 Oxygen Cylinder Type A Other Charges Item - 114 1 Nos Excess(+) Full Conversion INR

15 Oxygen Cylinder Type A Transportation Charges Item - 115 1 Nos Excess(+) Full Conversion INR

16 Oxygen Cylinder Type A Testing Charges Item - 116 1 Nos Excess(+) Full Conversion INR

17 Oxygen Cylinder Type A Replacement of Parts (Valve) Item - 117 1 Nos Excess(+) Full Conversion INR

18 Oxygen Cylinder Type A Replacement of Parts (Spindle) Item - 118 1 Nos Excess(+) Full Conversion INR

19 Nitrous Oxide Type D Basic Rate Item - 119 1 Nos Excess(+) Full Conversion INR

20 Nitrous Oxide Type D Other Charges Item - 120 1 Nos Excess(+) Full Conversion INR

21 Nitrous Oxide Type D Transportation Charges Item - 121 1 Nos Excess(+) Full Conversion INR

22 Nitrous Oxide Type D Testing Charges Item - 122 1 Nos Excess(+) Full Conversion INR

23 Nitrous Oxide Type D Replacement of Parts (Valve) Item - 123 1 Nos Excess(+) Full Conversion INR

24 Nitrous Oxide Type D Replacement of Parts (Spindle) Item - 124 1 Nos Excess(+) Full Conversion INR

25 Nitrous Oxide Type B Basic Rate Item - 125 1 Nos Excess(+) Full Conversion INR

26 Nitrous Oxide Type B Other Charges Item - 126 1 Nos Excess(+) Full Conversion INR

27 Nitrous Oxide Type B Transportation Charges Item - 127 1 Nos Excess(+) Full Conversion INR

28 Nitrous Oxide Type B Testing Charges Item - 128 1 Nos Excess(+) Full Conversion INR

29 Nitrous Oxide Type B Replacement of Parts (Valve) Item - 129 1 Nos Excess(+) Full Conversion INR

30 Nitrous Oxide Type B Replacement of Parts (Spindle) Item - 130 1 Nos Excess(+) Full Conversion INR

31 Nitrous Oxide Type A Basic Rate Item - 131 1 Nos Excess(+) Full Conversion INR

32 Nitrous Oxide Type A Other Charges Item - 132 1 Nos Excess(+) Full Conversion INR

33 Nitrous Oxide Type A Transportation Charges Item - 133 1 Nos Excess(+) Full Conversion INR

34 Nitrous Oxide Type A Testing Charges Item - 134 1 Nos Excess(+) Full Conversion INR

35 Nitrous Oxide Type A Replacement of Parts (Valve) Item - 135 1 Nos Excess(+) Full Conversion INR

36 Nitrous Oxide Type A Replacement of Parts (Spindle) Item - 136 1 Nos Excess(+) Full Conversion INR

37 Carbon Dioxide Type D Basic Rate Item - 137 1 Nos Excess(+) Full Conversion INR

38 Carbon Dioxide Type D Other Charges Item - 138 1 Nos Excess(+) Full Conversion INR

39 Carbon Dioxide Type D Transportation Charges Item - 139 1 Nos Excess(+) Full Conversion INR

40 Carbon Dioxide Type D Testing Charges Item - 140 1 Nos Excess(+) Full Conversion INR

41 Carbon Dioxide Type D Replacement of Parts (Valve) Item - 141 1 Nos Excess(+) Full Conversion INR

42 Carbon Dioxide Type D Replacement of Parts (Spindle) Item - 142 1 Nos Excess(+) Full Conversion INR

43 Carbon Dioxide Type B Basic Rate Item - 143 1 Nos Excess(+) Full Conversion INR

44 Carbon Dioxide Type B Other Charges Item - 144 1 Nos Excess(+) Full Conversion INR

45 Carbon Dioxide Type B Transportation Charges Item - 145 1 Nos Excess(+) Full Conversion INR

46 Carbon Dioxide Type B Testing Charges Item - 146 1 Nos Excess(+) Full Conversion INR

47 Carbon Dioxide Type B Replacement of Parts (Valve) Item - 147 1 Nos Excess(+) Full Conversion INR

48 Carbon Dioxide Type B Replacement of Parts (Spindle) Item - 148 1 Nos Excess(+) Full Conversion INR

49 Carbon Dioxide Type A Basic Rate Item - 149 1 Nos Excess(+) Full Conversion INR

50 Carbon Dioxide Type A Other Charges Item - 150 1 Nos Excess(+) Full Conversion INR

51 Carbon Dioxide Type A Transportation Charges Item - 151 1 Nos Excess(+) Full Conversion INR

52 Carbon Dioxide Type A Testing Charges Item - 152 1 Nos Excess(+) Full Conversion INR

53 Carbon Dioxide Type A Replacement of Parts (Valve) Item - 153 1 Nos Excess(+) Full Conversion INR

54 Carbon Dioxide Type A Replacement of Parts (Spindle) Item - 154 1 Nos Excess(+) Full Conversion INR

55 Carbon Dioxide Type C Basic Rate Item - 155 1 Nos Excess(+) Full Conversion INR

56 Carbon Dioxide Type C Other Charges Item - 156 1 Nos Excess(+) Full Conversion INR

57 Carbon Dioxide Type C Transportation Charges Item - 157 1 Nos Excess(+) Full Conversion INR

58 Carbon Dioxide Type C Testing Charges Item - 158 1 Nos Excess(+) Full Conversion INR

59 Carbon Dioxide Type C Replacement of Parts (Valve) Item - 159 1 Nos Excess(+) Full Conversion INR

60 Carbon Dioxide Type C Replacement of Parts (Spindle) Item - 160 1 Nos Excess(+) Full Conversion INR

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

Quoted Rate in Figures Select %

Quoted Rate in Words