Office of the Chief Medical Officei of Health (Tuberculosis Control Unit) B erharnpore,

Email Id: dtqtubn:[email protected] Phone: 03482-257250

0 Memo No: CMOH/MSD/NT EP / ..fi .V? Dated, berhampor e o?,o)'z:z{

Expression of Interest Invites Expression of interest(EOl) for 8 No.of DMCs ( PPP Mode Output- and- Result based financing fbr (Uttar Mohammadpur PHl(Anupnagar BPHC), Putimari PHI( Anupnagar BPFIC), K.D para PHC(Krishnapur RH), Opar-Orahar PHC(Krishnapur RH), Chaitanypur PHC( BPHC), Amlhi PHC(Bharatpur BPHC), Choan PHC( BPHC), PHC( BPHC)) areas one PPP Mode Output- and- Result based financing_for each area by lowest calculated rate for Sputum/ Biological body fluid collection & transportation , smear preparation , sputum microscopy , records keeping and reports submission etc both to the local and district authorities as per NTEP norms in local private [,abs in this District having registration under Clinical establishment Act (Govt.WB) within l0 (working) days from the date of notification. Application should drop in the drop box of CMOH, Murshidabad (NTEP section) with all relevant papers from 08/07121 to 19107121 between 10.30 am to 5.00 pm daily excluding Sundays and Holidays and the drop box will be opened on20107121 at 11.00 am.Self-attested documents to be attached and submitted as below:- 'frade 1) I.icense 2) Income Tax Return (up to date ) 3) PAN Card 4) GST Registration Certificate 5) P. Tax deposit Challan 6) Clinical Establishment license (Govt.WB)

Enclosure : I . Photocopy of the Letter of Intent

Memo No: CMoH/MSD/Nr w .0.2.{ U, 9 6].c{,7ot1 Copy forwarded for information and necessary action please to- l.The D.D.H.S (T.B) & S.P.O (I.{TEP). 2. The District Magistrate ,Murshidabad 3.The Principal, MMC&H. 4.The MSVP , Murshidabad. 5.The HOD Chest, MMC & H Murshidabad. 6.The O.C. Health, Murshidabad. 7.The Dy. CMOH-l/ll/III/DMCHO I ZLOIMO-DTC/A.O Murshidabad. 8.The Superintendent (All SDH) Murshidabad. 9.The WHO NTEP Consultants, . 10.ACMOH, ( All), Murshidabad.

1 1.BMOH/ MOTC (All), Murshidabad for circulation of notification . 12.The District Informatics Officer,NlC, Office of the district Collectorate with a request to display in the website www,murshidpbad.gov.in l3.The Station Master,Berhampore Court ll

1 4.The DPC(NHM)/DSM /DPC(I{TEP)/DPPMs Murshidabad. l5.The STS /STLS/TBHV , (All TUs) Murshidabad. l6.The Bhumi , Media partner is requested for notification as per order . l7.Mr. Sourav Ghosh IT coordinator , Swasthya Bhaw€ Kolkata with a the notification at the website www.wbhealth.gov.in . l8.Guard file.

01'-rvrurshid@ Letter of Intent The I Chief Medical Officer of Health, B erhampore, Murshidabad

Refi-r: Yor.rrofficeExpressionof InterestNoticeNo. CMOH/MSDAJTEPI S\'fu Date: 6y''oy','2.r

Sir,

With reference to the above, I do hereby submit the rate as per the notice of Expression of the interest during the PPP mode Output and result based financial for each area by lowest calculated rate lor Sputum /Biological Collection and transportation, Smear preparation, sputum microscopy record keeping and works reporl to District for National Tuberculosis Elimination Programme under District Tuberculosis Officer, Office of the Chief Medical Officer of Health, Murshidabad. Mention rate regarding the same with details below:

My particulars:- 1. Name of the Lab 2. Name of the Proprietor* 3. Address* 4. E-mail ID 5. Mob. No.* 6. Trade License Issued from* *: 7 . Lab registration of Clinical establishment License

8. Pan No.* :

9. GST Registration no.* :

10. Clearance for WBPCB(Consult to establishment/consult to operate) :

I L Agreement copy with BMW disposal agency :

DECLARATION: I/We declare that the above mentioned information is correct in all aspect and I/We never blacklisted by any Department or any Organization and not convicted by the Court of Law or no pending legal cases is running against me/us. I/We also abide by the terms & Conditions of the Expression of Interest Notice. If any infbrmation found incorrect or false al any stage my/our candidature may be liable for rejection. Place:

Date :

Signature & official seal of the Bidder