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["附件2："]
["医用耗材资质证件要求"]
["耗材名称"]
[null,"□ 1、非专机专用医用耗材\n□ 2、非专机专用检验试剂 \n□ 3、设备配套使用医用耗材 （设备名称：               品牌及型号：        ）\n□ 4、设备配套使用检验试剂 （设备名称：               品牌及型号：        ）"]
["类别","证件名称","有/无","有效期截止日期","备注"]
["耗材","耗材报价单（产品名称、规格型号、品牌、生产厂家、注册证号、注册证有效期、单价、省药交平台代码等）"]
[null,"医疗器械注册证（含附页，旧版加注册登记表）",null,null,"一类备案凭证"]
[null,"产品使用说明书\\产品标准",null,null,"中文"]
[null,"医疗器械产品注册检验报告"]
["厂家","医疗器械生产企业许可证（或经营许可证、备案凭证）"]
[null,"企业法人营业执照、税务登记证、组织机构代码证",null,null,"一类生产备案凭证"]
["供货商","“信用中国”（www.creditchina.gov.cn）网站查询结果"]
[null,"医疗器械经营企业许可证（代理耗材需在经营范围内）",null,null,"二类经营备案凭证"]
[null,"企业法人营业执照、税务登记证、组织机构代码证"]
[null,"厂家给代理商授权书（授权书要可追溯至厂家）"]
[null,"业务员授权(同页附法人及业务员身份证复印件)"]
[null,"产品彩页"]
[null,"销售其它医院同种耗材发票复印件(广州三家三甲医院近3个月)",null,null,"三家广州市内或省内"]
[null,"其它证件及材料（如银行开票资料）\n名称："]
["联系人：        手机：              固定电话：             E-mail:      "]
["说明：  \n1、请填写并打印本表。各项材料按照顺序排列。 \n2、“有/无”列填写：“有”则备注“√”，“无”则备注“--”。\n3、以上材料，若有需要说明的，请在备注栏填写。\n4、证件必须加盖代理商红色印章，保证证件的真实性、在资质范围及有效期内，过期及变更要及时更换新的证件及授权书，否则进入不良记录。  \n5、耗材报价单电子版xls表格以“医用耗材名称+供应商+联系电话”命名发送至设备科邮箱gyfysbk@163.com。"]

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["附件2："]
["广东药科大学附属第一医院耗材报价单"]
["省平台药交ID","市平台规格型号ID","医保编码","产品名称","规格型号","品牌","生产厂家","注册证号","注册证开始日期","注册证有效日期","包装单位","最小单位","转换比","采购单价（最小单位）","省平台价格（最小单位）","市平台价格（最小单位）","三家三甲医院采购发票复印件（市内或省内）","备注"]
[]
[]
[]
[]
["注：1、价格单位为“元”"]
["    2、标红为必填项"]

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