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| 1 | Item Wise BoQ BoQ_Ver4.0 Item Wise Normal INR Only INR Select, Excess (+), Less (-) Tender Inviting Authority: SUP.MAHILA CHIKITSALAYA SANAGNERI GATE JAIPUR Name of Work:OPEN TNEDER FOR Hospital PRINTING Stationary Contract No: M.C.S.G/STORE/2026-27/292 dated 25.05.2026 Name of the Bidder/ Bidding Firm / Company : PRICE SCHEDULE(This BOQ template must not be modified/replaced by the bidder and the same should be uploaded after filling the relevent columns, else the bidder is liable to be rejected for this tender. Bidders are allowed to enter the Bidder Name and Values only ) NUMBER # TEXT # TEXT # NUMBER # TEXT # NUMBER NUMBER TEXT TEXT # NUMBER # TEXT# TEXT # NUMBER # NUMBER NUMBER NUMBER NUMBER TEXT TEXT NUMBER NUMBER NUMBER NUMBER TEXT TEXT NUMBER NUMBER NUMBER NUMBER TEXT TEXT NUMBER NUMBER NUMBER NUMBER TEXT TEXT NUMBER NUMBER NUMBER NUMBER TEXT TEXT NUMBER NUMBER NUMBER # NUMBER # TEXT TEXT NUMBER # NUMBER # DATE NUMBER # NUMBER # TEXT # Sl.No. प्रिन्टिंग स्टेशनरी का प्रकार (नाम) Item Code / Make Quantity साईज Estimated Rate inRs. P Addition / Deduction Addition / Deduction Values Currency Convertion against each Item Quoted Currency in INR / Other Currency स्वीकृत दर प्रति नग(जी.एस.टी अतिरिक्त) GST (If applicable in Percentage) GST Amount in Rs. P HSN / SAC Code TOTAL AMOUNT excluding taxes inRs. P TOTAL AMOUNT including taxesRs. P TOTAL AMOUNT In Words |
| 2 | Admission Discharge Form (58 GSM) (white Paper) |
| 3 | Admission Register (400 Pg.) (Rexene Binding) (80 GSM) |
| 4 | Attendant Pass/ DIET PASS (155 GSM) (Card Sheet) |
| 5 | Baby Discharge Ticket Card(Three Fold) (155 GSM) (Card Sheet)) |
| 6 | MAMTA CARD AS PER OFFICE SAMPAL |
| 7 | Bed Head ticket 08 page(58 GSM) (white Paper) |
| 8 | Biochemistry Request Form (Light Blue Print) 58 GSM |
| 9 | Blood Platelet Stock Register/Blood Transfusion Reaction Record Register / Blood Component Register / Blood Discard Record Register / Blood Donor Register /Blood FFP Register / Blood Grouping & Antibody Register/Blood Plasma Preparation Register/Blood RDP/Platlet Quality Control Register /Blood Supply Register /Blood Whole Blood/PRBC Control Register (400Pg)(Rexene Binding) (80 GSM) (White Paper) |
| 10 | Blood Bag Label ( Guming Steker) Multi colours |
| 11 | Blood Bag Supply Card (155 GSM) (Card Sheet) |
| 12 | Blood Bank Letter Pad (58 GSM) (White Paper ) |
| 13 | Blood demand slip (red print) (58 GSM) (White Paper) |
| 14 | Blood Doner Registration Form (58 GSM) (White Paper) |
| 15 | Blood Doner Slip (58 GSM) (white Paper) |
| 16 | Blood Donor Card |
| 17 | Blood Donor Registration Form |
| 18 | Blood Requisition Form (58 GSM) (white Paper )(both side print ) |
| 19 | Bood Transfer consent Form |
| 20 | C Section Audit form |
| 21 | Call to the Pediatrician (58 GSM) (white Paper ) |
| 22 | MAA Yojana Form (58 GSM) (White Paper) |
| 23 | Clinical Pathology Request form 58 GSM |
| 24 | Consent for Seman Freezing Form (58 GSM) |
| 25 | Cottage Allotement Book (80 GSM) (white Paper) |
| 26 | CT-MRI Investigation Form |
| 27 | Dhobi Book |
| 28 | Dite Book |
| 29 | E T instruction pad(58 GSM) |
| 30 | Enovelop (for X-Ray Films) Craft 100Gsm |
| 31 | Envelop (for X – Ray films) (100 GSM) (Craft) |
| 32 | Envelop (for X – Ray films) (100 GSM) (Craft) |
| 33 | Envelop (for X – Ray films) (100 GSM) (Craft) |
| 34 | ET Discharge Ticket (58 GSM) |
| 35 | Female sterilization case form (58 GSM) (White Paper ) |
| 36 | Female Sterilization cash card (58 GSM) (white Paper) |
| 37 | Female sterilization certificate form (58 GSM) (White Paper ) |
| 38 | Female Sterilization Chek List (58 GSM) (white Paper ) |
| 39 | Flex Banner |
| 40 | Flex Banner Hording with 3 Kg Pipe |
| 41 | Form ‘F’ for Sonography (58 GSM) (white Paper) Carbonless (50+50 LEAF) |
| 42 | Gynae Discharge Ticket Card (155 GSM) Card Sheet |
| 43 | Health Check up Form |
| 44 | Hematology Request Form (Light Pink Print) 58 GSM |
