Purchase Order Ophthalmologist in Egypt Alexandria –Free Word Template Download with AI
Alexandria Medical Supplies & Equipment Co.
142 Corniche El-Nil Street, Smouha District, Egypt Alexandria, 21543
Tel: +20 3 552 8841 | Email: [email protected]
Commercial Registration No. 482910 | Tax ID: 552-884-102
RECIPIENT / SUPPLIER INFORMATION| Supplier Name: | Dr. Mahmoud El-Sayed Hassan, MD, FICO – Certified Ophthalmologist |
| Practice Name: | Alexandria Vision & Eye Care Center |
| Address: | 28 El-Gomrok Street, Mansheya District, Egypt Alexandria, 21411 |
| License No.: | MOH-EGY-OPH-2019-00347 (Issued by Ministry of Health, Egypt Alexandria Regional Directorate) |
| Contact: | Dr. El-Sayed Hassan | +20 100 456 7892 | [email protected] |
| Purpose: | Procurement of specialized ophthalmic equipment, diagnostic instruments, and consumable medical supplies for the Ophthalmologist's clinical practice and surgical suite located in Egypt Alexandria. |
| Item No. | Description | Qty | Unit | Unit Price (EGP) | Total (EGP) |
|---|---|---|---|---|---|
| 01 | Topcon Autorefractometer AR-7100 – Digital refraction device for the Ophthalmologist's diagnostic suite | 1 | Unit | 185,000.00 | 185,000.00 |
| 02 | Zeiss IOLMaster 700 Optical Biometer – For cataract surgery planning by the Ophthalmologist | 1 | Unit | 1,250,000.00 | 1,250,000.00 |
| 03 | Heine Omega 200 Direct Ophthalmoscope – Premium examination instrument for the Ophthalmologist | 4 | Unit | 12,500.00 | 50,000.00 |
| 04 | Topcon SL-D7N Slit Lamp Biomicroscope – For anterior segment examination by the Ophthalmologist | 2 | Unit | 320,000.00 | 640,000.00 |
| 05 | Alcon Centurion Phacoemulsification System – Surgical platform for the Ophthalmologist's cataract procedures | 1 | Unit | 2,800,000.00 | 2,800,000.00 |
| 06 | AcuRite 585 Non-Contact Tonometer – Intraocular pressure measurement for the Ophthalmologist | 2 | Unit | 45,000.00 | 90,000.00 |
| 07 | Optical Coherence Tomography (OCT) – Zeiss Cirrus HD-OCT for retinal imaging by the Ophthalmologist | 1 | Unit | 1,950,000.00 | 1,950,000.00 |
| 08 | Disposable Intraocular Lenses (IOL) – Alcon SN60WF, 20.0D – For the Ophthalmologist's surgical inventory | 200 | Pcs | 3,200.00 | 640,000.00 |
| 09 | Phacoemulsification Tips & Irrigation Assemblies – Consumables for the Ophthalmologist's surgical suite | 500 | Pcs | 450.00 | 225,000.00 |
| 10 | Fluorescein Sodium 2% Strips – Diagnostic dye for the Ophthalmologist's corneal examinations | 1,000 | Strips | 15.00 | 15,000.00 |
| 11 | Topical Anesthetic Drops (Proparacaine 0.5%) – 30ml bottles for the Ophthalmologist's clinic | 500 | Bottles | 85.00 | 42,500.00 |
| 12 | Post-Operative Eye Shield & Patch Kits – For patient discharge by the Ophthalmologist | 1,000 | Kits | 35.00 | 35,000.00 |
Subtotal: EGP 7,922,500.00
VAT (14% – Egyptian Tax Authority): EGP 1,109,150.00
Delivery & Installation (Egypt Alexandria): EGP 45,000.00
GRAND TOTAL: EGP 9,076,650.00
(Nine Million Seventy-Six Thousand Six Hundred Fifty Egyptian Pounds Only)
TERMS AND CONDITIONS- This Purchase Order is issued by Alexandria Medical Supplies & Equipment Co. for the exclusive procurement of ophthalmic equipment and consumables to be delivered to the practice of the named Ophthalmologist, Dr. Mahmoud El-Sayed Hassan, located in Egypt Alexandria. All items must comply with the Egyptian Ministry of Health (MOH) regulatory standards and the Egyptian Organization for Standardization and Quality (EOS) certifications.
- The Ophthalmologist's practice in Egypt Alexandria shall serve as the primary delivery and installation site. All large equipment (Items 01, 02, 04, 05, and 07) must be delivered, installed, calibrated, and tested on-site by certified technicians at the Alexandria Vision & Eye Care Center, Mansheya District, Egypt Alexandria, no later than 30 June 2025.
- Payment shall be made within thirty (30) calendar days from the date of confirmed delivery and successful installation inspection. Payment will be processed via bank transfer to the supplier's designated account registered with the Central Bank of Egypt. The Purchase Order number PO-EGY-ALX-2025-04872 must be referenced on all invoices and payment documents.
- All equipment is warranted for a minimum of twenty-four (24) months from the date of installation. The Ophthalmologist's practice in Egypt Alexandria shall be entitled to on-site technical support and spare parts availability for the duration of the warranty period. Consumable items (Items 08 through 12) carry a twelve (12) month shelf-life guarantee from the date of delivery.
- The supplier acknowledges that this Purchase Order is governed by the laws of the Arab Republic of Egypt. Any disputes arising from this Purchase Order shall be resolved through the competent commercial courts in Egypt Alexandria, or by arbitration under the rules of the Egyptian Arbitration Center, with proceedings conducted in the Arabic language.
- The Ophthalmologist, as the end-user and clinical operator of all procured equipment, assumes responsibility for the proper clinical use, maintenance scheduling, and regulatory compliance of all items listed in this Purchase Order in accordance with the Egyptian Medical Syndicate guidelines and the Alexandria Regional Health Authority directives.
- Delivery is subject to DDP (Delivered Duty Paid) terms as per Incoterms 2020, with the named place of delivery being the Ophthalmologist's clinic address in Egypt Alexandria. All customs clearance, import duties, and local transport within the Alexandria Governorate are the responsibility of the supplier.
- This Purchase Order becomes effective upon signature by both parties. No modification, amendment, or cancellation of this Purchase Order shall be valid unless executed in writing and signed by authorized representatives of both Alexandria Medical Supplies & Equipment Co. and the Ophthalmologist's practice.
- The supplier shall provide a comprehensive training session for the Ophthalmologist and clinical staff at the Egypt Alexandria practice location, covering the operation, maintenance, and safety protocols of all major equipment items listed herein. Training materials shall be provided in both Arabic and English.
For and on behalf of the Buyer:
Alexandria Medical Supplies & Equipment Co.
Authorized Signatory: Mr. Khaled Farouk, Procurement Director
Date: _______________
Company Stamp:
For and on behalf of the Ophthalmologist / Recipient:
Alexandria Vision & Eye Care Center
Dr. Mahmoud El-Sayed Hassan, MD, FICO – Ophthalmologist
Date: _______________
Practice Stamp:
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