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

Colombo Eye Care & Medical Services (Pvt) Ltd.

142, Galle Road, Colombo 03, Sri Lanka Colombo

Tel: +94 11 245 6789 | Email: [email protected]

Registration No: C03/2019/EC/04521 | VAT Reg: 123456789

Purchase Order No: PO/2025/OPH/00347
Date of Issue: 15 June 2025
Valid Until: 15 July 2025 Payment Terms: Net 30 Days
Currency: Sri Lankan Rupee (LKR)
Delivery Location: Colombo 03, Sri Lanka 1. Supplier / Service Provider Details Provider Name: Dr. Nimal Perera, Consultant Ophthalmologist
Practice Name: Perera Vision Centre – Colombo Eye Clinic
Address: 28, Temple Road, Colombo 07, Sri Lanka Colombo
Specialty: Comprehensive Ophthalmology, Cataract Surgery, Refractive Surgery, Retinal Disorders
Medical Council Registration: SLMC/OPH/2008/1142
Contact: +94 77 891 2345 | [email protected]
Tax Identification No: TIN/2010/SL/458721 2. Purchaser / Ordering Entity Details Company: Colombo Eye Care & Medical Services (Pvt) Ltd.
Address: 142, Galle Road, Colombo 03, Sri Lanka Colombo
Authorized Signatory: Mr. Rajitha Fernando, Chief Procurement Officer
Contact: +94 11 245 6789 | [email protected] 3. Scope of Purchase Order

This Purchase Order is issued by Colombo Eye Care & Medical Services (Pvt) Ltd. to engage the services of a qualified Ophthalmologist and to procure associated ophthalmic equipment, consumables, and specialized medical supplies for the operation of our outpatient and inpatient eye care facilities located in Sri Lanka Colombo. This Purchase Order governs the professional engagement of the Ophthalmologist for a period of twelve (12) months, commencing 01 July 2025, and includes the procurement of all necessary surgical instruments, diagnostic equipment, and pharmaceutical supplies required for the delivery of comprehensive ophthalmic care to patients in the Colombo metropolitan region and surrounding districts of Sri Lanka.

4. Line Items – Services, Equipment & Supplies

Item No.	Description	Category	Qty	Unit Price (LKR)	Total (LKR)
01	Consultant Ophthalmologist – Monthly Professional Fee (Comprehensive Eye Examinations, Diagnostics & Patient Management)	Professional Service	12 months	850,000	10,200,000
02	Ophthalmologist – Phacoemulsification Cataract Surgery (Per Procedure, including intraocular lens implantation)	Surgical Service	200 procedures	185,000	37,000,000
03	Ophthalmologist – LASIK / Refractive Surgery (Per Eye, including pre-operative assessment and post-operative follow-up)	Surgical Service	80 eyes	320,000	25,600,000
04	Phacoemulsification Handpiece & Ultrasonic Console (Olympus Infiniti or equivalent)	Medical Equipment	1 unit	4,500,000	4,500,000
05	Slit Lamp Biomicroscope with Fundus Camera (Topcon SL-D7 or equivalent)	Diagnostic Equipment	2 units	1,200,000	2,400,000
06	Optical Coherence Tomography (OCT) Scanner – Spectral Domain	Diagnostic Equipment	1 unit	6,800,000	6,800,000
07	Phacoemulsification Cartridges (Disposable, 20-gauge) – Annual Supply	Consumable	500 units	12,500	6,250,000
08	Acrylic Intraocular Lenses (IOL) – Standard & Premium (Multifocal/Toric)	Implant	300 units	45,000	13,500,000
09	Topical Ophthalmic Pharmaceuticals (Antibiotic, Anti-inflammatory, Mydriatic drops) – Annual Stock	Pharmaceutical	1 lot	1,850,000	1,850,000
10	Ophthalmologist – Annual Continuing Medical Education & Specialist Training Allowance	Professional Development	1 year	350,000	350,000
SUBTOTAL					108,450,000
VAT @ 18% (Sri Lanka)					19,521,000
GRAND TOTAL (LKR)					127,971,000

