Purchase Order Orthodontist in Malaysia Kuala Lumpur –Free Word Template Download with AI
Dr. Aiman Farid Orthodontic Specialist Centre
Level 12, Menara KL Sentral, Jalan Stesen Sentral 5, 50470 Malaysia Kuala Lumpur
Tel: +603-2181-4567 | Email: [email protected] | SSM Reg: 201901045678
Supplier Information| Supplier Name: | DentalPro Asia Sdn. Bhd. |
| Address: | Unit 8-3, Level 8, Bangsar Trade Centre, 285 Jalan Maarof, 58955 Malaysia Kuala Lumpur |
| Contact Person: | Mr. Rajesh Kumar, Sales Manager |
| Phone / Email: | +603-2287-9900 / [email protected] |
| Supplier SSM Reg: | 200501987654 |
| No. | Item Description | SKU / Ref | Qty | Unit Price (MYR) | Amount (MYR) | Remarks |
|---|---|---|---|---|---|---|
| 1 | Self-Ligating Orthodontic Brackets – Roth 0.22" Slot (Upper & Lower Set) | SLB-R22-UL | 50 | 1,850.00 | 92,500.00 | For Orthodontist fixed appliance treatment |
| 2 | NiTi Archwires – 0.014" to 0.022" (Full Range, 18" Length) | NIT-ARW-FR | 200 | 45.00 | 9,000.00 | Heat-activated, for progressive alignment |
| 3 | Clear Aligner Trays – 3D Printed (Per Patient Set, 20 Trays) | CA-3DP-20 | 30 | 2,400.00 | 72,000.00 | Customised for Malaysia Kuala Lumpur patient records |
| 4 | Orthodontic Bonding Kit – Adhesive, Primer, Light Cure Unit | OBK-LCU-01 | 15 | 1,200.00 | 18,000.00 | Complete bonding system for bracket placement |
| 5 | Interproximal Reduction (IPR) Strips – 100 Micron (Box of 100) | IPR-100-BOX | 40 | 180.00 | 7,200.00 | For space creation in crowded arches |
| 6 | Orthodontic Elastics – Assorted Sizes (Box of 500) | OE-ASSORT-500 | 60 | 95.00 | 5,700.00 | Class II & Class III correction elastics |
| 7 | Digital Intraoral Scanner – 3Shape TRIOS 5 | 3S-TRIOS5-01 | 1 | 85,000.00 | 85,000.00 | For digital workflow in Orthodontist practice |
| 8 | CBCT Imaging Software Licence – Ortho Module (Annual) | CBCT-ORTHO-AN | 1 | 12,500.00 | 12,500.00 | Surgical planning for impacted teeth |
| 9 | Orthodontic Wax & Patient Care Kits (Retail Pack) | OW-PC-RET | 200 | 12.00 | 2,400.00 | For patient comfort during treatment |
| 10 | Retainer – Hawley Type (Per Set, Upper & Lower) | RET-HAW-UL | 100 | 85.00 | 8,500.00 | Post-treatment retention for Orthodontist patients |
| Subtotal (MYR): | 312,800.00 | |||||
| SST (6%): | 18,768.00 | |||||
| Freight & Delivery (within Malaysia Kuala Lumpur): | 1,500.00 | |||||
| TOTAL AMOUNT DUE (MYR): | 333,068.00 | |||||
This Purchase Order requires all items to be delivered to the Orthodontist clinic premises at Level 12, Menara KL Sentral, Malaysia Kuala Lumpur, no later than 28 June 2025. The supplier shall coordinate delivery with the clinic's operations manager, Ms. Nurul Huda, at least 48 hours prior to the scheduled delivery date. All orthodontic materials must be stored in temperature-controlled packaging to ensure the integrity of bonding agents and NiTi archwires. The digital intraoral scanner (Item 7) shall be delivered with a dedicated technician for installation, calibration, and staff training at the Malaysia Kuala Lumpur clinic location.
Payment Terms & Conditions- Payment shall be made via bank transfer to the supplier's designated account within thirty (30) calendar days from the date of invoice issuance, subject to satisfactory receipt and inspection of all goods listed in this Purchase Order.
- Bank: Maybank Berhad | Account Name: DentalPro Asia Sdn. Bhd. | Account No: 5123-4567-8901 | SWIFT: BMMBMYKL
- A late payment penalty of 2% per month shall apply to any outstanding balance beyond the agreed payment term.
- All prices are quoted in Malaysian Ringgit (MYR) and are inclusive of applicable Sales and Service Tax (SST) as per the Malaysia tax regulations.
- The Orthodontist practice reserves the right to reject any items that do not meet the specified quality standards, are damaged in transit, or do not conform to the descriptions in this Purchase Order.
- Warranty: All orthodontic equipment and devices carry a minimum 12-month manufacturer's warranty. The digital intraoral scanner carries a 24-month warranty with on-site service in Malaysia Kuala Lumpur.
- This Purchase Order is governed by the laws of the Malaysia and any disputes shall be resolved through the courts of Malaysia Kuala Lumpur.
- Partial deliveries are not permitted unless expressly agreed in writing by both parties.
Dr. Aiman Farid, MDS (Ortho)
Orthodontist & Practice Owner
Date: 14 June 2025 Accepted By (Supplier):
Mr. Rajesh Kumar
Sales Manager, DentalPro Asia Sdn. Bhd.
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