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Purchase Order Optometrist in India Bangalore –Free Word Template Download with AI

ClearVision Optometry & Eye Care Centre

42, 100 Feet Road, Indiranagar, Bengaluru (Bangalore), Karnataka 560038, India Bangalore

GSTIN: 29ABCDE1234F1Z5 | CIN: U74999KA2019PTC000000

Phone: +91-80-4123-5678 | Email: [email protected]

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

Date of Issue: 15 June 2025

Valid Until: 15 July 2025

Supplier Name: OptiTech Medical Supplies Pvt. Ltd.

Supplier Address: 18, Commercial Complex, Koramangala 5th Block, India Bangalore, Karnataka 560095

GSTIN: 29PQRST5678G1Z2

Contact: Mr. Rajesh Kumar, +91-98765-43210

PURCHASE ORDER DETAILS – OPTOMETRIST EQUIPMENT & CONSUMABLES

This Purchase Order is issued by ClearVision Optometry & Eye Care Centre, a registered Optometrist practice located in India Bangalore, for the procurement of optical diagnostic instruments, corrective lenses, frames, and associated consumables. This Purchase Order governs the terms, conditions, pricing, and delivery schedule for all items listed below. The Optometrist team at our India Bangalore facility requires these supplies to maintain the highest standard of eye care services for our patients in the metropolitan region.

ITEMS ORDERED
S.No. Item Description HSN/SAC Code Qty Unit Unit Price (INR) Total (INR)
1 Auto Refractometer (Digital, for Optometrist use) – Model AR-5000 9018.90 2 Unit 1,85,000.00 3,70,000.00
2 Phoropter (Binocular, with full lens set) – Model PH-2200 9018.90 2 Unit 2,40,000.00 4,80,000.00
3 Slit Lamp Biomicroscope with fundus camera attachment 9018.90 1 Unit 3,20,000.00 3,20,000.00
4 Non-Mydriatic Digital Fundus Camera – Model FC-300 9018.90 1 Unit 4,50,000.00 4,50,000.00
5 Single Vision Lenses (CR-39, 1.50 Index) – Assorted powers 9001.90 200 Pairs 850.00 1,70,000.00
6 Progressive Multifocal Lenses (1.67 Index, Blue Light Filter) 9001.90 100 Pairs 3,200.00 3,20,000.00
7 Optical Frames (Metal & Acetate, assorted designs for Optometrist dispensing) 9003.11 150 Units 1,200.00 1,80,000.00
8 UV400 Sunglass Lenses (Polarized, for Optometrist recommendation) 9004.10 100 Pairs 1,500.00 1,50,000.00
9 Eye Test Charts (Snellen, LogMAR, Ishihara) – Complete set 9018.90 5 Sets 4,500.00 22,500.00
10 Contact Lens Trial Kits (Soft & RGP) – For Optometrist fitting 9001.90 10 Kits 8,000.00 80,000.00
11 Optical Cleaning Solution & Microfiber Cloths (Annual supply) 3808.94 500 Bottles 120.00 60,000.00
12 Eye Drop Dispensers & Lubricant Eye Drops (Preservative-free) 3004.90 300 Bottles 250.00 75,000.00
Subtotal: 22,77,500.00
GST @ 18% (as applicable in India Bangalore): 4,09,950.00
Freight & Handling (within India Bangalore): 15,000.00
GRAND TOTAL (INR): 27,02,450.00
TERMS AND CONDITIONS
  1. Delivery: All items listed in this Purchase Order shall be delivered to the Optometrist practice premises at 42, 100 Feet Road, Indiranagar, India Bangalore, Karnataka 560038 within 21 calendar days from the date of this Purchase Order. The supplier shall bear all transportation costs within the India Bangalore metropolitan area.
  2. Payment Terms: Payment shall be made within 30 days of receipt of a valid tax invoice and successful inspection of goods. Payment shall be processed via NEFT/RTGS to the supplier's designated bank account in India Bangalore. A 5% advance shall be paid upon confirmation of this Purchase Order.
  3. Quality Assurance: All optical instruments and lenses supplied under this Purchase Order must meet the standards prescribed by the Indian Council of Optometrists and the Bureau of Indian Standards (BIS). The Optometrist team at our India Bangalore centre reserves the right to reject any item that does not conform to the specified quality parameters.
  4. Warranty: The supplier shall provide a minimum warranty of 2 years on all diagnostic instruments and 6 months on consumable optical items. Warranty claims shall be processed at the supplier's service centre in India Bangalore without additional charge to the Optometrist practice.
  5. Installation & Training: The supplier shall arrange for on-site installation of all major instruments (Auto Refractometer, Phoropter, Slit Lamp, Fundus Camera) at the Optometrist facility in India Bangalore. A minimum of 4-hour training session for the Optometrist staff and optical technicians shall be conducted by the supplier's certified engineers.
  6. Regulatory Compliance: All medical and optical devices supplied under this Purchase Order must carry valid CDSCO registration and comply with the Drugs and Cosmetics Act, 1940, and the Indian Medical Devices Rules, 2017. The supplier shall provide all relevant certificates along with the delivery.
  7. Penalty for Delay: In the event of delayed delivery beyond the stipulated 21-day period, the supplier shall pay a penalty of 0.5% of the total Purchase Order value per day of delay, up to a maximum of 5% of the total value.
  8. Dispute Resolution: Any disputes arising from this Purchase Order shall be resolved through arbitration in accordance with the Arbitration and Conciliation Act, 1996. The arbitration shall take place in India Bangalore, Karnataka, and the language of arbitration shall be English.
  9. Force Majeure: Neither party shall be liable for failure to perform obligations under this Purchase Order due to events beyond reasonable control, including but not limited to natural disasters, government restrictions, or public health emergencies affecting the India Bangalore region.
  10. Governing Law: This Purchase Order shall be governed by and construed in accordance with the laws of India, with specific reference to commercial practices applicable in the state of Karnataka, India Bangalore.
NOTES & SPECIAL INSTRUCTIONS

1. The Optometrist in charge, Dr. Ananya Sharma (Reg. No. KOC/2018/04521), shall personally inspect all delivered items before signing the delivery challan. No payment shall be processed until the Optometrist's sign-off is obtained.

2. All packaging must be suitable for transport within the India Bangalore urban area. Fragile optical instruments must be double-boxed with adequate cushioning material.

3. The supplier is requested to include a detailed user manual in English for each instrument, along with a quick-reference guide for the Optometrist team.

4. This Purchase Order is valid for a single delivery. Any additional requirements shall be communicated through a separate Purchase Order amendment.

5. The supplier shall maintain a dedicated account manager for this Optometrist practice in India Bangalore for ongoing support and future procurement needs.

For and on behalf of:

ClearVision Optometry & Eye Care Centre

(Optometrist Practice, India Bangalore)

Dr. Ananya Sharma

Lead Optometrist & Authorised Signatory

Date: _______________

For and on behalf of:

OptiTech Medical Supplies Pvt. Ltd.

(Supplier, India Bangalore)

Mr. Rajesh Kumar

Authorised Representative

Date: _______________

PURCHASE ORDER | PO/CVOC/2025/00472 | Optometrist Practice | India Bangalore

This is a system-generated Purchase Order document. For queries, contact [email protected] or +91-80-4123-5678.

ClearVision Optometry & Eye Care Centre, Indiranagar, Bengaluru (Bangalore), Karnataka 560038, India Bangalore

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