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DRAFT
Print Date : 21-05-2026
Time : 9:31 AM 
Page No : 1
Fortis Purchase Order
IHL-Kalyan, Fortis Hospital Shill Road, Bail Bazaar, Kalyan Kalyan Maharashtra IN- 421301 E-Mail: ashwini.zunjarrao@fortishealthcare.com
International Hospitals Limited Redg. Off.: - Fortis Memorial Research Institute Sector-44, Near Metro Station Gurugram-122002 CIN : U74999HR1994PLC048225
GSTIN No : 27AAACI9792A1ZH
PAN No : AAACI9792A
DL No : 20G MH-TZ6-136312, 20C MH-TZ6-220199, 21B MH-TZ6-220201,20F MH-TZ6-107140,21 MH-TZ6-220200,20 MH-TZ6-220197,20B MH-TZ6-220198,ND2 179844.
Shipping To : Fortis Hospital Shill Road Bail Bazaar Kalyan Mumbai Maharastra IN-421301
Vendor Code :75229 PurchaseOrderNo. :370027018282 Revision :0
VendorName :NOVACAREHEALTHCARESOLUTIONSPRIVATELIMITED PurchaseOrderDate :21-MAY-2026 POType :PurchaseOrder
Address
:M/S.NOVACARE HEALTHCARE SOLUTIONSPVT.LTD.C-12A,
C-12B,C-12C,KANTILALMAGANLAL ESTATEL.B.SROAD,
BHANDUP(WEST)-
Maharashtra
MUMBAI
-400078
Status :Incomplete Currency :IndianRupee
ContactPerson: Fax : CreditDays :Net45Days
EmailAddress : Phone :
PanNumber :AAGCN0847B GSTINNo. :27AAGCN0847B1ZQ
S. 
No.
Item 
Code
Description HSN UOM MRP Qty Rate
GBPA
/ Rate
Discount Tax
Amount
Deliver
y Date
Source/
CBU
Remarks
Name %age AmountName %age Amount
1
PH032
6290
ZORAFIBAN,5MG,
TIROFIBAN,100ML,
INJECTION,MANKIND 
PHARMA LTD.
30049
099
Each
12476
.98
1 475 
PO 
Discount
5 23.75
CGST 2.5 11.28
SGST 2.5 11.28
451.25
26-
MAY-
2026
MANK
IND 
PHAR
MA 
LTD.
/Yes
2
PH031
8336
OXYPTADIL,150MCG,
AVIPTADIL,10ML,
INJECTION,ZUVENTUS 
HEALTHCARE LTD.
30049
099
Each
2253.
28
6 
1545.
11 
 
PO 
Discount
5 77.26
CGST 2.5 220.18
SGST 2.5 220.18
8,807.13
26-
MAY-
2026
ZUVE
NTUS 
HEAL
THCA
RE 
LTD.
/Yes
3
PH000
4458
TIDOMET PLUS,
25MG+100MG,
CARBIDOPA+LEVODOPA,
1X10,TABLET,TORRENT
30049
099
STRI
P OF 
10
27.5 5 20.63 
PO 
Discount
5 1.03
CGST 2.5 2.45
SGST 2.5 2.45
97.99
26-
MAY-
2026
TORR
ENT/Y
es
4
PH000
4903
OXETOL,300MG,
OXCARBAZEPINE,1X10,
TABLET,SUN PHARMA 
INDUSTRIES LTD
30049
082
STRI
P OF 
10
151.8
8
2 94.89 
PO 
Discount
5 4.74
CGST 2.5 4.51
SGST 2.5 4.51
180.29
26-
MAY-
2026
SUN 
PHAR
MA 
INDUS
TRIES 
LTD/Y
es
5
PH000
6477
VENUSIA,NA,
MOISTURISER,100ML,
LOTION,DR. REDDY'S 
LABORATORIES
33049
930
Each
353.7
1
10 
194.6
3 
 
PO 
Discount
5 9.73
CGST 9 166.41
SGST 9 166.41
1,848.99
26-
MAY-
2026
DR. 
REDD
Y'S 
LABO
1

