Health Nett Po

ANNEX l ·c Quotation Request Form

All Interested bidders

June,24~t01 :00pmloc.!ltlme.

OneweekafterslgnlngthePO [)('llve.yDate:

[)('l ivcry l out lon: HealthNet TPO Office, Housel/ 144, Street#5, District·), Oehburl, Deh Naw, Kabul Afghanbtan.

P1euesend/provllko uswithyourquol.ltionforthefollowlnlltems~low;

Q1.1antlty

1 500 Amp 1mg/ml Atropine

2 500 Amp 2mg/ml in 2 ml Amp Vecuronium

3 500 Amp 250mg/Sml Oobutamine

4 500 Amp 200mg/Sml Dopamine

5 250 Amp 2mg/ml pancronu im

6 1000 Amp 1mg/ml (1/ 1000) Ad rinalin 7 12 Vial SOmg/ml (10ml vial) Ketamine 6 100 Amp 20mg/4m l l abetalol 9 30 Vial 2% (SOmllnj) lidocaine

10 600 Amp Smg/Sml Midazolam 11 150 Amp 10mg/ml Morphine 12 600 Amp 4mg/2ml Norepinephrine

13 700 Vial 200mg/20ml propofol

14 500 amp 10mg/2ml metochlorpramld 15 600 Amp 20mg/2ml Frusem ide (lasix)

16 800 Bottle 1000 ml Dextros~ (5%) Serum

17 800 Bottle 500 ml Dextrose (10%) Serum

16 BOO Bottle 20 ml Dextrose (25%) (hypertonic) Serum 19 700 Bottle 1000 ml Dextrose 5%+ Sa line 0 .9 % Serum 20 1200 Bottle 1000ml Sodium chloride 0.9% Serum 21 120 Bottle 20 ml Sodium chloride 0.9% Serum

22 SO Bottle 500 ml Heamccel Serum

23 200 Via l 100 mg Hydrocortisone

24 30 Amp 250 mg /Sml Phenytoin 25 150 Amp 25 mg /rn lln 2 ml Ranltadlne

26 500 Vial 1000mg+500mg ceft rlxon+sa lbactam

27 100 VIal SOOmc Cloxac illin 28 100 Via l 4mg/ ml Decodran(Dexamethason)

lO 200 Dottle 40Drns /100m I Ciprofl ouocln ~o l

31 30 Bottle 10 ml Artificia l tea r Drop 32 30 Tube 10000+500u, 15 gm Polyfix Eye ointment 33 30 Tube 20 gm Daktarin Oral ge l 34 30 Bottle 76 % LITER Ethyl Alcohol Sol 35 700 Vial SOOmg/vial Vancomycin {Vaneaton)

36 60 Via l 25000 iu/Sml Heparin 37 120 Syringe 60mg/ml syring lMW Heparin(enoxaparine)

38 20 Enema 120ml Kleen Enema

39 20 Tube 15gm Somogel 40 300 Vial lOOOmg Vancomycin (Vancolon)

41 90 Amp 50% I 10ml Magnisium Sulphate (Mag 504) 42 120 Amp 0.02%, O.Smg/ 2.5ml lpratropium Bromide Nebulizer Sol

43 150 Amp 0.8mg/2ml CLINIL Nubulizer sol 44 80 Bottle SOOml Manito! infusion

45 SO Vial 70% NPH/30% regular in 10 ml Vial Mixed lnsuline

46 200 Vial 100mg/ ml (Sml Vial) Sodium Valproate 47 300 vial SOOmg/lOOml levofloxacine

46 150 Amp 80mg/ml Artemether 49 300 Vial SOOmg/vial Acyclov ir

50 900 Bottle SOOmg/lOOml Metronidazole Infusion Solution

51 25 Bottle 0.003 Ciproxin Eye Drop

52 120 Amp 75 mg/3 ml Amp Diclofenac

HealthUet TPO Office OehbU"I.Dehllaw.O~II ktl

su~tuo.S tloul.e llo. 144, kAW

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AF2 7 4MO- 20 18-3 20-KBL

Compln, Unit Con AFH Total Con Afli

1'1n.w pru•1dr thtquoot.atloonlnynur cunr pa11y I~U"hrod, hwt~l•mrarHI .•I~:n l hi•RF(,Ifur

•«tptan« thr ltrm• • ndrnndl llnn_-..

fi~ 1n nmr ?nmn/ml iivrlrol• rin• ~~ _A L --....:.... ~4 600 Vial lgram cetotax1me ~ - H .....6.'' M 100 Bottle 10gm/ 1Sml in 120 ml bottle lactolus Syrup ,. '-J. . 1 ~ '-' ;

