HealthNetrPo

I '/ c:ndorName:

!l ..!-adlinc:

OcUvcry Datc:

J.:Uvcry location:

" -'arSir/Madam,

All Interested btddors Mu,l-4 201 9 at 11 :00am local ttmo. One week after sl nln tho PO Health Net TPO Kuna r Provincial Hospita l , Asadabad Afghanistan.

ANNEX 1-c Quotation Request Form

l'l o~u• und/ provide u1 whh your quot.lllon for tho followlnll l~J JLillill> l()d!!

65 1 4llter Ultrasound transmission gel 4-Lit bottle 66 300 piece Urine bag 2-Lit bag 67 1 1Siit X-ray developper powder for 15 Lit pes 68 4 1Siit X-ray developper solutlonSI for 22.5 Lit bottle 69 5 pack-100 X-ray film blue or green 18x24cm 8x10in pes 70 5 pack-100 X-ray film blue or green 24x30cm 10x12in pes 71 3 pack-100 X-ray film blue or green 35x43cm 14x17in pes 72 2 22.Siit X-ray fixer powder for 22.5 Lit bag 73 2 2Siit X-ray fixer solution SL concentrate for 25L bottle 74 4 Bot lie Provis Covit

75 4 Botlle Amalgum I 76 4 Botlle G.C Glassonomer Cutting Cement I 77 4 Botlle GC1

I 78 2 Bot lie TSR 79 4 Liqued Marcory 00 300 plucc Needle lower

I 81 300 piece Needle upper 82 600 piece Dental syring Cartage

83 3 Bot lie Arsenic bottle

84 2 Botlle Eglnol

85 2 Botlle TKF 80 5 piece Dental hand piece t.:artrage

87 450 piece Dental hand piece bursh

I 88 1i0 plooo llulp nnndle 89 0 piece Dental hand piece orlgnal)apanes

I 90 30 piece Analgesic cream

I 91 10 piece Large size Corest ! 92 7 piece Medium size Corest

~~ 5 pi8C8 Small '!Jo Coroot 94 2 piece Neck Callar 95 14 piece Knee Brace -96 8 piece Anekal Brace

I 97 2 piece Wrist Brace

98 8 piece Elbow Cravtchas

99 2 piece Auxsllarl Cravtchas I 100 15 pair WaklngStlck I 101 4 pair shulder brace (different size)

I 1n7 1 [liArA '' "!l~ln(J fram I 103 4 kit ASO kit (100 test I '104 1 kit CRP kit (100 test

' 105 2 kit Creatinine kit (100 test

I 106 1 kit Cholesterol kit (400 test ) 107 4 kit Glucose kit (200 test )

I 108 16 8ox-40 HBS strip (40/box)

' 109 16 Box-40 HCV stip (40/box)

110 13 Box-40 HIV strips (40/box)

: 111 1 Box-100 HIV (determine)(100/box)

I 112 1 Box-100 HIV (Ora quick)(1/box) I

113 4 Box-50 Pregnancy strips (SO/box)

' 114 1 kit S G OT kit (100 test) I 115 1 kit S G PT kit_(100 test) I

i 116 16 kit Serum Anti A,B,D (100 test) ' 117 1 kit Triglyceride Rand ox kit (400 test) £~ ~ . * ~

118 2 100 test Billirubine (100 test) /_ y ......... L~ ,"'\. 119 2 pack-SO Face mask I,-:/,.. " 1"\ffi lp"'\.\9 \ 120 7 Box-40 Syphlis kit (40/Box) /. "/ vvu• 1 \~ \ 121 1 kit UREA (500 test) '

144 1 Botlle Giemza Solution (1000Ml) orignal Germany 145 1 Bottle WBC solution 250 ml 146 10 kit Toxoplasmosis

He qu\red documents for t he supplier qua ll f1 catlon: rhe supplie r has to submit the following documents along with the quotation /;