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c lp - T do - Hnh phc
HP NG X L CHT THI Y T
Cn c im b, iu 31 chng X ca Quyt nh s 43/2007/Q-BYT ngy 30
thng 11 nm 2007 ca B Trng B Y t v vic ban hnh Quy ch qun l cht
thi y t
Cn c vo s tha thun ca hai bn:
Hm nay, ngythng.nm
Ti.
Chng ti gm c:
Bn A (C s / T chc hnh ngh)
- Tn c s / T chc hnh ngh:...
- a ch .
in thoi.
- Ti khon s. .M ti ngn hng..
- i din l ng (b).. ...Chc v..
- Giy u quyn s:.. .(nu c); ngythngnm.
Do...Chc v...k
Bn B (Trm y t hoc Bnh vin)
- Tn trm y t (hoc bnh vin):..
- a ch .
in thoi.
- Ti khon s. .M ti ngn hng..
- i din l ng (b).. ...Chc v..
- Giy u quyn s:.. .(nu c); ngythngnm.
Do...Chc v...k
Hai bn thng nht tha thun ni dung hp ng nh sau:
iu 1. Nhn tiu hy cht thi y t
1. S ln. .Trng lng cht thi .
2. L ph tiu hy:............
iu 2. a im nhn tiu hy cht thi y t
Bn A phi t phn loi rc v t tc vn chuyn cht thi y t n a ch .
......................................................................................................................................
vo thi giangi..ngy.......................................
iu 3. Quyn v ngha v ca bn A:
1. Quyn ca bn A: c hy cht thi y t theo ng quy nh;
2. Ngha v bn A:
2.1. Tr l ph hy rc cho bn B vo cc ngy ...;
2.2. Hnh thc thanh ton l ph:;
M53
I DIN BN B
(K tn)
Ghi r h v tn
(K tn, ng du)
Ghi r h v tn
M53