66 300 Amp sao ~gr/2 ml Diso•in · I ' f'l'-'' '\; ""' ~~:7~6 +----1~~~0----~~~~:~~~~~~~~~~m~g~~;=~~:~1 s~m~IA~m~p~------------------------f:~:~o:~:~~~~~~e~S~u~lp~h~at~e~-----------------',- ----~~,_· ~-+- -----r~,~~. ~~_,J_,\;~ ·

59 12 Amp 20units/ml vasopressin ,-,'' , •~ \,.' (j)

60 SO Amp O.lmg/ ml octreotide · · \ '' J • r-.~\' • .-+

61 100 Amp Smg/ml Halopridol r\ ~ " <'>" ' ~lll 62 100 Bottle 200mg/100ml Fluconazol infusion solution ~ ~ t \J.._ ' ; ..::::

63 70 Amp SOOmg/amp Pralid ixime .,,~' L 64 500 Vial 4.5g/vial Piperacillin/Tazobactam < • > • / lt-65 20 Amp O.Smg/Sml Flumazen il t ' ,i " L 66 500 Vial 40mg/vial Pantoprazol ' ' :::_ :-1 ~ 67 100 Bottle Smg per ml, nebul izer solution Salbutamol 66 10 Amp Smg/Sml Metoprolol 69 100 Amp 20meq/10ml Potasium Chloride Solution

70 200 Amp 250mg/Sml Tranexamlc Acid

71 1000 Bottle 1000mg/100ml paracetamollV Solution

72 100 Bottle 20%, SOml Albumin IV Solution

73 20 Vial l.SMU per vial, injection vial striptokinas

74 lSO serum SOOml Pan Am in G Aminoacid

75 200 Vial 1000mg Cefipime

76 SO Vial Polyvalent Antivinin

77 200 Amp 10% in 10 ml Ampule Calcium Gluconate

78 300 Vial 1000mg Meropenem

79 300 Vial SOOmg lmepenem 80 600 Tube 2% in 15 g r Tube Lidocaine Gel 81 200 vial 600mg/300ml Linzolid 82 200 Amp 50 mg in 1 ml Dimenhydrinate (Gravinate) 83 200 Vial lg per via l, injection powder Ceftazidime 84 200 vial 400mg /2S0 ml Moxifloxacine 85 2SO Pes Size 4 Airway Guedel 86 2SO Pes Size 5 Airway Guedel 87 1SO Pes Size 6 Endotracheal Tube with Cuff 88 1SO Pes Size 7 Endotracheal Tube with Cuff 89 200 Pes Size 7.5 Endotracheal Tube with Cuff 90 2SO Pes Size 8 Endotracheal Tube with Cuff 91 1SO Pes Size 12 Foley Catheter 92 2SO Pes Size 14 Foley Catheter 93 300 Pes Size 16 Foley Catheter 94 2SO Pes Size 18 Foley Catheter 95 7SO Pes Bags with non return va lve, 2000 ml Urine Bag 96 7SO Pack (100) 10 X 10 em X 8 Piece/pack Gauze Pad Sterile 97 soc Roll 20cm x 1.8 m Elastic Bend age

98 soc Roll 15 cm•4m Crepe Bandage 99 200 Roll 10 em X 4.5 Meter Elastoplast

100 1000 Pack Large, (lOOPiece/Pack) Gloves Non Sterile latex 101 1000 Pack Medium, (100Piece/Pack) Gloves Non St erile latex 102 1000 Pdck Srndll, (100Pioco/P•ck) G luvt!~ Nun Slt:t!lt: Ldl t:i<

103 2SO Pack Plastic (100Piece/Pack) Gloves Non Sterile Plastic 104 2SO Pair Size 7 Glove Sterile 10fi 230 Polt 31Le 7.'j Oluvu ~l•ti l•

108 250 Pa ir Size 8 Glovu Stcrllc

107 J60 roo 6i~a 16 IV Ca nnula 108 250 p" Sl•o18 IV Cannula 109 800 Pes Size 20 IV Cannula 110 1000 Pes Size 22 IV Cann ula 111 7'0 Pr• '\i7P 74 IV Citnnulil

112 2S Pic 9, 10 Central Venous Catheter

113 400 Pic SIIC12 Nasa-Gastric Tube 114 400 Pic Slze14 Nasa-Gastric Tube 115 400 Pic Size 16 Naso-Gastnc Tube

11 6 400 Pic Ad ult Size Oxygen Nasa l Cnnula 117 400 Pic Adult Oxygen Milsk

118 soc Pic Adu lt Oxygen Mask (Nebulizer) 11Q 250 Pock/50 Ad ult Size F:1oo mm:k no n Robumthi ns