DRAFT
Print Date : 21-05-2026
Time : 9:31 AM 
Page No : 2
Fortis Purchase Order
RATO
RIES/Y
es
6
PH000
4797
UGESIC,20MG,PIROXICAM,
1X15,TABLET,MEYER 
ORGANICS
30033
900
STRI
P OF 
15
140.6
3
3 
107.1
4 
 
PO 
Discount
5 5.36
CGST 2.5 7.63
SGST 2.5 7.63
305.35
26-
MAY-
2026
MEYE
R 
ORGA
NICS/
No
7
PH000
2659
CARDIVAS,25MG,
CARVEDILOL,1X10,TABLET,
SUN PHARMA INDUSTRIES 
LTD
30049
079
STRI
P OF 
10
223.1
3
2 153 
PO 
Discount
5 7.65
CGST 2.5 7.27
SGST 2.5 7.27
290.70
26-
MAY-
2026
SUN 
PHAR
MA 
INDUS
TRIES 
LTD/Y
es
9
PH000
7020
GLYNASE,5MG,GLIPIZIDE,
1X10,TABLET,USV LIMITED
30049
099
STRI
P OF 
10
10.03 2 7.64 
PO 
Discount
5 0.38
CGST 2.5 0.36
SGST 2.5 0.36
14.52
26-
MAY-
2026
USV 
LIMIT
ED/Yes
10
PH032
0548
DISPERZYME,
96MG+180mg+200MG,
TRYPSIN+BROMELAIN+RU
TOSIDE,1X10,TABLET,SUN 
PHARMA INDUSTRIES LTD
30049
084
Each
609.3
8
5 
371.4
3 
 
PO 
Discount
5 18.57
CGST 2.5 44.11
SGST 2.5 44.11
1,764.29
26-
MAY-
2026
SUN 
PHAR
MA 
INDUS
TRIES 
LTD/Y
es
11
PH017
7328
AUGPEN 625MG,
500MG+125MG,
AMOXICILLIN+CLAVULANI
C ACID,1X10,TABLET,
ZUVENTUS HEALTHCARE 
LTD.
30041
030
PAC
K OF 
10
195.4
9
10 
122.8
7 
 
PO 
Discount
5 6.14
CGST 2.5 29.18
SGST 2.5 29.18
1,167.27
26-
MAY-
2026
ZUVE
NTUS 
HEAL
THCA
RE 
LTD.
/Yes
12
PH025
8635
EUREPA,0.5MG,
REPAGLINIDE,1X15,
TABLET,TORRENT
30049
099
STRI
P OF 
15
169.2
5
5 
109.6
3 
 
PO 
Discount
5 5.48
CGST 2.5 13.02
SGST 2.5 13.02
520.74
26-
MAY-
2026
TORR
ENT/Y
es
13
PH000
8278
ECONORM,250MG,
SACCHAROMYCES 
BOULARDII,1X1,SACHET,
DR. REDDY'S 
LABORATORIES
30049
099
Each 58.78 20 34.26 
PO 
Discount
5 1.71
CGST 2.5 16.27
SGST 2.5 16.27
650.94
26-
MAY-
2026
DR. 
REDD
Y'S 
LABO
RATO
RIES/Y
es
14
PH032
0534
LINAXA,5MG,LINAGLIPTIN,
1X10,TABLET,TORRENT
30049
099
Each
133.9
5
10 78.93 
PO 
Discount
5 3.95
CGST 2.5 18.75
SGST 2.5 18.75
749.84
26-
MAY-
2026
TORR
ENT/Y
es
15
PH007
6077
SHELCAL HD,500MG+500IU,
CALCIUM+VITAMIN D3,
1X15,TABLET,TORRENT
30045
039
STRI
P OF 
15
155.5 3 91.63 
PO 
Discount
5 4.58
CGST 2.5 6.53
SGST 2.5 6.53
261.15
26-
MAY-
2026
TORR
ENT/Y
es
16
PH000
2891
KORANDIL,5MG,
NICORANDIL,1X10,TABLET,
SUN PHARMA INDUSTRIES 
LTD
30049
099
STRI
P OF 
10
202.5 5 
126.5
2 
 
PO 
Discount
5 6.33
CGST 2.5 15.02
SGST 2.5 15.02
600.97
26-
MAY-
2026
SUN 
PHAR
MA 
INDUS
TRIES 
LTD/Y
es
17
PH032
2460
TOVAXO,0.004%W/V,
TRAVOPROST,2.5ML,EYE 
30049
099
Each
343.1
3
1 
179.4
6 
 
