S Y T TP.

H CH MINH
CNG HA X HI CH NGHA VIT NAM
BNH VIN KKV HC MN
c Lp - T Do - Hnh Phc
S:_____/BV/H/2015
.

Hc Mn, ngy

thng nm 2015

HP NG KHM SC KHE CNV

Cn c nhu cu khm sc kho nh k cho CNV cc c quan x nghip trong Huyn.
Hm nay, ti Bnh vin KKV Hc Mn, chng ti gm c:
Bn A : BNH VIN A KHOA KHU VC HC MN
Do ng : KIM HONG
Chc v : Gim c
a ch: 65/2B B Triu, Th Trn, huyn Hc Mn, Tp. H Ch Minh.
T: (08) 38910.334
Fax : (08) 37103.837
MST: 0304254750
Bn B : CNG TY TNHH ELDOVINA
Do ng: KIM GYUNG EON
Chc v: Gim c
a ch:, L HC10, ng s 8, KCN Xuyn , X M Hnh Bc, Huyn c Ha, T.Long An
T: 072.3849.402
Fax : 072.3849.685MST: 1101533937
ng tha thun hp ng khm sc khe nh k theo nhng iu kin sau y:
IU 1 : NI DUNG HP NG
Bn A t chc khm sc khe nh k nm 2015 cho Cng nhn bn B.
IU 2 : QUYN HN V NGHA V BN A
- T chc v b tr khm vi cc chuyn khoa : Ni, Ngoi, Tai Mi Hng, Rng Hm Mt, Mt, Da
liu, Cn o, Mch, Huyt p.
- Chun b y phng tin chuyn mn cho cng tc khm sc khe.
- Cung cp phiu khm sc kho theo mu quy nh.
- Hon tr h s y cho bn B sau khi khm sc khe l 10 ngy.
IU 3 : QUYN HN V NGHA V BN B
- iu ng cng nhn n khm sc khe ng thi gian.
- Cung cp danh sch cng nhn cho bn A.
- Mi cng nhn cung cp 1 tm hnh 3x4 cho bn A.
- To iu kin cho bn A thc hin tt cng tc khm sc khe.
- Tr chi ph khm sc khe.
IU 4 : K HOCH KHM SC KHE
- a im khm sc khe: bn B.
- Thi gian khm:
IU 5 : CHI PH V PHNG THC THANH TON (ngy thng)
Khm sc khe tng qut:
ngi * 50.000 ng/ngi = ng.
(ng)
Bn B np trc (ng) ti phng Ti chnh k ton-Bnh vin KKV Hc Mn v thanh ton phn
cn li ngay sau khi cng vic khm sc kho hon tt.
Hp ng ny c lp thnh 06 bn, mi bn gi 03 bn c gi tr nh nhau k t ngy k. Bn no
khng thc hin ng cc tho thun nu trn th hon ton chu trch nhim trc php lut.
I DIN BN A

I DIN BN B