120 2SO Pic Size 12 Suctio n Cathete r 121 2SO Pic Size 14 Suction Cathete r

~~~ 2SO_ Pic Size 16 Suction Catheter -·- -123 400 Pic Size 18 Suction Catheter 1?4 1' Pir R, 11, 1c;, 1R, 10,11 <; r1roir~l Rl~rtR

12S lOCO Pic Insu lin Syringa With Needle

126 7SOO Pic Sml Syringe With Needle

127 sooo Pic 10ml Syringe With Needle

128 1000 Roll 20ml Syringe With Needle

129 7SO Pic SOml Syringe 130 600 Pic Catheter Tip , 60 ml Syringe 131 2S Pic Disposable, 20 G, 22G Lumber Puncture Needles 132 2SO Roll 10 em X 4.5 Meter Adhesive Tape (Leukoplast) 133 2SO Roll 25cm X 5 meter Adhes ive Tape 134 sooo Pic Disposa ble, Standard Size Cannulla Tape (IV Dressing)

135 so Roll 2S1 g Cotton Wool 136 2S Pic Free Size Coller Cervica l 137 2SOO Pic Disposable Cap Dis posable

138 1SO Pack Disposable, 100 Piece/Pack Shoe Cover 139 soc Box Disposable, (SO Piece per Box) Face Mask

140 2SOO Pack Disposable, 10 piece per Pack, With Button clip, White color Gown

141 300 Pack 50 Pieces/ pack, Adult Size, Dispossable ECG Electrodes

14~ 1nn Rnll '"itehl• fnr e11ei lehl• Flfi Merhin• (•• ner ••mnl•1 Flfi Poner

143 100 Bottle 41it ECG Gel -Matl!rlal :~ tillnlt!~S ~tt!l!l1 Nylun ~ I-\ -----144 7 Oe t u f -4 riel..o::J [CG Lim b Clamp -/ .. '!: t/'• P.hhll:ln,ruhrr J. If<. ':I A'llul\rin

145 Pic Disposa ble 60X90 Sheet Disposable } ..--7000 .:.

~ 146 70 Pic Elastic, Size 400mm X lOmm, with Clip, High Quality Torniquet ' O'''- _,

~ M!lt!ple use (10 Piece)( Forceps 2, Artery forceps 2, Needle Holder 1, Siessor 2, .. - ..... 147 4 Set Dressing set Knife Handle 1, Trav1+Tra Coverl).StalnlessSteel r Ill 1) Fabric: non-woven, absorbent gauze, 2) Dimensions: 6 x Scm, 5.5 )( 6.8cm ' 148 70 Pic 3\Color:white.4\Sterile 5\oneoeroack

Eye Pads ...... 149 300 Pair R14 UM-2 size C l .SV, Rechargible w ith 36 chargers Batteries fo r Laryngoscope '

J to:~ "

150 300 Bottle 500 ml bottle with pressure pump Alcohol gel with moistu rizer (Hand Rub) ' c ~~~ 151 70 2-Rond 5,4,3 size Anesthezia Face mask

152 70 Pes CD Mm=4.0 Length M m = 33S Stylet for intubation 'I<

153 6 Pes 1700 ml Ambo Bag

154 30 Pes Single Chamber, 1600 ml with all its accessories Chest Drainage bottle ..-- -::::::> 155 1800 Pes Disposa ble, 20 drops:: 1 mi±O.lml Dial A flow (Micro Drip)

~ r--~ L 156 800 Box 1 Bag wet Wipes portable 200 piece per Box AlcohoiSwab 70% Alcohol Pad ~ v_.r- ..,) 157 1S Pes Disposable Anuscope J.1. .-.:: I-- ;::.

158 800 Sheet Disposable 2mX120cm Bed Sheet = ~ lL 159 80 Bottle 1.5% Solution, !litter Chlorhexidine

160 200 Bottle !litter Dettol Solution

161 800 Pes Tube Length: l SOOmm- O.D. 4.2mm xI. D. 3.0mm

Chamber Set Needle: lBG x 1.1 S" for smoother flow.

P~l" 2ol 3

162 1600 Pes 1250mmW/Leuer L Extension Set

163 300 Pes 5 em line, Disposable 3 way with extension line

164 3000 Pes Disposable,Standard Size IV Set

165 400 Pes Size : 305x150x110mm(+/-2mm Safety Box (Wast Management)

166 60 Pes Made of leather, Multiple use, Adult Size Apron

167 6000 Pes Disposable, with 24 Glucometer machine Glucometer Strips

168 25 Pes digital Thermometer

169 Pes >Roo m temp range -10 to SO' C

>Frid~<te/freezer temp ranRe -50to70'C Thermometer (Fridge)

170 Pes large LCD Screen Display, Show the indoor temperature/Humodity, time and

date Thermometer Stock