PO 
Discount
5 8.97
CGST 2.5 4.26
170.49
26-
MAY-
AJANT
A 
2

DRAFT
Print Date : 21-05-2026
Time : 9:31 AM 
Page No : 3
Fortis Purchase Order
DROP,AJANTA PHARMA
SGST 2.5 4.26
2026
PHAR
MA/Ye
s
18
PH032
2880
TAPICEM,2GM/0.25GM,
PIPERACILLIN+TAZOBACT
AM,1X1,INJECTION,
EMCURE 
PHARMACEUTICALS LTD.
30041
090
Each
194.8
8
30 39.15 
PO 
Discount
5 1.96
CGST 2.5 27.89
SGST 2.5 27.89
1,115.78
26-
MAY-
2026
EMCU
RE 
PHAR
MACE
UTICA
LS 
LTD.
/Yes
19
PH000
8577
GELUSIL MPS,NA,
ALUMINIUM 
HYDROXIDE+MAGNESIUM,
200ML,SYRUP,PFIZER
30049
032
Each
173.5
2
3 132.2 
PO 
Discount
5 6.61
CGST 2.5 9.42
SGST 2.5 9.42
376.77
26-
MAY-
2026
PFIZE
R/Yes
20
PH031
4054
EUREPA V,0.3MG+0.5MG,
VOGLIBOSE+REPAGLINIDE,
1X10,TABLET,TORRENT
30049
099
STRI
P OF 
10
166.8
5
2 98.36 
PO 
Discount
5 4.92
CGST 2.5 4.67
SGST 2.5 4.67
186.88
26-
MAY-
2026
TORR
ENT/Y
es
21
PH010
2289
BEVON,NA,MULTIVITAMIN,
200ML,SYRUP,ZUVENTUS 
HEALTHCARE LTD.
30045
039
BOT
TLE
198.2
8
3 
119.6
5 
 
PO 
Discount
5 5.98
CGST 2.5 8.53
SGST 2.5 8.53
341.00
26-
MAY-
2026
ZUVE
NTUS 
HEAL
THCA
RE 
LTD.
/Yes
22
PH027
8442
OXRAMET XR,
10MG+1000MG,
DAPAGLIFLOZIN+METFOR
MIN,1X7,TABLET,SUN 
PHARMACEUTICALS
30049
099
STRI
P OF 
7
124.6
9
2 76.97 
PO 
Discount
5 3.85
CGST 2.5 3.66
SGST 2.5 3.66
146.24
26-
MAY-
2026
SUN 
PHAR
MACE
UTICA
LS/Yes
23
PH001
0000
PENTASURE DM,NA,NA,
400GM,POWDER,HEXAGON
21069
099
Each 1156 2 
638.5
2 
 
PO 
Discount
5 31.93
CGST 2.5 30.33
SGST 2.5 30.33
1,213.19
26-
MAY-
2026
HEXA
GON/Y
es
24
PH031
6226
APIXATOR,2.5MG,
APIXABAN,1X10,TABLET,
TORRENT
30049
099
STRI
P OF 
10
135.9 5 88.04 
PO 
Discount
5 4.4
CGST 2.5 10.45
SGST 2.5 10.45
418.19
26-
MAY-
2026
TORR
ENT/Y
es
25
PH000
2943
TACHYRA,100MG,
AMIODARONE,1X10,
TABLET,CIPLA LTD.
30049
099
STRI
P OF 
10
62.5 3 43.32 
PO 
Discount
5 2.17
CGST 2.5 3.09
SGST 2.5 3.09
123.46
26-
MAY-
2026
CIPLA 
LTD.
/Yes
26
PH021
5254
LIBRIUM,10MG,
CHLORDIAZEPOXIDE,1X15,
TABLET,ABBOTT INDIA 
LTD.
30049
079
STRI
P OF 
15
146.3
9
2 
100.3
9 
 
