Procurement of Various Hemodialysis Supplies for B.Braun Machines (OMMC-PR-1615)

ITEM QTY. UNIT ARTICLE AND DESCRIPTION CEILING UNIT PRICE TOTAL PRICE Office: Ospital ng Maynila Medical Center PR No. 1615 Charge to: Medical, Dental & Laboratory Supplies Expenses OBR No. 100-2610-08512 ABC: Php1,179,750.00 HEMODIALYSIS SUPPLIES SUPPLIES FOR B BRAUN MACHINES 1 650 packs Dialysis Supplies - Package Php 1,815.00 Php Php Dialyser (High flux) 1.8 m2 AV line 3-in-1 HDM Premix Acid Plaster Tape Bicarbonate powder 8.4 K/bag AV Fistula Needle G. 15/16/17 Arterial AV Fistula Needle G. 15/16/17 Venous Normal Saline Solution 0.9%, 1 L Sterile Kit, Standard AVF/CVC Peracetic Acid Solution 10L/Canister Citric Acid Solution 10L/Canister Peracetic Acid Potency Test Strip, 100's/btl. (Realin) or its equivalent Peracetic Acid Residual Test Strip, 100's/btls. Eleban Prestat or its equivalent DF Dialysate Filter Heparin 5000 IU/vls. x-x-x-x-x-x-x-x-x-x-x-x-x-x-x Total :Php1,179,750.00 Php After having carefully read and accepted your terms and conditions, I/We hereby quote on the items/s at prices listed above Printed Name/Signature Tel. No/Cellphone No. e-mail address Date