Printing And Supply Of Forms And Registers
Tender Overview
Project Description
Printing And Supply Of Forms And Registers , Form For Prescription Of Medicines And Investgations Not Available In Hospital , Proforma For Non-Ip Charges , Case Sheet , History And Physical Examination Record , Doctors Order , Nurses Record , Drug Chart , Application For Advance / Withdrawal From Esic Gpf , Earned Leave Form , Envelop ( Large ) , Envelop ( Medium ) , Peripheral Smear Test Request , Form For Immunological Investigations , Dietary Advice Sheet , Diabetic Chart , Pre- Op Checklist , Requistion For Ambulance , Form For Haematology & Clinical Pathology Investigations , Form For Biochemical Investigations , Temperature Chart Cum I / O Chart , Rntcp Request Form , Microbiological Investigation Requistion Form , Consent For Ogd , Consent For Colonoscopy , Application For Cl / Rh , Consent For Ortho , Opd Ticket , Surgical Safety Check List , Request For Ultra Sound Scan , Consent For Caesarian , Consent For Anesthesia ( English & Hindi ) , Diet Slip ( Adhesive ) , Opd Ticket ( Senior Citizen ) , Opd Ticket Non-Ip , Antenatal Chart , Sanction Order Form , Bill For Esic G . P . F . Payment , Form ( F ) , Report On Ultra Sound Scan Of Abdomen , Claim For Reimbursement Of Cost Of Medicines / Treatment Charges , Form Of Essentiality Certificate , Application For Issue Of Medical Certificate , Consent For Surgery , Consent For Hysterectomy , Consent For All Term Antenatal Patients / High Risk Consent , Feedback Form , Urine Routine Report , Audiogram Chart , Dental Consent , Pre Anesthesia Evaluation , Discharge Summary , Medicine Packing Cover ( Large ) , Medicine Packing Cover ( Medium ) , Medicine Packing Cover ( Small ) , Pension Form , Reference For Superspeciality Treatment Form , Proforma For Reference Of Patients To Esic Hospital Varanasi , Police Information Regarding Of Mlc , Token Book Without Number , Token Book With Number , Request For Blood And Blood Products , Note Sheet , Anesthesia Chart , File Cover , Service Card , Daily Admission Analysis Summary , Regular L Form , Adhesive Label , Plastic Cover , Child Health Records , Referring Patient For Better Management , Indent Book , Fully Vouched Contigent Bill , Stay Pass , Food Pass , Abstract Contigent Bill , Plastic Carry Bag With Printing For Ct Films , Large Envelope With Printing For Ct Films , Iv Canula Bundle Check List , Bed Sore Bundle Checklist , Ictc , X Ray Request Form
Corrigendum
| Sr No | Corrigendum Date | Corrigendum | Type | New Submission Date |
|---|---|---|---|---|
| 1 | 03-Apr-2020 | DATE EXTENSION OF RE-E-TENDER FOR PRINTING AND SUPPLY OF FORMS AND REGISTERS | Date | 11-May-2020 |
BOQ
| Name of Work: DEMAND OF MEDICAL FORMS AND REGISTERS | |||||
|---|---|---|---|---|---|
