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Purchase Order Dietitian in India Mumbai –Free Word Template Download with AI

HealthBridge Wellness Pvt. Ltd.

Corporate Office: 12th Floor, Trade Centre, Nariman Point, India Mumbai – 400021

GSTIN: 27AABCH1234F1Z5 | CIN: U85100MH2019PTC312456

Purchase Order No.: PO/HBW/2025/00472

Date of Issue: 15 June 2025

Valid Until: 15 July 2025

Payment Terms: Net 30 Days

Delivery Location: India Mumbai

Department: Employee Wellness & Health

VENDOR / SERVICE PROVIDER DETAILS

Dietitian Provider

Name: Dr. Ananya Deshmukh, M.Sc. (Nutrition), RD

Practice: NutriCare Mumbai – Registered Dietitian Clinic

Address: 4th Floor, Wellness Tower, Linking Road, Bandra West, India Mumbai – 400050

Registration No.: IDI/2018/00342 (Indian Dietetic Association)

GSTIN: 27ABCDN5678K1Z2

Email: [email protected]

Phone: +91-98200-XXXXX

Bill To / Authorised By

Company: HealthBridge Wellness Pvt. Ltd.

Attn: Mr. Rajesh Kulkarni, Head – HR & Employee Benefits

Address: 12th Floor, Trade Centre, Nariman Point, India Mumbai – 400021

Email: [email protected]

Phone: +91-22-2288-XXXX

Bank Details: HDFC Bank, Nariman Point Branch, A/C: 50200XXXXXX, IFSC: HDFC0000123

SCOPE OF SERVICES – DIETITIAN CONSULTATION & NUTRITION PROGRAMME

This Purchase Order is issued by HealthBridge Wellness Pvt. Ltd., India Mumbai, to engage the services of a certified Dietitian for the comprehensive nutritional management and wellness programme of 250 employees across our India Mumbai office locations. The Dietitian shall provide all services in compliance with the Indian Dietetic Association (IDA) code of conduct and applicable regulations under the Ministry of Health and Family Welfare, Government of India.

LINE ITEMS – SERVICES & CHARGES
S.No. Description of Dietitian Service Qty Unit Unit Rate (INR) Amount (INR)
1 Individual one-on-one Dietitian consultation sessions (45 min each) for 250 employees at India Mumbai office premises 250 Sessions ₹1,200.00 ₹3,00,000.00
2 Customised meal planning and dietary prescription by the Dietitian for employees with diabetes, hypertension, and obesity (estimated 80 employees) 80 Plans ₹2,500.00 ₹2,00,000.00
3 Group nutrition workshops and Dietitian-led seminars (6 sessions of 2 hours each) at India Mumbai corporate campus 6 Workshops ₹15,000.00 ₹90,000.00
4 Monthly follow-up and progress tracking by the Dietitian for 3 months (quarterly engagement) 3 Months ₹50,000.00 ₹1,50,000.00
5 Development of a corporate wellness nutrition policy document and cafeteria menu audit by the Dietitian for India Mumbai offices 1 Project ₹75,000.00 ₹75,000.00
6 Emergency Dietitian tele-consultation access (unlimited) for employees during the contract period 1 Quarter ₹40,000.00 ₹40,000.00
Subtotal: ₹8,55,000.00
GST @ 18% (as applicable in India Mumbai, Maharashtra): ₹1,53,900.00
Grand Total (INR): ₹10,08,900.00
TERMS AND CONDITIONS
  1. This Purchase Order constitutes a binding agreement between HealthBridge Wellness Pvt. Ltd. (India Mumbai) and the named Dietitian provider, NutriCare Mumbai, for the delivery of nutritional and dietary services as specified herein.
  2. The Dietitian shall maintain valid professional registration with the Indian Dietetic Association and shall carry professional indemnity insurance of not less than INR 50,00,000 for the duration of this Purchase Order.
  3. All services under this Purchase Order shall be rendered at the client's premises in India Mumbai unless otherwise agreed in writing. The Dietitian shall arrive at least 15 minutes prior to each scheduled session.
  4. Payment shall be made within 30 days of receipt of a valid tax invoice from the Dietitian provider. Invoices must reference this Purchase Order number (PO/HBW/2025/00472) and include the provider's GSTIN as registered in India Mumbai.
  5. The Dietitian shall maintain strict confidentiality of all employee health records in accordance with the Information Technology Act, 2000, and applicable data protection norms in India. No employee dietary data shall be shared with third parties without written consent.
  6. Any modification, cancellation, or extension of this Purchase Order must be documented in a written amendment signed by both parties. Verbal instructions shall not be binding.
  7. The Dietitian shall provide a comprehensive end-of-contract report summarising all interventions, employee progress metrics, and recommendations for the subsequent quarter. This report shall be submitted to the HR department at India Mumbai headquarters within 7 working days of contract completion.
  8. In the event of non-performance or breach by the Dietitian, HealthBridge Wellness Pvt. Ltd. reserves the right to terminate this Purchase Order with 15 days' written notice and withhold payment for undelivered services.
  9. This Purchase Order shall be governed by and construed in accordance with the laws of India, with jurisdiction vested in the courts of India Mumbai, Maharashtra.
  10. All dietary recommendations provided by the Dietitian are for wellness and preventive purposes and do not constitute medical treatment. The Dietitian shall refer any employee requiring clinical intervention to a registered medical practitioner.
AUTHORISATION & ACCEPTANCE

For and on behalf of HealthBridge Wellness Pvt. Ltd., India Mumbai

Authorised Signatory

Name: Mr. Rajesh Kulkarni

Designation: Head – HR & Employee Benefits

Date: _______________

For and on behalf of NutriCare Mumbai (Dietitian Provider)

Authorised Signatory

Name: Dr. Ananya Deshmukh, RD

Designation: Lead Dietitian & Founder

Date: _______________

This Purchase Order (PO/HBW/2025/00472) is issued by HealthBridge Wellness Pvt. Ltd., India Mumbai, for the engagement of a certified Dietitian for corporate employee wellness services. This document is valid for 30 days from the date of issue. For queries, contact the Procurement Department at [email protected] or +91-22-2288-XXXX. All services shall be delivered in compliance with Indian regulatory standards for Dietitian practice in India Mumbai.

Document generated on 15 June 2025 | Page 1 of 1 | Confidential – Internal Use Only

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