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Purchase Order Optometrist in Nepal Kathmandu –Free Word Template Download with AI

ClearVision Optometry & Eye Care Centre

Optometrist Practice | New Baneshwor, Kathmandu, Nepal

Phone: +977-1-476XXXX | Email: [email protected]

VAT Registration No.: 801234567 | PAN: 701234567

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

Date of Issue: 15 June 2025

Required Delivery Date: 30 June 2025

Supplier: Himalayan Optical Supplies Pvt. Ltd.

Address: Putalisadak, Kathmandu, Nepal

Contact: +977-1-425XXXX

Buyer Information – Optometrist Practice
Practice Name: ClearVision Optometry & Eye Care Centre Optometrist: Dr. Anisha Shrestha, O.D.
Location: 2nd Floor, Baneshwor Plaza, New Baneshwor, Kathmandu, Nepal Registration No.: NEA/2024/0089
Scope of Practice: Comprehensive eye examinations, prescription of corrective lenses, contact lens fitting, and low-vision rehabilitation for patients across Nepal Kathmandu metropolitan area. Bank Details: Nabil Bank, A/C: 001-XXXXX-XXXX
Purchase Order Line Items
Item No. Description Qty Unit Unit Price (NPR) Total (NPR)
01 Autorefraction Keratometer (Digital, Auto-Refraction with Keratometry) – Required for the Optometrist to perform precise refraction measurements on patients in Nepal Kathmandu. 1 Unit 485,000 485,000
02 Phoropter Trial Frame (Standard, with full lens set) – Essential diagnostic instrument for the Optometrist during subjective refraction sessions. 2 Unit 125,000 250,000
03 Slit Lamp Biomicroscope (LED Illumination, 6x–40x magnification) – For detailed anterior segment examination by the Optometrist. 1 Unit 320,000 320,000
04 Non-Mydriatic Fundus Camera (Digital, 45-degree field) – Enables the Optometrist to capture retinal images for diabetic screening in Nepal Kathmandu clinics. 1 Unit 580,000 580,000
05 Penetrometer (Icare Rebound Type) – For intraocular pressure measurement as part of routine Optometrist assessments. 1 Unit 195,000 195,000
06 Visual Acuity Chart (Snellen, LogMAR, and Near Vision) – Wall-mounted, for the Optometrist to conduct standard vision testing. 3 Set 18,500 55,500
07 Optical Lenses (Single Vision, 1.67 Index, Anti-Reflective Coating) – Bulk stock for the Optometrist to dispense prescriptions to patients in Nepal Kathmandu. 200 Pairs 4,200 840,000
08 Progressive Multifocal Lenses (1.60 Index, Digital Surfacing) – For the Optometrist to prescribe and dispense to presbyopic patients. 80 Pairs 7,800 624,000
09 Optical Frames (Titanium & TR90, Assorted Styles) – Retail stock for the Optometrist's dispensing counter in Nepal Kathmandu. 150 Units 3,500 525,000
10 Contact Lens Fitting Kit (Trial Lenses, Drying Agent, Slit Lamp Accessories) – For the Optometrist to perform contact lens fittings and follow-ups. 2 Kit 85,000 170,000
11 Eye Wash Station & Disinfectant Solution (Monthly Supply) – Hygiene supplies for the Optometrist's examination room in Nepal Kathmandu. 12 Months 8,500 102,000
12 Patient Record Management Software (Annual License, 500-patient capacity) – For the Optometrist to maintain digital records of all eye examinations conducted in Nepal Kathmandu. 1 License 95,000 95,000
Subtotal (NPR): 4,246,500
VAT @ 13% (NPR): 552,045
Delivery & Installation Charge (NPR): 45,000
GRAND TOTAL (NPR): 4,843,545
Terms and Conditions of this Purchase Order
  1. This Purchase Order is issued by ClearVision Optometry & Eye Care Centre, a registered Optometrist practice operating in Nepal Kathmandu, and is binding upon acceptance by the supplier.
  2. All equipment and materials listed in this Purchase Order must be new, unused, and in original manufacturer packaging. The Optometrist reserves the right to reject any item that does not meet the specified standards.
  3. Delivery of all items shall be made to the Optometrist's clinic at New Baneshwor, Kathmandu, Nepal, no later than 30 June 2025. The supplier is responsible for all transportation, handling, and installation of diagnostic equipment within Nepal Kathmandu city limits.
  4. Payment terms: 40% advance payment upon confirmation of this Purchase Order, and 60% balance payment within 15 days of successful delivery, installation, and acceptance by the Optometrist.
  5. All diagnostic instruments (Items 01–06 and 10) shall carry a minimum of 24-month manufacturer warranty. The Optometrist shall be entitled to on-site repair or replacement within 72 hours of reporting a defect in Nepal Kathmandu.
  6. The supplier shall provide comprehensive training for the Optometrist and two (2) assistant staff members on the operation and maintenance of all delivered equipment. Training sessions shall be conducted at the clinic in Nepal Kathmandu at no additional cost.
  7. Optical lenses and frames (Items 07–09) must comply with the Nepal Standards and Metrology Department (NSMD) regulations for optical products sold in Nepal Kathmandu. Certificates of conformity must accompany each batch.
  8. Any delay in delivery beyond the stipulated date shall incur a penalty of 0.5% of the total Purchase Order value per day of delay, up to a maximum of 10%.
  9. This Purchase Order is governed by the laws of the Kingdom of Nepal. Any disputes arising from this transaction shall be resolved through the competent courts in Kathmandu, Nepal.
  10. The Optometrist practice in Nepal Kathmandu reserves the right to modify, cancel, or amend this Purchase Order in writing prior to the supplier's dispatch of goods. No verbal modifications shall be valid.
  11. All invoices must reference this Purchase Order number (PO/2025/KTM/00472) and include the supplier's VAT registration number for processing by the Optometrist's accounting department.
Acceptance and Authorization

For and on behalf of the Optometrist (Buyer):

Dr. Anisha Shrestha, O.D.

Lead Optometrist, ClearVision Eye Care

Date: _______________

For and on behalf of the Supplier:

Mr. Rajesh Koirala

Managing Director, Himalayan Optical Supplies Pvt. Ltd.

Date: _______________

This Purchase Order document is issued by a registered Optometrist practice in Nepal Kathmandu. All transactions are subject to the Nepal Inland Revenue Department regulations and the Nepal Standards and Metrology Department guidelines. Document Reference: PO/2025/KTM/00472 | Page 1 of 1

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