| Sl.No. | Item Description | Item Code / Make | Approximate Annual Requirement | Units | |
| 1 | 1 | FORM FOR PRESCRIPTION OF MEDICINES AND INVESTGATIONS NOT AVAILABLE IN HOSPITAL | ITEM1 | 30000 | NOS |
| 2 | 2 | PROFORMA FOR NON-IP CHARGES | ITEM2 | 15000 | NOS |
| 3 | 3 | CASE SHEET | ITEM3 | 10000 | NOS |
| 4 | 4 | HISTORY AND PHYSICAL EXAMINATION RECORD | ITEM4 | 10000 | NOS |
| 5 | 5 | DOCTOR'S ORDER | ITEM5 | 30000 | NOS |
| 6 | 6 | NURSES RECORD | ITEM6 | 40000 | NOS |
| 7 | 7 | DRUG CHART | ITEM7 | 40000 | NOS |
| 8 | 8 | APPLICATION FOR ADVANCE / WITHDRAWAL FROM ESIC GPF | ITEM8 | 100 | NOS |
| 9 | 9 | EARNED LEAVE FORM | ITEM9 | 200 | NOS |
| 10 | 10 | ENVELOP ( LARGE ) | ITEM10 | 1000 | NOS |
| 11 | 11 | ENVELOP( MEDIUM ) | ITEM11 | 1500 | NOS |
| 12 | 12 | PERIPHERAL SMEAR TEST REQUEST | ITEM12 | 1000 | NOS |
| 13 | 13 | FORM FOR IMMUNOLOGICAL INVESTIGATIONS | ITEM13 | 1000 | NOS |
| 14 | 14 | DIETARY ADVICE SHEET | ITEM14 | 1000 | NOS |
| 15 | 15 | DIABETIC CHART | ITEM15 | 5000 | NOS |
| 16 | 16 | PRE- OP CHECKLIST | ITEM16 | 1000 | NOS |
| 17 | 17 | REQUISTION FOR AMBULANCE | ITEM17 | 2000 | NOS |
| 18 | 18 | FORM FOR HAEMATOLOGY & CLINICAL PATHOLOGY INVESTIGATIONS | ITEM18 | 5000 | NOS |
| 19 | 19 | FORM FOR BIOCHEMICAL INVESTIGATIONS | ITEM19 | 5000 | NOS |
| 20 | 20 | TEMPERATURE CHART CUM I/O CHART | ITEM20 | 10000 | NOS |
| 21 | 21 | RNTCP REQUEST FORM | ITEM21 | 1000 | NOS |
| 22 | 22 | MICROBIOLOGICAL INVESTIGATION REQUISTION FORM | ITEM22 | 400 | NOS |
| 23 | 23 | CONSENT FOR OGD | ITEM23 | 5000 | NOS |
| 24 | 24 | CONSENT FOR COLONOSCOPY | ITEM24 | 1000 | NOS |
| 25 | 25 | APPLICATION FOR CL/RH | ITEM25 | 500 | NOS |
| 26 | 26 | CONSENT FOR ORTHO | ITEM26 | 600 | NOS |
| 27 | 27 | OPD TICKET | ITEM27 | 200000 | NOS |
| 28 | 28 | SURGICAL SAFETY CHECK LIST | ITEM28 | 1000 | NOS |
| 29 | 29 | REQUEST FOR ULTRA SOUND SCAN | ITEM29 | 1000 | NOS |
| 30 | 30 | CONSENT FOR CAESARIAN | ITEM30 | 600 | NOS |
| 31 | 31 | CONSENT FOR ANESTHESIA ( ENGLISH & HINDI ) | ITEM31 | 1000 | NOS |
| 32 | 32 | DIET SLIP ( ADHESIVE ) | ITEM32 | 5000 | NOS |
| 33 | 33 | OPD TICKET ( SENIOR CITIZEN) | ITEM33 | 50000 | NOS |
| 34 | 34 | OPD TICKET NON-IP | ITEM34 | 50000 | NOS |
| 35 | 35 | ANTENATAL CHART | ITEM35 | 1000 | NOS |
| 36 | 36 | SANCTION ORDER FORM | ITEM36 | 400 | NOS |
| 37 | 37 | BILL FOR ESIC G.P.F. PAYMENT | ITEM37 | 400 | NOS |
| 38 | 38 | FORM (F) | ITEM38 | 400 | NOS |
| 39 | 39 | REPORT ON ULTRA SOUND SCAN OF ABDOMEN | ITEM39 | 3000 | NOS |
| 40 | 40 | CLAIM FOR REIMBURSEMENT OF COST OF MEDICINES / TREATMENT CHARGES | ITEM40 | 400 | NOS |
| 41 | 41 | FORM OF ESSENTIALITY CERTIFICATE | ITEM41 | 400 | NOS |
| 42 | 42 | APPLICATION FOR ISSUE OF MEDICAL CERTIFICATE | ITEM42 | 200 | NOS |
| 43 | 43 | CONSENT FOR SURGERY | ITEM43 | 1000 | NOS |
