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["苏北人民医院产品准入遴选市场行情调研表"]
["产品名称","注册证名称","注册证号","省平台产品编码","国家医保编码27位","生产企业","规格","型号","单位","单价（元）"]
[]
[]
[]
[]
[]
[]
["医院（有/无）配套的仪器设备请选择□有   □无"]
["医院现有的仪器设备名称","型号",null,"品牌","购置年限"]
[]
["医院需要采购的仪器设备名称","型号",null,"注册证号","品牌",null,"数量","单价","质保期"]
[]
[]
["产品名称","规格型号","生产厂家","江苏省省内三甲综合性医院代表（必须提供发票复印件）"]
[{"$nulls":3},"苏南地区","供院价","苏中地区","供院价","苏北地区",null,"供院价"]
[]
[]
[]
["产品名称","规格型号","生产厂家","省外（华东地区）三甲综合性医院代表（必须提供发票复印件）"]
[{"$nulls":3},1,"供院价",2,"供院价",3,null,"供院价"]
[]
[]
[]
[]
["供应商单位名称：                                             盖章："]
["供应商代表签名：                                             日期：       年    月    日"]
["备注：产品的所有规格型号都要罗列出来"]

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