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Purchase Order Radiologist in India Mumbai –Free Word Template Download with AI

Radiologist Professional Services — India Mumbai Purchase Order No.: PO/RAD/MUM/2025/00472 Date of Issue: 15 June 2025 Valid Until: 15 September 2025 Buyer / Ordering Entity
Organization: Mumbai Diagnostic & Imaging Centre Pvt. Ltd. GSTIN: 27AABCM4821F1Z5
Address: 4th Floor, Corporate Tower B, Bandra-Kurla Complex, Bandra East, Mumbai, Maharashtra 400051, India Contact: [email protected]
Authorized Signatory: Dr. Ananya Deshmukh, Chief Operating Officer Phone: +91-22-4890-5567
Supplier / Service Provider (Radiologist)
Radiologist Name: Dr. Vikram R. Kulkarni, MD (Radiology), DNB (Interventional Radiology) Registration No.: MCR-2003-11847
Practice Address: 212, Pancham Building, Linking Road, Bandra West, Mumbai, Maharashtra 400050, India GSTIN: 27ABCPK9234L1Z8
Specialization: Diagnostic Radiology, MRI Interpretation, CT Imaging, Ultrasound, Interventional Radiology Bank Details: HDFC Bank, BKC Branch, A/C: 50200048219376, IFSC: HDFC0000482
Scope of Purchase Order — Radiologist Services

This Purchase Order is issued by Mumbai Diagnostic & Imaging Centre Pvt. Ltd. to engage the services of the above-named Radiologist for the provision of professional radiological interpretation, reporting, and consultation services at the facility located in India Mumbai. The Radiologist shall render services in accordance with the Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002, and all applicable guidelines issued by the Radiological Society of North America (RSNA) and the Indian Association of Radiologists and Imaging Specialists (IARIS).

Line Items — Services and Charges
Sr. No. Description of Service Quantity / Frequency Unit Rate (INR) Amount (INR)
1 Interpretation and reporting of MRI scans (Brain, Spine, Abdomen, Pelvis, Joints) — per scan 120 scans / month ₹1,850 ₹2,22,000
2 Interpretation and reporting of CT scans (Chest, Abdomen, Pelvis, Angiography) — per scan 90 scans / month ₹1,450 ₹1,30,500
3 Ultrasound examination and reporting (Abdominal, Obstetric, Doppler) — per examination 150 exams / month ₹950 ₹1,42,500
4 Interventional Radiology procedures (Biopsy, Drainage, Angioplasty) — per procedure 12 procedures / month ₹18,500 ₹2,22,000
5 On-call availability and emergency radiological consultation (24/7 coverage) — monthly retainer 1 month ₹75,000 ₹75,000
6 Second opinion / peer review of complex radiological cases — per case 20 cases / month ₹2,500 ₹50,000
7 Participation in multidisciplinary tumor board meetings (MDT) — per session 4 sessions / month ₹8,000 ₹32,000
Subtotal (Monthly) ₹8,74,000
GST @ 18% (as applicable under Indian tax law for professional medical services) ₹1,57,320
Grand Total (Monthly) — INR ₹10,31,320
Payment Terms
  • Payment shall be made within 30 (thirty) days from the date of receipt of a valid tax invoice from the Radiologist.
  • All payments shall be processed via NEFT/RTGS to the bank account specified in the Supplier section of this Purchase Order.
  • The Radiologist shall issue a GST-compliant tax invoice in the name of Mumbai Diagnostic & Imaging Centre Pvt. Ltd., bearing the correct GSTIN, for every billing cycle.
  • Any disputed charges must be communicated in writing within 7 (seven) days of invoice receipt. Undisputed amounts shall be paid on schedule regardless of any pending disputes.
  • Applicable TDS (Tax Deducted at Source) under Section 194J of the Income Tax Act, 1961, of India shall be deducted at the prevailing rate and deposited with the concerned Income Tax Department, Mumbai.
Service Location & Operational Terms
  • All services under this Purchase Order shall be rendered at the facility premises located in India Mumbai, specifically at the Bandra-Kurla Complex address stated above, unless otherwise agreed in writing for off-site or home-visit radiology services.
  • The Radiologist shall be available on-site for a minimum of 48 hours per week (Monday to Saturday, 9:00 AM to 6:00 PM) and shall maintain 24/7 on-call availability for emergency interventional procedures.
  • The Radiologist shall comply with all radiation safety protocols as mandated by the Atomic Energy Regulatory Board (AERB), Government of India, and the Maharashtra Pollution Control Board.
  • Confidentiality of all patient data shall be maintained in strict accordance with the Digital Personal Data Protection Act, 2023, of India, and the facility's internal data governance policies.
  • The Radiologist shall maintain valid professional indemnity insurance with a minimum coverage of INR 50,00,000 (Fifty Lakh Rupees) per claim throughout the duration of this Purchase Order.
Contract Duration & Termination
  • This Purchase Order shall be valid for a period of 12 (twelve) months from the date of acceptance, i.e., from 1 July 2025 to 30 June 2026.
  • Either party may terminate this Purchase Order with 60 (sixty) days' prior written notice. In the event of termination, all services rendered up to the effective date of termination shall be invoiced and paid in full.
  • Immediate termination shall be at the discretion of the Buyer in cases of gross professional negligence, violation of medical ethics, or breach of patient confidentiality by the Radiologist.
Note: This Purchase Order is governed by the laws of India, and any disputes arising herein shall be subject to the exclusive jurisdiction of the competent courts in Mumbai, Maharashtra, India. The Radiologist acknowledges that acceptance of this Purchase Order constitutes binding agreement to all terms, conditions, and service-level expectations outlined herein. Acceptance & Authorization For and on behalf of the Buyer
Dr. Ananya Deshmukh
Chief Operating Officer
Mumbai Diagnostic & Imaging Centre Pvt. Ltd.
Date: _______________
For and on behalf of the Radiologist
Dr. Vikram R. Kulkarni
MD (Radiology), DNB (Interventional Radiology)
Date: _______________
Witness / Authorized Accountant
Name: _______________
Designation: _______________
Date: _______________

This Purchase Order document is generated by Mumbai Diagnostic & Imaging Centre Pvt. Ltd., India Mumbai. Document Reference: PO/RAD/MUM/2025/00472. This document is confidential and intended solely for the named parties. Unauthorized reproduction or distribution is prohibited under applicable Indian law.

© 2025 Mumbai Diagnostic & Imaging Centre Pvt. Ltd. All Rights Reserved.

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