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Quotation Estimate Doctor General Practitioner in Indonesia Jakarta –Free Word Template Download with AI

MediCare Jakarta Health Services PT

Jl. Jend. Sudirman Kav. 52-53, SCBD District, Jakarta Selatan, Indonesia Jakarta 12190

Tel: +62-21-5790-1234 | Email: [email protected]

NIB: 12.345.678.901 | NPWP: 01.234.567.8-049.000

Quotation No.: QTE/JKT/2025/00487

Date of Issue: 15 June 2025

Valid Until: 15 July 2025

Prepared For:

PT Nusantara Wellness Group

Jl. Gatot Subroto No. 88, Jakarta Pusat, Indonesia Jakarta 10270

Attn: Mr. Budi Santoso, HR Director

Dear Mr. Budi Santoso,

Thank you for your inquiry regarding the provision of Doctor General Practitioner services for your corporate wellness program. MediCare Jakarta Health Services PT is pleased to submit this Quotation Estimate for your review and consideration. This document outlines the comprehensive scope of services, associated costs, and terms governing the engagement of our Doctor General Practitioner team to serve your employees at your facilities located in Indonesia Jakarta.

1. Scope of Services – Doctor General Practitioner Program

This Quotation Estimate covers the deployment of a dedicated Doctor General Practitioner (GP) team to provide primary healthcare services to approximately 350 employees of PT Nusantara Wellness Group. The services are designed to meet the regulatory standards set by the Indonesian Ministry of Health (Kementerian Kesehatan RI) and are tailored to the specific healthcare needs of a corporate workforce in Indonesia Jakarta. The Doctor General Practitioner services include but are not limited to: routine health examinations, preventive screenings, minor illness consultations, chronic disease management, occupational health assessments, and health education workshops.

2. Itemized Cost Breakdown
No. Description of Service Frequency Unit Cost (IDR) Total (IDR)
1 Doctor General Practitioner – On-site Consultation (Full-time, 5 days/week, 8 hours/day) Monthly 45,000,000 540,000,000
2 Doctor General Practitioner – Annual Health Check-Up Program (350 employees) Annual 1,200,000 / pax 420,000,000
3 Preventive Screening & Vaccination Services (Flu, Hepatitis B, Tetanus) Quarterly 350,000 / pax 490,000,000
4 Occupational Health Risk Assessment & Compliance Reporting (K3) Bi-Annual 25,000,000 50,000,000
5 Health Education Workshops (Nutrition, Mental Health, Ergonomics) Monthly 8,000,000 96,000,000
6 Emergency Medical Response & First Aid Kit Provision Monthly 5,000,000 60,000,000
7 Medical Records Management & Digital Health Portal Access Monthly 12,000,000 144,000,000
8 Referral Coordination to Specialist Hospitals in Indonesia Jakarta As Needed 3,000,000 36,000,000
TOTAL ANNUAL ESTIMATE (IDR) 1,842,000,000
TOTAL ANNUAL ESTIMATE (USD, approx. @ IDR 16,200/USD) ~113,704
Note: All prices are quoted in Indonesian Rupiah (IDR) and are exclusive of 11% VAT (Pajak Pertambahan Nilai). The Quotation Estimate assumes standard operating hours of 08:00–17:00 WIB, Monday through Friday. Overtime or weekend coverage by the Doctor General Practitioner will be billed at 1.5x the standard rate. 3. Terms and Conditions
  1. This Quotation Estimate is valid for thirty (30) calendar days from the date of issue. After the expiration date, pricing may be subject to revision based on market conditions in Indonesia Jakarta.
  2. Payment terms: 50% advance payment upon contract signing, with the remaining 50% payable in two equal monthly installments. All payments shall be made via bank transfer to the account designated by MediCare Jakarta Health Services PT.
  3. The Doctor General Practitioner assigned to this engagement must hold a valid SIP (Surat Izin Praktik) issued by the Jakarta City Health Office (Dinas Kesehatan DKI Jakarta) and be registered with the Indonesian Medical Council (IDI).
  4. MediCare Jakarta Health Services PT shall maintain comprehensive medical malpractice insurance coverage for all Doctor General Practitioner personnel deployed under this agreement.
  5. Confidentiality: All patient medical records and employee health data collected during the provision of Doctor General Practitioner services shall be treated in strict accordance with Indonesian Law No. 36 of 2009 on Health and the Personal Data Protection Law (UU PDP No. 27 of 2022).
  6. Either party may terminate this agreement with a written notice of sixty (60) days. In the event of early termination, a pro-rata refund of unused services will be calculated based on the original Quotation Estimate.
  7. This Quotation Estimate does not constitute a binding contract until both parties have executed the formal Service Agreement. All services are subject to availability of qualified Doctor General Practitioner personnel in Indonesia Jakarta.
  8. Any disputes arising from this engagement shall be resolved through mediation in accordance with the laws of the Republic of Indonesia, with jurisdiction vested in the Jakarta Central District Court.
4. Acceptance and Authorization

By signing below, the client acknowledges receipt of this Quotation Estimate and agrees to the terms outlined herein for the provision of Doctor General Practitioner services in Indonesia Jakarta.

For and on behalf of:
MediCare Jakarta Health Services PT

Dr. Anisa Rahmawati, Sp.PD
Medical Director
Date: _______________

For and on behalf of:
PT Nusantara Wellness Group

Mr. Budi Santoso
HR Director
Date: _______________

MediCare Jakarta Health Services PT — Quotation Estimate QTE/JKT/2025/00487 — Doctor General Practitioner Services — Indonesia Jakarta

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