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Purchase Order Doctor General Practitioner in Japan Kyoto –Free Word Template Download with AI

Formal Procurement Document for Medical Supplies and Equipment

Issued for the Practice of a Doctor General Practitioner in Japan Kyoto

Purchase Order No.: PO-KYO-2025-04872
Date of Issue: 14 June 2025
Valid Until: 14 July 2025
Payment Terms: Net 30 Days
Currency: Japanese Yen (JPY)
Delivery Method: Freight Collect
BUYER INFORMATION
Practice Name: Kyoto Central General Practice Clinic
Attending Physician: Dr. Haruki Tanaka, Doctor General Practitioner (M.D., FRCGP)
Address: 2-14-8 Gionmachi, Higashiyama-ku, Japan Kyoto 605-0073
Telephone: +81-75-555-0142
Email: [email protected]
License No.: KY-GP-2019-00347 (Kyoto Prefectural Medical Board)
SUPPLIER INFORMATION
Supplier Name: MediSupply Kanto Co., Ltd.
Address: 45-2-1 Nihonbashi, Chuo-ku, Tokyo 103-0027, Japan
Contact Person: Mrs. Yuki Sato, Regional Sales Manager – Kansai Division
Telephone: +81-3-5555-7890
Tax ID (Touhyou): 40-20100-XXXXX
PURCHASE ORDER LINE ITEMS
Item No. Description Qty Unit Unit Price (JPY) Amount (JPY)
01 Stethoscope, Littmann Classic III, for Doctor General Practitioner daily consultation use 3 pcs 18,500 55,500
02 Digital Blood Pressure Monitor, Omron HEM-7361T, calibrated for Japan Kyoto clinic standards 5 units 12,800 64,000
03 Thermometer, Infrared Forehead Type, for patient triage at the Doctor General Practitioner reception 4 units 9,200 36,800
04 Nitrile Examination Gloves, Box of 100 (S/M/L), for general practice consultations in Japan Kyoto 60 boxes 2,400 144,000
05 Disposable Syringes, 1mL / 3mL / 5mL Assorted Pack, for immunization and injection services 40 packs 3,100 124,000
06 ECG Machine, 12-Lead Portable, for cardiac screening by the Doctor General Practitioner 1 unit 285,000 285,000
07 Otoscope with LED Illumination, for ENT examinations in general practice 2 pcs 14,600 29,200
08 Medical Examination Table, Adjustable Height, for patient consultations in Japan Kyoto clinic 2 units 98,000 196,000
09 First Aid Kit, Comprehensive, for Doctor General Practitioner emergency response protocol 6 kits 8,700 52,200
10 Medical Waste Disposal Bags, 50L, for Japan Kyoto municipal compliance 120 rolls 1,800 216,000
Subtotal JPY 1,202,700
Consumption Tax (10%) JPY 120,270
Shipping & Handling (Kyoto Prefecture) JPY 15,000
GRAND TOTAL JPY 1,337,970
NOTE: This Purchase Order is issued specifically for the operational requirements of Dr. Haruki Tanaka, a Doctor General Practitioner registered with the Kyoto Prefectural Medical Board. All items listed herein are intended for use at the Kyoto Central General Practice Clinic located in Higashiyama-ku, Japan Kyoto. The Doctor General Practitioner has verified that all equipment meets the standards set forth by the Japan Medical Device and Materials Management Association (JMDMA) and complies with local Japan Kyoto municipal health regulations. Delivery must be completed to the Japan Kyoto address listed above no later than 28 June 2025. TERMS AND CONDITIONS

1. This Purchase Order constitutes a binding agreement between the Buyer (Kyoto Central General Practice Clinic, operated by the Doctor General Practitioner Dr. Haruki Tanaka) and the Supplier (MediSupply Kanto Co., Ltd.) upon acceptance and signature by both parties.

2. All goods shall be delivered to the specified Japan Kyoto address in Higashiyama-ku. The Supplier shall bear full responsibility for safe transport and shall notify the Buyer at least 48 hours prior to delivery to the Japan Kyoto clinic premises.

3. The Doctor General Practitioner reserves the right to inspect all delivered items upon arrival. Any defective, damaged, or non-conforming goods must be reported within five (5) business days of delivery. The Supplier shall replace or refund non-conforming items at no additional cost to the Buyer.

4. Payment shall be made via bank transfer to the Supplier's designated account within thirty (30) calendar days of the date of this Purchase Order, provided all items have been received and accepted by the Doctor General Practitioner.

5. All medical devices and equipment listed in this Purchase Order must carry valid Japanese Medical Device Approval (Kikaku) certification. The Supplier warrants that all items comply with the Pharmaceuticals and Medical Devices Act (PMDA) regulations applicable in Japan Kyoto and throughout the Kansai region.

6. The Supplier shall provide a comprehensive warranty of no less than two (2) years on all electronic and mechanical equipment. Consumable items are covered under a 90-day quality guarantee.

7. This Purchase Order is governed by the laws of Japan. Any disputes arising from this document shall be resolved through the Kyoto District Court in Japan Kyoto.

8. The Doctor General Practitioner authorizes the procurement of these items under the clinic's annual budget allocation for the fiscal year 2025, as approved by the Kyoto Prefectural Health and Welfare Department.

AUTHORIZATION AND SIGNATURES

For the Buyer:

Dr. Haruki Tanaka
Doctor General Practitioner
Kyoto Central General Practice Clinic
Japan Kyoto

Signature & Date

For the Supplier:

Mrs. Yuki Sato
Regional Sales Manager
MediSupply Kanto Co., Ltd.
Kansai Division

Signature & Date

Purchase Order PO-KYO-2025-04872 | Issued for the Doctor General Practitioner practice in Japan Kyoto | Page 1 of 1

This document is the property of Kyoto Central General Practice Clinic. Unauthorized reproduction is prohibited under Japanese copyright law.

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