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Purchase Order Dentist in Sri Lanka Colombo –Free Word Template Download with AI

Colombo Dental Care Centre (Pvt) Ltd.

No. 42, Galle Road, Colombo 03, Sri Lanka Colombo

Tel: +94 11 234 5678 | Email: [email protected]

Registration No: C01234567 | VAT No: 123456789

Purchase Order No: PO/CDCC/2025/0047
Date of Issue: 15 June 2025
Valid Until: 30 June 2025
Supplier: MedDent Sri Lanka (Pvt) Ltd.
Address: 18, Temple Road, Colombo 10, Sri Lanka Colombo
Contact: +94 11 456 7890
BILL TO / SHIP TO
Colombo Dental Care Centre (Pvt) Ltd.
No. 42, Galle Road, Colombo 03
Sri Lanka Colombo, Sri Lanka
Attn: Dr. Nimal Perera, Lead Dentist
Delivery Address:
No. 42, Galle Road, Colombo 03
Sri Lanka Colombo, Sri Lanka
Attn: Warehouse Manager – Mr. Sanjaya Wickramasinghe
Delivery Window: 09:00 AM – 04:00 PM (Mon–Fri)
PURCHASE ORDER LINE ITEMS – DENTAL SUPPLIES & EQUIPMENT
Item # Description SKU / Ref Qty Unit Unit Price (LKR) Amount (LKR)
1 Dental Composite Resin Kit (A1–A3 shades) – for routine restorative procedures performed by the dentist at our Colombo clinic DCR-2025-A1 25 Kit 18,500.00 462,500.00
2 Autoclave Sterilizer, 23L Capacity – Class B, for sterilizing instruments used by the dentist in Sri Lanka Colombo practice ACV-23L-B 2 Unit 485,000.00 970,000.00
3 Dental Handpieces, High-Speed (40,000 RPM) – for the dentist's operative and endodontic work DHP-HS-40 6 Unit 125,000.00 750,000.00
4 Nitrile Examination Gloves (Size M/L) – 100 per box, for the dentist and assisting staff NGV-ML-100 200 Box 1,250.00 250,000.00
5 Dental X-Ray Film (D-size, 100 sheets) – for intraoral radiography by the dentist in Sri Lanka Colombo DXF-D-100 50 Pack 3,800.00 190,000.00
6 Prophylaxis Paste & Angle – for preventive dental care delivered by the dentist to patients in Colombo PPA-STD 100 Set 850.00 85,000.00
7 Dental Burs, Carbide (Assorted, 50 pcs/box) – for the dentist's crown preparation and cavity work DBR-CB-50 30 Box 4,200.00 126,000.00
8 Local Anesthetic Cartridges (Lidocaine 2% w/ Epinephrine 1:100,000) – for the dentist's pain management during procedures LAC-2-EP 500 Cartridge 320.00 160,000.00
9 Dental Impression Material (Alginate, 454g) – for the dentist to take accurate impressions for prosthetic work in Sri Lanka Colombo DIM-ALG-454 80 Bag 1,100.00 88,000.00
10 Dental Chair Headrest Covers (Disposable) – for patient comfort and hygiene at the dentist's clinic in Colombo DCH-DISP 1,000 Sheet 45.00 45,000.00
Subtotal: LKR 3,126,500.00
VAT (18%): LKR 562,770.00
Delivery & Handling (within Sri Lanka Colombo): LKR 15,000.00
GRAND TOTAL: LKR 3,704,270.00
TERMS AND CONDITIONS OF THIS PURCHASE ORDER
  1. Delivery: All items listed in this Purchase Order must be delivered to the Colombo Dental Care Centre premises at No. 42, Galle Road, Colombo 03, Sri Lanka Colombo, within fourteen (14) calendar days from the date of this Purchase Order. Late delivery beyond the stipulated period will attract a penalty of 1% of the total Purchase Order value per day of delay.
  2. Payment Terms: Payment shall be made within thirty (30) days of receipt of a valid tax invoice and successful inspection of all dental supplies by the Lead Dentist, Dr. Nimal Perera. Payment will be processed via bank transfer to the supplier's designated account in Sri Lanka Colombo.
  3. Quality Assurance: All dental equipment and consumables must comply with the standards set by the Dental Association of Sri Lanka and the Sri Lanka Standards Institution (SLSI). The dentist at our Colombo clinic reserves the right to reject any items that do not meet the specified quality, sterility, or regulatory requirements.
  4. Warranty: The autoclave sterilizer and dental handpieces carry a minimum twelve (12) month manufacturer's warranty. The supplier, MedDent Sri Lanka (Pvt) Ltd., shall coordinate all warranty claims and provide replacement or repair services within Sri Lanka Colombo at no additional cost to the purchaser.
  5. Regulatory Compliance: The supplier warrants that all items are approved for use by registered dentists in Sri Lanka and comply with the regulations of the Sri Lanka Medical Council and the Ministry of Health, Sri Lanka Colombo. Import permits and certificates of conformity must accompany all shipments.
  6. Substitution: No substitution of items on this Purchase Order is permitted without prior written approval from the Lead Dentist. Any proposed alternative must be of equal or superior quality and must be suitable for the clinical procedures performed by the dentist in our Colombo practice.
  7. Dispute Resolution: Any disputes arising from this Purchase Order shall be resolved through negotiation in good faith. If unresolved, matters shall be referred to the courts of competent jurisdiction in Colombo, Sri Lanka Colombo, in accordance with the laws of the Democratic Socialist Republic of Sri Lanka.
Note to Supplier: Please ensure all dental supplies are properly packaged and labeled with batch numbers and expiry dates. The Lead Dentist at our Sri Lanka Colombo clinic requires a minimum six (6) months remaining shelf life on all consumable items at the time of delivery. A delivery note referencing Purchase Order No. PO/CDCC/2025/0047 must accompany the shipment. Authorized Signatory – Purchaser
Dr. Nimal Perera, Lead Dentist
Colombo Dental Care Centre (Pvt) Ltd.
Sri Lanka Colombo
Accepted By – Supplier
MedDent Sri Lanka (Pvt) Ltd.
Sri Lanka Colombo

This Purchase Order is issued by Colombo Dental Care Centre (Pvt) Ltd., Sri Lanka Colombo, for the procurement of dental supplies and equipment for use by the dentist and clinical staff. This document is valid only for the specific transaction referenced above. Unauthorized reproduction or distribution is prohibited. © 2025 Colombo Dental Care Centre (Pvt) Ltd. All Rights Reserved.

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