Purchase Order Orthodontist in Uganda Kampala –Free Word Template Download with AI
Orthodontist Equipment & Clinical Services Procurement
Issued for: Uganda Kampala Dental & Orthodontic Practice
PO No: UG-KLA-ORT-2025-0047Purchasing Party (Buyer)
Name: Kampala Smile Orthodontic Centre Ltd.
Address: Plot 14, Kampala Road, P.O. Box 2381, Kampala, Uganda
Phone: +256 414 255 780
Email: [email protected]
UCC Reg. No: UCC/2019/04521
Tax ID (TIN): 100-458-221-K
Supplier (Seller)
Name: East African OrthoSupply & Medical Equipment Co.
Address: Industrial Area, Ntinda, P.O. Box 8842, Kampala, Uganda
Phone: +256 772 334 910
Email: [email protected]
UCC Reg. No: UCC/2015/01187
Tax ID (TIN): 100-221-894-K
Purchase Order Date: 15 June 2025 | Required Delivery Date: 30 July 2025 | Delivery Location: Kampala Smile Orthodontic Centre, Kampala Road, Uganda Kampala
| Item No. | Description | Qty | Unit | Unit Price (UGX) | Total (UGX) |
|---|---|---|---|---|---|
| 01 | Self-Ligating Orthodontic Bracket System (Metal, 0.022" slot) – for Orthodontist use in Uganda Kampala clinic | 200 | Set | 45,000 | 9,000,000 |
| 02 | NiTi Archwires, 0.014" to 0.022" (Full Range Pack) | 50 | Pack | 120,000 | 6,000,000 |
| 03 | Orthodontic Elastomeric Ligatures (Assorted Colours, 1000 pcs/bag) | 30 | Bag | 35,000 | 1,050,000 |
| 04 | Ceramic Orthodontic Brackets (Aesthetic, 0.022" slot) – for Orthodontist patient preference in Uganda Kampala | 100 | Set | 78,000 | 7,800,000 |
| 05 | Orthodontic Bonding Kit (Etchant, Primer, Adhesive, Light-Cure Unit) | 10 | Kit | 250,000 | 2,500,000 |
| 06 | Orthodontic Forceps & Pliers Set (12-piece professional set for Orthodontist) | 5 | Set | 185,000 | 925,000 |
| 07 | Intraoral Digital Scanner (3D Imaging for Orthodontist treatment planning) | 1 | Unit | 4,500,000 | 4,500,000 |
| 08 | Orthodontic Headgear & Facebow Components (Complete Set) | 20 | Set | 95,000 | 1,900,000 |
| 09 | Clear Aligner Trays (Thermoform Sheets, 1.5mm, 100 sheets) | 4 | Box | 320,000 | 1,280,000 |
| 10 | Orthodontic Wax & Patient Comfort Kit (For distribution to Orthodontist patients in Uganda Kampala) | 200 | Kit | 8,500 | 1,700,000 |
| Subtotal (UGX) | 36,655,000 |
| VAT @ 18% (Uganda Revenue Authority) | 6,597,900 |
| Delivery & Installation (within Uganda Kampala city limits) | 450,000 |
| GRAND TOTAL (UGX) | 43,702,900 |
Terms & Conditions of this Purchase Order
- Payment Terms: 50% advance payment upon confirmation of this Purchase Order; 50% balance payment within 14 days of successful delivery and inspection by the Orthodontist at the Uganda Kampala clinic.
- Payment Method: Bank transfer to the supplier's account at Stanbic Bank Uganda, Branch: Kampala Road. Reference: PO UG-KLA-ORT-2025-0047.
- Delivery: All items must be delivered to the specified address in Uganda Kampala no later than 30 July 2025. Late delivery beyond 7 days entitles the buyer to cancel this Purchase Order without penalty.
- Warranty: All orthodontic equipment and devices carry a minimum 24-month manufacturer's warranty. The Orthodontist reserves the right to reject any item found defective during the warranty period.
- Quality Assurance: All products must be CE-marked or FDA-approved. The supplier must provide certificates of authenticity and import permits as required by Uganda's National Drug Authority for medical devices.
- Installation & Training: The supplier shall provide on-site installation of the intraoral digital scanner and a 2-day training session for the Orthodontist and clinical staff at the Uganda Kampala facility.
- Dispute Resolution: Any disputes arising from this Purchase Order shall be resolved under the laws of the Republic of Uganda, with jurisdiction in the High Court of Uganda, Kampala.
- Validity: This Purchase Order is valid for 30 days from the date of issue. The supplier must confirm acceptance in writing within 5 business days.
- Compliance: The supplier warrants that all orthodontic materials comply with the Uganda Standards Bureau (USB) regulations for medical and dental products sold in Uganda Kampala and the wider country.
Prepared By (Buyer)
Dr. Aisha Nakato – Lead Orthodontist
Kampala Smile Orthodontic Centre Ltd.
Signature: ___________________________
Date: 15 June 2025
Approved By (Buyer)
Mr. James Okello – Managing Director
Kampala Smile Orthodontic Centre Ltd.
Signature: ___________________________
Date: 15 June 2025
Accepted By (Supplier)
Ms. Grace Mutesi – Sales Director
East African OrthoSupply & Medical Equipment Co.
Signature: ___________________________
Date: _______________
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