5. Terms and Conditions

1. Engagement of the Ophthalmologist: The Ophthalmologist named in this Purchase Order shall provide all ophthalmic services in accordance with the standards set by the Sri Lanka Medical Council and the College of Ophthalmologists of Sri Lanka. The Ophthalmologist shall maintain valid professional indemnity insurance with a minimum coverage of LKR 50,000,000 throughout the term of this Purchase Order.
2. Service Delivery Location: All services rendered under this Purchase Order shall be delivered at the Colombo Eye Care & Medical Services facility located at 142, Galle Road, Colombo 03, Sri Lanka Colombo, or at such other approved location within the Colombo district as mutually agreed in writing.
3. Payment Schedule: Payment for professional services shall be made on a monthly basis within thirty (30) days of invoice submission. Equipment and supply payments shall be made in two installments: fifty percent (50%) upon order confirmation and fifty percent (50%) upon delivery and acceptance at the Sri Lanka Colombo facility.
4. Quality Assurance: The Ophthalmologist shall adhere to all clinical protocols established by Colombo Eye Care & Medical Services. All surgical procedures shall be documented in the patient management system, and quarterly quality audits shall be conducted by the hospital's medical board.
5. Regulatory Compliance: All equipment and pharmaceuticals procured under this Purchase Order must comply with the regulations of the Sri Lanka Standards Institution (SLSI) and the Department of Medical Technology, Ministry of Health, Sri Lanka. Import permits for medical devices shall be obtained prior to shipment to Sri Lanka Colombo.
6. Warranty and Support: All capital equipment shall carry a minimum two-year manufacturer's warranty with on-site service support in Colombo, Sri Lanka. The Ophthalmologist shall provide clinical support for any equipment-related procedural issues during the warranty period.
7. Confidentiality: Both parties shall maintain strict confidentiality regarding patient data in compliance with the Personal Data Protection Act of Sri Lanka. The Ophthalmologist shall not disclose any patient information obtained during the course of this engagement.
8. Termination: Either party may terminate this Purchase Order with sixty (60) days' written notice. In the event of termination, all outstanding payments for services rendered and equipment delivered shall be settled within thirty (30) days.
9. Governing Law: This Purchase Order shall be governed by and construed in accordance with the laws of the Democratic Socialist Republic of Sri Lanka. Any disputes shall be resolved through arbitration in Colombo, Sri Lanka, in accordance with the Arbitration Act of Sri Lanka.
10. Force Majeure: Neither party shall be liable for failure to perform obligations under this Purchase Order due to natural disasters, government-imposed restrictions, or other events beyond reasonable control, as may affect operations in Sri Lanka Colombo or elsewhere in the country.

6. Acceptance and Authorization

By signing below, both parties acknowledge and agree to all terms, conditions, and line items specified in this Purchase Order. This document constitutes a binding agreement for the procurement of Ophthalmologist services and associated medical supplies for the Sri Lanka Colombo facility of Colombo Eye Care & Medical Services (Pvt) Ltd.

For and on behalf of the Purchaser
Colombo Eye Care & Medical Services (Pvt) Ltd.

Name: Mr. Rajitha Fernando
Title: Chief Procurement Officer
Date: _______________ For and on behalf of the Ophthalmologist / Supplier
Perera Vision Centre – Colombo Eye Clinic

Name: Dr. Nimal Perera, Consultant Ophthalmologist
Title: Principal Ophthalmologist
Date: _______________

This Purchase Order (PO/2025/OPH/00347) is issued by Colombo Eye Care & Medical Services (Pvt) Ltd., Sri Lanka Colombo. This document is valid for a period of thirty (30) days from the date of issue. All transactions are subject to the terms and conditions outlined herein. For queries regarding this Purchase Order, please contact the Procurement Department at [email protected] or +94 11 245 6789. This document is printed in Sri Lanka Colombo and is legally binding upon execution by both authorized parties.

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