Western Railway Tender

PL Code : 01XXN81 ANNUAL INDENT STATIONERY 2024-25, FOLLOWING ITEM AS PER ANNEXURE-A ATTACH ED Annexure-A ANNUAL INDENT STATIONERY-2024-25 (FORM/FORMAT/FILE) SR.NO- Name of DOCUM ENT- REQUIRED QUANTITY 20242025 1. X-RAY FORM =20000 2. PRE-NATAL DIAGNOSTIC TEST FORM- 1 =1200 3. PRE-NATAL DIAGNOSTIC TEST FORM-2 =1200 3A CONSENT FORM FOR USG =1200 4. HIST OPATHOLOGY FORM =6000 5. TRIPLE H FORM =31000 6. DIET BILL FORM =6000 7. LOCAL PURCHASE FORM =15000 8. T55 ACCOMODATION FORM= 6000 9. DEATH INTIMATION FORM 2A (for BMC)= 300 10. DEATH INTIMATION FORM =300 10 A DETAIL INFORMATION FORM =300 11. CULTURE FORM =12000 1 2. CABIN ALLOTMENT FORM= 2000 13. DECLARATION FORM FOR CABIN PT= 400 14. CASE PAPER AU DIT FORM =400 15. BILLING FOR FOREIGN RAILWAY FORMS =2000 16. DIALYSIS CONSENT FORM =20 00 17. DIALYSIS FLOW CHART =2000 18. INVESTIGATOPM REPORT FOR AKD =2000 19. PLASMAPHER ESIS RECORD SHEET =500 20. DIALYSIS APPT AND WT RECORD CHART= 500 21. CONSENT FORM (E YE) =2000 22. ADMISSION FORM (EYE)= 2000 23. MASTER REGISTER =24 24. ANC CARD- RED =100 25. ANC CARD- BLUE =200 26. ANC CARD-YELLOW= 200 27. ATTENDANT PASS =12000 28. NAME PLATE C ARD (CABIN) =500 29. PLAIN REGISTER 200 PAGE =200 30. USG ANALYSIS FORM =500 30 A OPERATIO N NOTES- ORTHO = 500 31. OPERATION NOTES-TKR =200 32. OPERATION NOTES-THR =200 33. RISK BENEFIT RATIO =200 34. EMERGENCY QUOTA FORM= 2500 35. DIET SHEET FOR KITCHEN =2000 35 A MILK SHEET FOR KITCHEN = 1000 36. CYTOPATHOLOGY FORM =3000 37. CONSENT FORM FOR FNA C= 3000 38. DIET SHEET FOR WARD-I, II. III =19000 39. TEST REQUISITION FORM =5000 40. SICK MEMO =2000 41. PATIENT FEEDBACK FORM =7000 42. LABEL FOR DEAD BODY =500 43. PAP SMEAR CYTOLO GY FORM= 1000 44. CATH LAB ACCOUNT BOOK =800 (4 book 200x4) 45. REFERAL FORM =250 46. EXP ENESE REGISTER FOR CATH LAB= 3000(15 book 200x15) 47. NURSING CHART =50000 48. CONTINUTIO N SHEET= 75000 49. TREATMENT CHART =40000 50. TRANSEFER OUT CHART= 15000 51. SURGICAL C ONSENT =15000 52. SURGICAL OT CHECK LIST= 7000 53. ADMISSION FILE (JRH) =12000 54. NURSES I NITIAL ASSESMENT=12000 55. CRITICAL CARE CHART =15000 56. DOCTORS INITIAL ASSESSMENT =1 2000 57. INITIAL CONSENT FORM =12000 58. COMPLETENESS OF RECORD =12000 59. BUNDLE CARE =2000 [ Warranty Period: 30 Months after the date of delivery ] ] MEDICAL DIRECTOR J R Maharashtra 1.00 Set Consignee HOSPITAL MUMBAI., WR