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

ClearVision Optometry Centre | Optometrist Practice | India New Delhi

PO No: CV-2025-0472

Buyer (Optometrist Practice)

ClearVision Optometry Centre

Dr. Ananya Sharma, Lead Optometrist

14, Connaught Place, Block E

New Delhi, India – 110001

GSTIN: 07AABCT1234F1Z5

Email: [email protected]

Phone: +91-11-4567-8901

Supplier

MediOptic Supplies Pvt. Ltd.

Attn: Mr. Rajesh Verma, Sales Manager

Plot 22, Okhla Industrial Area, Phase II

New Delhi, India – 110020

GSTIN: 07AAACM5678K1Z2

Email: [email protected]

Phone: +91-11-2689-4532

Purchase Order Date: 15 June 2025

Required Delivery Date: 30 June 2025

Delivery Location: ClearVision Optometry Centre, Connaught Place, New Delhi, India

Payment Terms: Net 30 Days from Invoice Date

Currency: Indian Rupee (INR / ₹)

Valid Until: 30 June 2025

S.No Item Description HSN/SAC Code Qty Unit Unit Price (₹) Amount (₹)
1 Auto Refractor / Keratometer (Nidek ARK-530A) – for Optometrist diagnostic use 9018 1 Unit 4,85,000.00 4,85,000.00
2 Phoropter (Humphrey 290) – standard Optometrist examination equipment 9018 2 Unit 1,25,000.00 2,50,000.00
3 Slit Lamp Biomicroscope (Topcon SL-16) – for Optometrist anterior segment examination 9018 1 Unit 3,20,000.00 3,20,000.00
4 Non-Mydriatic Fundus Camera (Canon CF-200F) – Optometrist retinal imaging 9018 1 Unit 5,50,000.00 5,50,000.00
5 Optical Trial Lenses Set (Complete, 0.25D to 20.00D) – for Optometrist refraction 9001 1 Set 1,85,000.00 1,85,000.00
6 Visual Acuity Charts (Snellen & LogMAR) – wall-mounted, for Optometrist use 9018 4 Set 8,500.00 34,000.00
7 Penlight Ophthalmoscope (Heine Omega 110) – Optometrist pupillary examination 9018 3 Unit 12,500.00 37,500.00
8 Optical Lenses – CR-39, 1.50, 1.60, 1.67 (Assorted Powers) – for Optometrist dispensing 9001 200 Pairs 1,200.00 2,40,000.00
9 Blue Light Blocking Lenses (1.60 Index) – Optometrist recommended for digital eye strain 9001 100 Pairs 2,800.00 2,80,000.00
10 Contact Lens Solution (Multi-Purpose, 360ml) – for Optometrist patient care 3824 50 Bottles 650.00 32,500.00
11 UV400 Sunglass Frames (Assorted Styles) – for Optometrist dispensing in India New Delhi market 9003 150 Units 1,500.00 2,25,000.00
12 Eye Wash Solution (Sterile, 250ml) – Optometrist emergency and post-procedure care 3006 100 Bottles 180.00 18,000.00

Subtotal:₹ 19,57,000.00

GST @ 18%:₹ 3,52,260.00

Freight & Handling (within New Delhi, India):₹ 12,000.00

Grand Total (INR):₹ 23,21,260.00

In Words: Rupees Twenty-Three Lakh Twenty-One Thousand Two Hundred and Sixty Only

Terms and Conditions of this Purchase Order

  1. This Purchase Order is issued by ClearVision Optometry Centre, a registered Optometrist practice operating in India New Delhi, and is governed by the laws of the Republic of India, specifically the Indian Contract Act, 1872, and the Central Goods and Services Tax (CGST) Act, 2017.
  2. All items listed in this Purchase Order are intended for professional use by the Optometrist and associated clinical staff at the ClearVision Optometry Centre located in New Delhi, India. The supplier warrants that all diagnostic and optical equipment shall be new, unused, and in full working condition upon delivery.
  3. Delivery shall be made to the Optometrist's clinic premises at 14, Connaught Place, Block E, New Delhi, India – 110001. The supplier is responsible for all packaging, insurance, and freight charges within the India New Delhi metropolitan area. Any damage during transit shall be the sole responsibility of the supplier.
  4. Payment shall be made within thirty (30) days of the date of the tax invoice, via NEFT/RTGS to the supplier's designated bank account. Late payments shall attract interest at the rate of 1.5% per month as per the terms of this Purchase Order.
  5. The supplier shall provide a minimum warranty of two (2) years on all electronic diagnostic equipment (Auto Refractor, Phoropter, Slit Lamp, Fundus Camera) and one (1) year on all optical lenses, frames, and consumables. Warranty claims shall be serviced at the Optometrist's clinic in New Delhi, India, within forty-eight (48) hours of notification.
  6. All equipment must comply with the Bureau of Indian Standards (BIS) and the Drugs and Cosmetics Act, 1940, as applicable to medical and optical devices sold in India New Delhi. The supplier shall provide all necessary certificates, import permits (if applicable), and regulatory approvals along with the delivery.
  7. This Purchase Order is valid for acceptance until 30 June 2025. The supplier must confirm acceptance in writing (email or signed copy) within five (5) business days of the issue date. Failure to confirm within this period shall render this Purchase Order null and void.
  8. Any modifications, cancellations, or amendments to this Purchase Order must be made in writing and signed by both the Optometrist (buyer) and the authorized representative of the supplier. Verbal agreements shall not be binding.
  9. In the event of a dispute arising from this Purchase Order, both parties agree to first attempt resolution through mutual negotiation. If unresolved, the matter shall be subject to the exclusive jurisdiction of the courts in New Delhi, India.
  10. The supplier acknowledges that the Optometrist practice in India New Delhi operates under the Medical Council of India (MCI) regulations and the Delhi Optometrists Association guidelines. All supplied products must meet the quality standards expected for professional optometric care in the region.

For and on behalf of the Buyer (Optometrist):

Dr. Ananya Sharma

Lead Optometrist, ClearVision Optometry Centre

New Delhi, India

Date: _______________

For and on behalf of the Supplier:

Mr. Rajesh Verma

Sales Manager, MediOptic Supplies Pvt. Ltd.

New Delhi, India

Date: _______________

This Purchase Order (No. CV-2025-0472) is a confidential commercial document issued by ClearVision Optometry Centre, an Optometrist practice in India New Delhi. Unauthorized reproduction or distribution is prohibited. All transactions are subject to the applicable GST regulations of the Government of India.

Document generated on: 15 June 2025 | Page 1 of 1

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