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Purchase Order Surgeon in Egypt Cairo –Free Word Template Download with AI

Al-Nile Medical Center & Surgical Institute

12 Tahrir Square, Downtown District, Egypt Cairo, 11511

Tel: +20-2-2578-4433 | Email: [email protected]

Purchase Order No.: PO-EGC-2025-04782

Buyer (Purchasing Entity)

Al-Nile Medical Center & Surgical Institute

12 Tahrir Square, Downtown District

Egypt Cairo, 11511, Arab Republic of Egypt

Tax Registration No.: 542-881-337

Contact: Dr. Mahmoud El-Sayed, Chief Procurement Officer

Seller (Service Provider)

Dr. Hanaa Farouk, Consultant Surgeon

Cairo Surgical Associates, 45 El-Mohandessin Road

Egypt Cairo, 12211, Arab Republic of Egypt

Medical License No.: EG-SRG-2019-00447

Contact: Dr. Hanaa Farouk, Board-Certified General & Vascular Surgeon

Date of Issue: 15 June 2025

Required Service Date: 01 July 2025 – 31 December 2025

Payment Terms: Net 30 days from invoice

Currency: Egyptian Pound (EGP)

This Purchase Order is issued by Al-Nile Medical Center & Surgical Institute, located in Egypt Cairo, to formally engage the services of a qualified Surgeon for the provision of surgical procedures, pre-operative consultations, post-operative care, and related medical services within the facility. The Surgeon engaged under this Purchase Order shall comply with all regulations set forth by the Egyptian Ministry of Health and Population and the Egyptian Medical Syndicate. All surgical services rendered under this Purchase Order shall take place at the Al-Nile Medical Center premises in Egypt Cairo, and the Surgeon shall maintain full professional liability insurance throughout the contract period.

Item No. Description of Service Quantity / Frequency Unit Rate (EGP) Total (EGP)
1 General Surgical Procedures (Appendectomy, Cholecystectomy, Hernia Repair) – performed by the contracted Surgeon Up to 120 procedures 18,500 2,220,000
2 Vascular Surgery Consultations and Minor Interventions – provided by the Surgeon Up to 80 sessions 7,200 576,000
3 Pre-Operative Patient Assessment and Anesthesia Coordination by the Surgeon Up to 200 assessments 2,800 560,000
4 Post-Operative Follow-Up Visits and Wound Management by the Surgeon Up to 350 visits 1,500 525,000
5 Emergency Surgical Call-Out Service (24/7 availability) – Surgeon on-call rotation 12 months (continuous) 45,000 540,000
6 Surgical Training and Mentorship Sessions for Junior Surgeons at the facility 24 sessions 9,500 228,000
7 Medical Record Documentation, Operative Notes, and Discharge Summaries prepared by the Surgeon Per procedure (included) 0 0
TOTAL AMOUNT DUE (EGP): 4,649,000

Terms and Conditions of this Purchase Order

  1. This Purchase Order constitutes a binding agreement between Al-Nile Medical Center & Surgical Institute (hereinafter "the Facility") and the named Surgeon (hereinafter "the Provider") for the provision of surgical and related medical services in Egypt Cairo.
  2. The Surgeon shall maintain a valid Egyptian medical license, board certification in General and Vascular Surgery, and professional liability insurance with a minimum coverage of EGP 10,000,000 for the entire duration of this Purchase Order.
  3. All surgical procedures performed under this Purchase Order shall adhere to the clinical protocols, infection control standards, and patient safety guidelines established by the Facility and the Egyptian Ministry of Health.
  4. The Surgeon shall be available for emergency call-outs within 45 minutes of notification at the Facility location in Egypt Cairo, seven days a week, twenty-four hours a day.
  5. Payment for services rendered under this Purchase Order shall be processed within thirty (30) calendar days of receipt of a valid invoice from the Surgeon. Invoices must reference this Purchase Order number (PO-EGC-2025-04782) and include detailed itemization of procedures performed.
  6. The Surgeon shall submit monthly activity reports to the Facility's Medical Director, detailing the number of procedures performed, complications encountered, and patient outcomes, to be filed with the Facility's quality assurance department in Egypt Cairo.
  7. Either party may terminate this Purchase Order with thirty (30) days' written notice. In the event of termination, the Surgeon shall complete all scheduled procedures already booked and provide appropriate handover documentation to a replacement surgeon designated by the Facility.
  8. All patient data and medical records generated under this Purchase Order shall remain the property of the Facility and shall be handled in strict accordance with Egyptian data protection laws and the Facility's confidentiality policy.
  9. This Purchase Order shall be governed by and construed in accordance with the laws of the Arab Republic of Egypt. Any disputes arising from this Purchase Order shall be resolved through arbitration in Egypt Cairo in accordance with the rules of the Egyptian Arbitration Center.
  10. The Surgeon acknowledges that this Purchase Order does not create an employment relationship. The Surgeon is engaged as an independent medical professional providing services to the Facility.

Authorized by (Buyer):

Dr. Mahmoud El-Sayed
Chief Procurement Officer
Al-Nile Medical Center, Egypt Cairo
Date: _______________

Accepted by (Surgeon / Provider):

Dr. Hanaa Farouk
Consultant Surgeon
Cairo Surgical Associates, Egypt Cairo
Date: _______________

This Purchase Order (PO-EGC-2025-04782) is valid for a period of twelve (12) months from the date of issue. Any amendments to this Purchase Order must be made in writing and signed by both parties. This document is issued by Al-Nile Medical Center & Surgical Institute, Egypt Cairo, and is subject to the terms and conditions stated herein. Unauthorized reproduction or distribution of this Purchase Order is prohibited.

© 2025 Al-Nile Medical Center & Surgical Institute, Egypt Cairo. All Rights Reserved.

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