| 45 | HIV Report Form (58 GSM) (white Paper ) |
| 46 | Home Isolation Undertaking Form |
| 47 | Immunoassay Investigation Form (58 GSM) |
| 48 | Indent Book (with Numbring) 300 Pages (Well Binded) (58 GSM) (white Paper ) |
| 49 | Indent for free Medicine Form |
| 50 | Infection Prevention Audit form 06 Page |
| 51 | Intake Out Put Chart |
| 52 | International death report form (58 GSM) (White Paper ) |
| 53 | IUI-AIH/ AID Register 500 Page (80 GSM) |
| 54 | IVF IPD Record Booklet 16 Page (70 GSM) |
| 55 | प्रषस्ति पत्र मय फ्रेमिंग प्रति नग |
| 56 | JSSY Discharge Entry Register (Rexene Binding) (80 GSM) (White Paper) 400 Page |
| 57 | Master Record Register (200 Pg)(Rexene Binding) (80 GSM) (White Paper) |
| 58 | Microbiology Request Form (Light Yellow Print) 58 GSM |
| 59 | Name Plate & Direction Plate Acrylic with Fitting 3 MM |
| 60 | Neonatal Progress Chart (58 GSM ) (White Paper) |
| 61 | Neonatal Record Sheet (58 GSM) (white Paper) |
| 62 | IVF Patient History Sheet 125 Gsm |
| 63 | Nurses Daily Record Form (58 GSM) (White Paper) |
| 64 | Operation Register (400 Pg.) (Rexene Binding) (80 GSM) (White Paper) |
| 65 | OT/CLR/NBCC Checklist(300 Gsm Card sheet) |
| 66 | Ovum Pickup instruction pad(58 GSM) |
| 67 | PAC Form (58 GSM) (white Paper) |
| 68 | Pathology Biopsy Form (58 GSM) (white Paper) |
| 69 | Patient Feedback Form |
| 70 | Peon Book |
| 71 | Plain Slip Pads (58 GSM) (White Paper) |
| 72 | Prescription Slip Rim ( WITH CARBON 500 +500 LEAF) |
| 73 | Prescription Slip Rim ( CARBON LESS 500 +500 LEAF) |
| 74 | Pyogenic Culture Form |
| 75 | Receipts Book |
| 76 | Rediology Request Form 58 GSm |
| 77 | RT-PCR Form |
| 78 | Safe Child Birth Cheek List (58 GSM) (white Paper) |
| 79 | Semen Examination Form (58 GSM) (white Paper) |
| 80 | Serological Test Record Register (200 Pg)(Rexene Binding) (80 GSM) (White Paper) |
| 81 | Serology investigation Slip( 58 GSM) (White Paper) |
| 82 | Sonography Form Follicular Monitoring (58 GSM) (White Paper ) |
| 83 | Sonography Form Follicular Stady/Brain Form (58 GSM) (White Paper ) |
| 84 | Sonography Registration Register (PCPNDT Patient) (Rexene Binding) (80 GSM) (White Paper) 400 Page |
| 85 | Sonography Report Form (Fetal Well Being) (58 GSM) (White Paper) |
| 86 | Sonography Report Form (Upper Abdomen) (58 GSM) (White Paper) |
| 87 | Sonography Report Form (Uterus) (58GSM) (White Paper) |
| 88 | Sun Board With Fixing |
| 89 | Surgical Safety Cheek List |
| 90 | Surgical Sperm retrival Form (58 GSM) |
| 91 | Transfer Out Ticket form (Neonatal) (58 GSM ) (white Paper) |
| 92 | जन्म प्रमाण में संषोधन हेतु प्रार्थना पत्र (58 GSM ) (white Paper) |
| 93 | जन्म प्रमाण हेतु सूचक पत्र (58 GSM ) (white Paper) |
| 94 | Sterilization case record booklet (As Per Office Sample)multi colour 9X13 Inch , 20 Page Booklet |
| 95 | Vital Register 400 pgs 80 GSM Renexe Binding |
| 96 | PRASUTI CASE SHEET AS PER OFFICE SAMPLES |
| 97 | JSSY DISCHARGE TICKET AS PER OFFICE SAMPLE |
| 98 | नसबन्दी हेतु आवेदन एवं सहमति पत्र (58 GSM) (white Paper) |
| 99 | VERIUS TYPE REQUEST Form (58 GSM) (white Paper ) |
| 100 | VERIUS TYPE REQUEST Form (58 GSM) (white Paper ) |
| 101 | Gummming Lable printed (per 100) |
| 102 | Gummming Flex printed (per fit )(Venyal) |
| 103 | NICU Printing Stationery Nurses Order Sheet 125 GSM Mult Colour Both Side Printing |
| 104 | NICU Printing Stationery Treatment Continuation Sheet 125 GSM Mult Colour Both Side Printing |
| 105 | NICU Printing Stationery Referral Summary Sheet 125 GSM Mult Colour Single Side Printing |
| 106 | NICU Printing Stationery Neonatal Case Record Sheet 125 GSM Mult Colour Both Side Printing |
| 107 | NICU Printing Stationery Discharge Card Sheet 125 GSM Mult Colour Both Side Printing Total in Figures 0.0 0.0 INR Zero Only 4.0 Construction of chamber for 100mm sluice plates item5 10.0 Nos Quoted Rate in Figures Select % 0.0 0.0 Zero Only Quoted Rate in Words INR Zero Only Please Enable Macros to View BoQ information |