171 15 Box Wooden, disposable, 100 Piece/box Wooden Tongue Depressor

172 3000 Box Large Size, 72 Pieces/box Wipes Detergent

173 1000 Pes XL Daiper

174 so Pes Reusable Best Quality Ventilator Circuite

175 500 Pes Disposable bacterial filterforBacterialretention:99.99% VIral retention: 99.99%

Filter For Ventilator

176 300 Pes Blanket cover (cotton)

177 300 Pes s ize 2 Pillow cover {cotton)

178 300 Pes size 0 rand Bed cover (Cotton)

/0 ;<{ r'~r

~: ~~::~s t~i;;::~:or:i::stt~0~~~:ncrce or AlSA for pharmaceutict~l t~re important. r .. 1

] , Qulllity control ccrtrflcatc from the MJnlstry of Public Health \ , ''! \\ '1. Submission of samples t~lons with quotation is ~sential. ~

S. GNP and COPP for the quoted medicines ltcrm arc enentllll.

'.~~ \

Required documenu for the supplter qualification: n~ supplier has to submit tho foliowins do(umonu alon!! with tho quollltlon

Oltt _11106/1011 ~ /,;

:::---'~ \'

' ' Terms and Condition

Samples• for medidnH and !Ndlct.l 10fiP(Ies u.mptn are required to be 1ubmlted 11lon• .,..ith the qooUitron to Kabul offic• lotlllk1/procurement d~tmcnt for MI{Ktfon

no h1!Cf tMn me spet11led d8U! 80(1 !lme ~~~tiOOCd In tM cl.lfrent ktl.lllOOer 1M Ue&OIInc r(IW Oil the t"P te1111 corll(!f' , ~11n1pl~' or nl(!olllcal equipment wiU be Inspected in the

supplil!f's showrooms IK!foro setcctlon.

Payment: The j).'lyn"lt!nt will be done lomi t~ftcr the BoodS receipt, Inspected, qua\Hy checked O'lld accepted.

Tax: Ui w amount witt be deducted from the tolll\ co1t of the bid llfitc from r~•btcred woollen with AJSAIX t.'OC (1 7X fr om UIVc•htcrcd woollcrs t~l Af•honhtan l(ovcrnmcnt t.x law.

Delivery Loca1ion1 Alll!»>dl to bt dth~tttd 110 l•t" thm ll\ttlhtd pttlod hom tht ddt of ''"11''1 of Ptotth"' Ol d••

Or!livr. ry T im I!: If II•~ hnu• ~•o· oou\ olrli~rollll"'''"'II'' W lu lf,..oiMovroy !lou.-. llflli'O io-. ll ~t· o lwlo l •luo '"" rl !l,..j>Uot l"'ul o.,.Jro . and the compaoy will br black- li sted with IINli•O for futlll e business.

Experience: lhecompanyshouldh~ve at lust three ye~rs11mllar upl'rl ence.

IJJ ~;;Uh.! llll . tl~o. ~IAA..IJ 1111\U.. u .. u.~o .. u UjKJ ... , UUI lik.uh.lwJ IIJIU Lu 1 ~Ill u urfiL'- IJ.,I ,\.loil , D .. l,liu'' • Dl ~li i!.L J, JLILLL l , lluu.._ r 111\IJIJU\

Inspection: The goods w11\ be lns~tcd o~ecording to the specific,.tlon by HNTPO tec:hnlca\ t eam.

Bid Validity: Tho bid must be valid for 30 d11ys from the submission d11tc:

Submission Procedure: I'l L·•~ )l~tn U\C above RFQ ~>nd )\6rnp 1t foo final wbml~~·oo to HNTPO of f1tc: befOre: thc cJc..d\lt~ .

Accountability: All the bid documents mun be sll!.mped Gnd signed by the authorized rcprcscntt~tivc of the compGny.

Currency: The bid must be quoted In Afghan Currency.

Packing; Al l goods must be packed for sultmble alr/seJ or road transpor talloo Including rough tmndllng to fin.1 l destina tion

Marking: All the bo~ l'S must b" marked with ll t JithNet lPO dt<llvtiY add rl"1s

Language:AJI documents, maoklng~ and labeling should appr ar In [ngllsh.

NOTE: This Is to certify by the supplier that the above t erms and conditions arc acceptable to us and we have oo objection.

Submitted by: Name:

Signature:

Stamp:

Page loll

GRAND TOTAL AFN

""'"~''''"''''"'""'~Hooaol Sl1n1turr . ~- ~

O.tr _l!OIJM"''l!l!lll!.' ----'=---

Position: _______ _

Date: _______ _