PO 
Discount
5 5.02
CGST 2.5 4.77
SGST 2.5 4.77
190.74
26-
MAY-
2026
ABBO
TT 
INDIA 
LTD.
/Yes
Total Amount 23,334.22
Amountinwords : INR - Twenty Three Thousand Three Hundred Thirty Four and 
paise Twenty Two
Remarks : 
ApprovedBy : Prepared By: Ashwini Zunjarrao
Date : Date: 21-MAY-2026
OTHER TERMS & CONDITIONS: - 
3

DRAFT
Print Date : 21-05-2026
Time : 9:31 AM 
Page No : 4
Fortis Purchase Order
1. "No" increase in quoted price will be allowed by the Hospital once the purchase order is accepted or contract is entered into.
2. Suppliers in their own interest should get their samples approved by the Hospital before executing bulk supplies. The Hospital will not be responsible for any loss caused to the supplier due to rejection of bulk supply, in case the 
bulk supply does not meet the quality of the original sample. Samples may be submitted through Post or Railway Parcel, freight-prepaid basis or hand delivery at the cost of the supplier. If the Hospital finds that the materials 
supplied are not according to the approved sample or to the specification required by the hospital or not according to order/contract details or received in damaged broken condition or otherwise not satisfactory owing to any reason of
which the Hospital is the sole judge. Hospital reserves the right to refuse or accept such material (being declared as defective) as stated above or cancel the order/contract and / or to forfeit deposit if any and / or procure the required 
material from other sources at the cost of the defaulting supplier including losses incurred or damage suffered by the Hospital by way of higher prices or penalty for not fulfilling its contract with its customers.
3. Rejected articles has to be uplifted by the supplier within 15 days of intimation by Hospital to the supplier and till such time will remain with the Hospital at the Supplier's risk and responsibility, failing which, they may at the 
discretion of the Hospital be scrapped or be consigned to the Supplier's address at the Supplier's entire risk and cost. In such cases packing and freights charges and other incidental expenses will be recovered from the Supplier.
4. Supplier must arrange to supply the ordered materials according to the delivery schedule specified by the Hospital, after the acceptance of the Purchase Order. If the Suppliers are not as per this schedule and if on that account, the 
Hospital is forced to buy the materials from elsewhere and loss or damage that the Hospital may sustain thereby will be recovered from the Supplier for non-delivery or late delivery. Save as stated hereinbefore, any decrease in price 
by the Supplier shall be again discussed and mutually agreed between Hospital & Supplier, and till such time, Hospital shall have right to keep the Purchase Order on hold even if accepted by the Supplier.
5. Supplier's bills will not be passed for payment until the ordered goods have been received, accounted for and accepted in full. 
6. In all cases of dispute or difference the decision of the Hospital shall be final and binding on the Supplier.
7. Supplier's quotations, bills must clearly state sales tax and any other local taxes or levies wherever applicable along with necessary declaration. In case the supplier fails to mention it on their bills, any subsequent claim raised by 
the Supplier will not be accepted by the Hospital. Suppliers must submit relevant tax forms such as Form No.31 and Form No.31A Wherever applicable. Non-compliance of above will cause delay in passing suppliers bill for 
payment for which the Hospital shall not be liable in any manner whatsoever.
8. The Hospital reserves to itself the right to cancel or modify or amend the order/contract wholly or in part any time before its execution by the Supplier without assigning any reason whatsoever.
9. Suppliers must ensure that Challan in duplicate giving full details of each consignment together with Railway receipt or Waybill or Air Consignment Note is received by the Hospital sufficiently in advance of the arrival of the 
consignment in case such documents are not received in time expenses such as demurrage charges or any incidental expenses incurred by the Hospital will be debited to the Supplier's account.
10. All Challans should clearly give full name and address of the Hospital Purchase Order No. and date against which supplies are made. Suppliers must mention on their packing cases their own name, Hospital's purchase order 
contract no. and Challan No. date to facilitate identification.
11. Each consignment must relate to one purchase Order only.
12. Should the packing of materials against more than one Purchase Order / Contract in a case be warranted the material against each individual Order Contract should be separately packed labelled and listed on separate Challan to 
facilitate identification. Supplier shall send all material while strictly adhering to Legal Metrology Act, 2009 and Rules framed thereunder & amended from time to time. Any violation on this account shall be compounded by 
Hospital in the Supplier's name and debited from the outstanding payable by Hospital. Any subsequent violation under the same/similar offence shall be dealt directly by the Supplier.
