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Purchase Order Ophthalmologist in Australia Melbourne –Free Word Template Download with AI

Ophthalmologist Medical Equipment & Supplies Procurement

Issued in Australia Melbourne — Victoria, Australia

Purchase Order No.: PO-2025-MEL-OPH-0472

Date of Issue: 14 June 2025

Required Delivery Date: 28 June 2025

Payment Terms: Net 30 Days

Currency: AUD (Australian Dollar)

Incoterms: DAP Melbourne, VIC

1. BUYER INFORMATION (Ophthalmologist Practice)

Practice Name

Dr. Sarah Mitchell Ophthalmology Centre

ABN: 54 218 773 901

AHPRA Registration: Ophthalmologist, Medical Practitioner

Address & Contact

Suite 412, Level 4, 285 Collins Street

Melbourne, Victoria 3000, Australia

Phone: +61 3 9655 4200

Email: [email protected]

2. SUPPLIER INFORMATION

Supplier Name

MedVision Australia Pty Ltd

ABN: 87 642 119 350

ACN: 642 119 350

Address & Contact

Unit 7, 1420 Dandenong Street

Springvale, Victoria 3171, Australia Melbourne

Phone: +61 3 9876 3300

Email: [email protected]

3. LINE ITEMS & Download and customize a professional Purchase Order Ophthalmologist Australia Melbourne Word template. Perfect for business, legal, and personal use. Editable and ready to boost your productivity. OF GOODS
Item # Description SKU / Model Qty Unit Price (AUD) Line Total (AUD) Warranty
1 Topcon TRC-NW6S Non-Mydriatic Fundus Camera — for retinal imaging in the Ophthalmologist examination suite TRC-NW6S-2025 1 $48,500.00 $48,500.00 3 Years
2 Zeiss IOLMaster 700 Optical Biometer — for pre-cataract surgery measurements by the Ophthalmologist IM700-AU 1 $62,300.00 $62,300.00 2 Years
3 Heine Omega 200 Direct Ophthalmoscope (set of 4) — standard diagnostic tool for the Ophthalmologist HEI-OM200-SET4 4 $1,850.00 $7,400.00 1 Year
4 Topcon iCare Pro Air-Puff Tonometer — for intraocular pressure screening in Melbourne clinic ICARE-PRO-25 2 $4,200.00 $8,400.00 2 Years
5 Disposable Specular Microscope Contact Tips (box of 100) — consumable for corneal endothelial cell analysis SMT-100-BOX 10 $320.00 $3,200.00 N/A
6 Topcon SL-D7A Slit Lamp Biomicroscope with fundus lens — primary examination instrument for the Ophthalmologist SL-D7A-FD 1 $28,900.00 $28,900.00 3 Years
7 Optical Phoropter (auto-refractor integrated) — for refraction testing in the Australia Melbourne clinic OPH-AUTO-25 1 $12,750.00 $12,750.00 2 Years
8 Anterior Segment OCT Module (add-on for slit lamp) — for anterior chamber depth and angle analysis AS-OCT-MOD 1 $34,600.00 $34,600.00 2 Years
9 Calibrated Trial Lens Set (full range, -20.00D to +20.00D) — for the Ophthalmologist refraction room TLS-FULL-25 1 $2,150.00 $2,150.00 5 Years
10 Installation, calibration, and staff training service for all capital equipment listed above SVC-INST-2025 1 $6,800.00 $6,800.00 N/A
Subtotal (AUD) $215,800.00
GST (10%) $21,580.00
Freight & Delivery (Melbourne Metro) $1,250.00
Grand Total (AUD, incl. GST) $238,630.00
4. TERMS AND CONDITIONS
  1. This Purchase Order is issued by Dr. Sarah Mitchell Ophthalmology Centre, a registered Ophthalmologist practice operating in Australia Melbourne, Victoria, and constitutes a binding offer to purchase the goods and services described herein upon acceptance by the Supplier.
  2. All equipment must comply with the Therapeutic Goods Administration (TGA) regulations of Australia and carry valid Australian registration numbers prior to delivery at the Melbourne premises.
  3. Delivery shall be made to the Ophthalmologist's clinic at 285 Collins Street, Melbourne VIC 3000, between 08:00 and 16:00 AEST on a business day, no later than 28 June 2025. The Supplier is responsible for all freight, insurance, and risk of loss until goods are received and signed for by the Ophthalmologist or authorised clinic manager.
  4. Payment shall be made by Electronic Funds Transfer (EFT) to the Supplier's nominated Australian bank account within thirty (30) calendar days of the date of the Supplier's tax invoice, in accordance with the payment terms stated on this Purchase Order.
  5. All capital equipment is subject to the manufacturer's warranty as specified in the Line Items table. The Supplier shall coordinate all warranty claims and provide on-site service in Australia Melbourne within five (5) business days of a reported fault.
  6. The Supplier warrants that all goods are new, unused, free from defects, and fit for the intended ophthalmic diagnostic and therapeutic purposes as prescribed by the Ophthalmologist.
  7. Any variation to this Purchase Order, including changes to scope, quantity, delivery date, or pricing, must be agreed in writing by both parties prior to execution. No verbal amendments are binding.
  8. This Purchase Order is governed by the laws of the State of Victoria, Australia. Any disputes arising from this order shall be subject to the exclusive jurisdiction of the courts of Australia Melbourne.
  9. The Supplier shall provide a full installation report, calibration certificates, and operator training documentation for all capital equipment to the Ophthalmologist within seven (7) days of installation completion.
  10. Confidentiality: Both parties agree to maintain the confidentiality of all clinical, financial, and operational information exchanged in connection with this Purchase Order in accordance with the Privacy Act 1988 (Cth) and the Australian Privacy Principles.
5. DELIVERY & ACCEPTANCE

Upon delivery to the Australia Melbourne clinic, the Ophthalmologist or designated clinic staff shall inspect all items for visible damage, completeness, and conformity with the specifications listed in this Purchase Order. Acceptance shall be confirmed in writing within five (5) business days of delivery. Failure to notify the Supplier of any discrepancy within this period shall constitute deemed acceptance of the goods.

Authorised by (Buyer):

Dr. Sarah Mitchell, Ophthalmologist

Dr. Sarah Mitchell Ophthalmology Centre

Signature & Date

Accepted by (Supplier):

James Thornton, Sales Director

MedVision Australia Pty Ltd

Signature & Date

This Purchase Order (PO-2025-MEL-OPH-0472) was prepared for the Ophthalmologist practice located in Australia Melbourne, Victoria. All prices are in Australian Dollars (AUD) and include applicable Goods and Services Tax (GST) at 10% as per Australian Taxation Office regulations. This document is valid for acceptance for a period of fourteen (14) days from the date of issue.

© 2025 Dr. Sarah Mitchell Ophthalmology Centre — Melbourne, Australia. All rights reserved.

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