| 44 | 44 | CONSENT FOR HYSTERECTOMY | ITEM44 | 500 | NOS |
| 45 | 45 | CONSENT FOR ALL TERM ANTENATAL PATIENTS/HIGH RISK CONSENT | ITEM45 | 500 | NOS |
| 46 | 46 | FEEDBACK FORM | ITEM46 | 10000 | NOS |
| 47 | 47 | URINE ROUTINE REPORT | ITEM47 | 3000 | NOS |
| 48 | 48 | AUDIOGRAM CHART | ITEM48 | 1000 | NOS |
| 49 | 49 | DENTAL CONSENT | ITEM49 | 2000 | NOS |
| 50 | 50 | PRE ANESTHESIA EVALUATION | ITEM50 | 2000 | NOS |
| 51 | 51 | DISCHARGE SUMMARY | ITEM51 | 5000 | NOS |
| 52 | 52 | MEDICINE PACKING COVER ( LARGE ) | ITEM52 | 20000 | NOS |
| 53 | 53 | MEDICINE PACKING COVER ( MEDIUM ) | ITEM53 | 50000 | NOS |
| 54 | 54 | MEDICINE PACKING COVER ( SMALL ) | ITEM54 | 20000 | NOS |
| 55 | 55 | PENSION FORM | ITEM55 | 30 | NOS |
| 56 | 56 | REFERENCE FOR SUPERSPECIALITY TREATMENT FORM | ITEM56 | 5000 | NOS |
| 57 | 57 | PROFORMA FOR REFERENCE OF PATIENTS TO ESIC HOSPITAL VARANASI | ITEM57 | 100000 | NOS |
| 58 | 58 | POLICE INFORMATION REGARDING OF MLC | ITEM58 | 250 | NOS |
| 59 | 59 | TOKEN BOOK WITHOUT NUMBER | ITEM59 | 10 | NOS |
| 60 | 60 | TOKEN BOOK WITH NUMBER | ITEM60 | 10 | NOS |
| 61 | 61 | REQUEST FOR BLOOD AND BLOOD PRODUCTS | ITEM61 | 600 | NOS |
| 62 | 62 | NOTE SHEET | ITEM62 | 5000 | NOS |
| 63 | 63 | ANESTHESIA CHART | ITEM63 | 1000 | NOS |
| 64 | 64 | FILE COVER | ITEM64 | 2000 | NOS |
| 65 | 65 | SERVICE CARD | ITEM65 | 1000 | NOS |
| 66 | 66 | DAILY ADMISSION ANALYSIS SUMMARY | ITEM66 | 1000 | NOS |
| 67 | 67 | REGULAR L FORM | ITEM67 | 600 | NOS |
| 68 | 68 | ADHESIVE LABEL | ITEM68 | 1000 | NOS |
| 69 | 69 | PLASTIC COVER | ITEM69 | 6000 | NOS |
| 70 | 70 | CHILD HEALTH RECORDS | ITEM70 | 2000 | NOS |
| 71 | 71 | REFERRING PATIENT FOR BETTER MANAGEMENT | ITEM71 | 4000 | NOS |
| 72 | 72 | INDENT BOOK | ITEM72 | 2000 | NOS |
| 73 | 73 | FULLY VOUCHED CONTIGENT BILL | ITEM73 | 20000 | NOS |
| 74 | 74 | STAY PASS | ITEM74 | 10000 | NOS |
| 75 | 75 | FOOD PASS | ITEM75 | 10000 | NOS |
| 76 | 76 | ABSTRACT CONTIGENT BILL | ITEM76 | 1000 | NOS |
| 77 | 77 | PLASTIC CARRY BAG WITH PRINTING FOR CT FILMS | ITEM77 | 5000 | NOS |
| 78 | 78 | LARGE ENVELOPE WITH PRINTING FOR CT FILMS | ITEM78 | 5000 | NOS |
| 79 | 79 | IV CANULA BUNDLE CHECK LIST | ITEM79 | 5000 | NOS |
| 80 | 80 | BED SORE BUNDLE CHECKLIST | ITEM80 | 5000 | NOS |
| 81 | 81 | ICTC | ITEM81 | 2000 | NOS |
| 82 | 82 | X RAY REQUEST FORM | ITEM82 | 1000 | NOS |
AI Tender Summary
Tender Timeline
Tender Published
Tender notice published.
CompletedCorrigendum-1 Issued
Clarifications on tender conditions and amendments issued.
CompletedBid Submission Deadline
Online submission via eProcurement portal.
CompletedBid Opening Date
Technical bids will be opened and evaluated.
CompletedTender Documents
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