13. The Supplier hereby fully indemnifies the Hospital (including but not limited to its Chairman, Managing Director, Board Members, Employees & Staffs etc.) against any acts, deeds, omission & commission of any 
lawful/unlawful obligation by the Supplier towards fulfilling this Purchase Order and/or any third-party claims/damages arising out of this Purchase Order in any manner whatsoever.
14. Unless otherwise specified Suppler in their own interest should insure the material @ 100% of the invoice value from supplier's warehouse to the destination hospital. However as soon as suppliers dispatch the material, they must
inform the Hospital by fax their Challan no. Railway Receipt No. or Waybill No. Description of material and the value of it to enable the Hospital to cover it under the Hospital Open Insurance Policy. Hospital shall inspect the 
material received and shall intimate to the Supplier for any short supplies or damaged/breakage within 7 days of receipt of the material, to which the Supplier shall make good to such short supplies or replace the damages/breakage 
material within 7 days of such intimation, failing which, all such shortage/breakage shall be treated as short supply and payment shall be deducted from the Invoices accordingly.
15. Invoices in triplicate must be sent by the suppliers to the Hospital Separate Invoices should be submitted for reach order giving in there is supplier's Challan no. & date and Hospital's Order contract No & date and a copy of each. 
When the material is sent by Rail the Railway Receipt No. & the date & the Wagon no. should be shown on each invoice. Al invoices must show the weight and or number and date of each item supplied.
16. Whenever any particular chemical composition and or certain physical or chemical properties are specified in purchase order contract Supplier's Challan must accompany the certificate from a recognized Laboratory or Institute 
confirming that the material is as per specification mentioned in the Purchase Order Contract.
17. In case of machinery, electrical appliances instruments and such other complete unit items. Suppliers must give to the Hospital all technical literature. Such as spare parts list / instruction / operations manual circuit diagram and 
such other relevant information / documentation pertaining to the item supplied. Suppliers must submit their Guarantee Card Specifying the Supplier's / Makers responsibilities during the tenure of Guarantee. Passing of Bill for 
payment shall be conditional to the Supplier's compliance with these terms.
18. Unless otherwise specified the price given in this Purchase Order / Contract inclusive of packing forwarding freight and any other incidental expenses and no increase in the same shall be permitted.
19. Suppliers are requested to acknowledge receipt of the Purchase Order / Contract within 10 days from the date of its receipt. If the Hospital does not receive the order / contract acknowledgment within the said period of 10 days 
then it will be deemed that Suppliers have accepted the order / contract and the execution of the same will be binding on them.
20. The material should be delivered to the Hospital's Receiving Department between Monday to Friday at the timings specified. Delivery includes unloading of material.
21. Any litigation arising out of this Purchase Order / Contract will be subject to Court of Delhi Jurisdiction.
22. Any breach of any of the aforesaid terms and conditions will entitle the Hospital to cancel or modify the order / contract and to claim from the suppliers loss / damage suffered or whatever may be suffered by the Hospital by 
reason of such cancellations or modification.
23. In case the goods reach the Hospital after the Supplier has been informed that Order has been cancelled, the Hospital shall return the material at the cost of supplier.
24. GUARANTEE: Supplier must replace free of charge any mechanical and / or electrical part which owing to defect in design, material or workmanship should fail or show signs or failures at any time within guarantee period 
from the date the equipment has been put into operation.
25. Except for purposes directly relevant to this Purchase Order, the Contractor must not, without written approval, make public or disclose Confidential Information terms and conditions (including but not limited to the rates) 
relating to the Purchase Order, except where such information may be required by the appropriate authority or regulatory authorities as per applicable law.
Saveasprovidedabove,theObligationsofconfidentialityshallnotapplyto:
*Informationinthepublicdomain.
*Informationbecomingpublicthroughnofaultof.
*Informationrequiredtobedisclosedundertheprovisionsoflaw.
ThisclauseshallsurviveexpirationorterminationofthisPurchaseOrder.
26. By way of supplying the material(s) by the Supplier to the Hospital as per this Purchase Order shall be deemed that the Supplier has read, understood and accepted the above terms & conditions without formally signing this 
Purchase Order.
27. Please do not deliver the material beyond the delivery date.
4
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