Purchase Order Psychiatrist in India Mumbai –Free Word Template Download with AI
Professional Medical Services Procurement Document
Reference: PO/PSY/MUM/2025/00472
Issuing Organization
Corporate Wellness & Healthcare Division
Meridian Group of Companies Pvt. Ltd.
Level 12, Trade Tower, BKC, Bandra Kurla Complex
Mumbai, Maharashtra – 400051, India
GSTIN: 27AABCM1234F1Z5
Email: [email protected]
Service Provider (Vendor)
Dr. Ananya Deshmukh, MD (Psychiatry)
Registered Psychiatrist – Medical Council of India (MCI)
Registration No.: MH-PSY-2019-08842
Suite 407, Wellness Medical Centre, Andheri West
Mumbai, Maharashtra – 400053, India
Email: [email protected]
Purchase Order No.: PO/PSY/MUM/2025/00472 Date of Issue: 15 June 2025 Valid Until: 15 September 2025 Service Location: Mumbai, India Payment Terms: Net 30 Days Currency: Indian Rupee (INR)This Purchase Order is issued by Meridian Group of Companies Pvt. Ltd., Mumbai, to engage the services of a qualified Psychiatrist for the provision of mental health consultation, diagnostic evaluation, and ongoing therapeutic support to employees of the organization. All services under this Purchase Order shall be rendered within the jurisdiction of India Mumbai, specifically at the vendor's registered clinic or at the organization's premises in Bandra Kurla Complex, Mumbai, as mutually agreed upon for each engagement.
| S.No. | Service Description | Frequency | Qty | Unit Rate (INR) | Amount (INR) |
|---|---|---|---|---|---|
| 1 | Initial psychiatric assessment and comprehensive diagnostic evaluation for up to 50 employees (including clinical interview, psychometric testing, and medical history review) | One-time | 50 | ₹ 2,500.00 | ₹ 1,25,000.00 |
| 2 | Follow-up psychiatric consultation sessions (45 minutes each) for ongoing patient management and treatment plan review | Monthly | 120 | ₹ 1,800.00 | ₹ 2,16,000.00 |
| 3 | Group psychoeducation workshops on stress management, burnout prevention, and workplace mental health awareness (2-hour sessions) | Quarterly | 4 | ₹ 15,000.00 | ₹ 60,000.00 |
| 4 | Emergency psychiatric consultation and crisis intervention (on-call availability, 7 days a week, 9 AM – 9 PM IST) | As needed | 12 | ₹ 3,500.00 | ₹ 42,000.00 |
| 5 | Preparation and submission of confidential medical reports and fitness certificates to the HR department (aggregated, anonymized data only) | Monthly | 12 | ₹ 2,000.00 | ₹ 24,000.00 |
| 6 | Coordination with external hospitals in Mumbai, India for inpatient psychiatric referrals and treatment supervision | As needed | 6 | ₹ 5,000.00 | ₹ 30,000.00 |
| Subtotal: | ₹ 4,97,000.00 | ||||
| GST @ 18% (as applicable under Indian tax law for medical services): | ₹ 89,460.00 | ||||
| Grand Total (INR): | ₹ 5,86,460.00 | ||||
- This Purchase Order is valid for a period of three (3) months from the date of issue, covering the engagement of the Psychiatrist for the specified services in Mumbai, India. Any extension beyond this period shall require a written amendment to this Purchase Order signed by both parties.
- The Psychiatrist engaged under this Purchase Order must hold a valid registration with the Medical Council of India (MCI) / National Medical Commission (NMC) and a current license to practice psychiatry in the state of Maharashtra, India Mumbai. Proof of registration shall be submitted prior to the commencement of services.
- All patient records, consultation notes, and diagnostic data generated under this Purchase Order shall be treated as strictly confidential in accordance with the Indian IT Act, 2000, and applicable data protection regulations. The Psychiatrist shall not disclose any individual patient information to the organization or any third party without the patient's explicit written consent.
- Payment shall be made within thirty (30) days of receipt of a valid tax invoice from the Psychiatrist's practice. Payment shall be processed via NEFT/RTGS to the bank account designated by the vendor. The Purchase Order number must be referenced on all invoices.
- The Psychiatrist shall maintain professional indemnity insurance with a minimum coverage of INR 50,00,000 (Fifty Lakh Rupees) for the duration of this Purchase Order. A copy of the insurance certificate shall be provided to the organization's procurement department.
- All services shall be performed in compliance with the Mental Healthcare Act, 2017 (India) and all applicable regulations of the Maharashtra State Health Department. The Psychiatrist shall adhere to the ethical guidelines prescribed by the Indian Psychiatric Society.
- In the event of the Psychiatrist's unavailability due to illness, leave, or any other reason, a qualified substitute Psychiatrist of equivalent qualifications and MCI registration shall be arranged with prior written approval from the organization's HR Director.
- This Purchase Order does not constitute an employment relationship. The Psychiatrist shall be treated as an independent professional service provider. The organization shall not be liable for any professional decisions made by the Psychiatrist in the course of treatment, provided such decisions are made in good faith and in accordance with accepted medical standards.
- Disputes arising from this Purchase Order shall be resolved through arbitration in Mumbai, India, in accordance with the Arbitration and Conciliation Act, 1996. The jurisdiction of the courts in Mumbai, Maharashtra, India shall be exclusive.
- The organization reserves the right to terminate this Purchase Order with a written notice of thirty (30) days in the event of non-performance, breach of confidentiality, or any material violation of the terms stated herein.
This Purchase Order is issued and authorized by the undersigned on behalf of Meridian Group of Companies Pvt. Ltd., Mumbai, India. Acceptance of this Purchase Order by the Psychiatrist shall constitute a binding agreement for the services described herein.
For Meridian Group of Companies Pvt. Ltd.Name: Rajesh Kumar Mehta
Designation: Head of Procurement & Vendor Management
Date: 15 June 2025
Place: Mumbai, India For the Service Provider (Psychiatrist)
Name: Dr. Ananya Deshmukh, MD (Psychiatry)
Designation: Consultant Psychiatrist
Date: _______________
Place: Mumbai, India ⬇️ Download as DOCX Edit online as DOCX
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