DRUGS AND MEDICINE (for treatment and medication of patients) (RFQ - MHO)

Item No. Qty. Unit Description ABC Unit Price Total Remarks (Date of Delivery) 1 35 BOX ORAL REHYDRATION SALT( ORS) 100'S PHP 10,500.00 2 20 BOX METRONIDQAZOLE 500MG TABLET 100'S PHP 9,000.00 3 20 BOX PARACETAMOL 500MG TABLET 100'S PHP 5,000.00 4 21 BOX DOMPERIDONE 1MG/ML SUSPENSION PHP 1,575.00 5 15 BOX MEFENAMIC 500MG CAPSULE 100'S PHP 5,250.00 6 15 BOX DOXYCYLINE 100MG CAPSULE PHP 5,250.00 7 15 BOX AMOXICILLIN 500MG CAPSULE 100'S PHP 6,750.00 8 15 BOX ALUMINUM MAGNISIUM CHEWABLE TABLET PHP 6,750.00 9 10 BOX OMEPRAZOLE 20MG AND 10MG CAPSULE PHP 8,000.00 10 20 BOX VITAMIN B COMPLEX TABLET 100'S PHP 13,000.00 11 20 BOX VITAMIN C TABLET 100'S PHP 13,000.00 12 20 BOX CO- AMOXICLAV 650MG CAPSULE PHP 7,000.00 13 10 BOX CELECOXIB 200MG CAPSULE PHP 7,500.00 14 20 BOT VITAMIN B SYRUP PHP 1,600.00 15 6 VIAL LIDOCANE 50ML PHP 720.00 16 5 BOX PROPRANOLOL HYDROCHLORIDE 10MG TABLET PHP 1,750.00 17 5 BOX THIAMAZOLE 20MG/TABLET PHP 3,250.00 18 1 ROLL GAUZE ROLL PHP 3,500.00 19 3 BOX PLASTER PHP 1,500.00 20 5 BOX SYRINGE 3ML PHP 2,500.00 21 5 BOX SYRINGE 5ML PHP 3,250.00 22 1 BOX SURGICAL BLADE # 11 PHP 600.00 TOTAL PHP 117,245.00 ______________________ ____________________ Name of Establishment Signature _____________________________ Address CERTIFICATION I hereby certify that the prices of the articles listed are quoted by bonafide dealers and that I am responsible for any legal complication that may arise later as I have made the canvass personally and found them to be the lowest responsive price in the locality. Noted by: ENP. MELVIN T. LAROA, MMEP ALEXANDER V. MONARES BAC Chairperson Printed Name & Signature of person Making emergency shopping MHO PhilGEPS Registration No:___________