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["广西医科大学第二附属医院医疗设备市场调研表"]
[]
["报名设备名称"]
["产地品牌",null,null,"型号规格"]
["制造商名称",null,null,"是否为进口产品"," £是          £否"]
["单台报价（万元）",null,"数量",null,"金额（万元）"]
["报名单位性质","大型企业□    中型企业□    小微企业□      □其它___________"]
["报名单位名称",null,null,"联系人及电话"]
["销售记录\n(优先广西成交记录;包括：合同（含配置）、投标文件（含配置及参数页面）、发票等)","1.医院名称：                                   成交价格："]
[null,"2.医院名称：                                   成交价格："]
[null,"3.医院名称：                                   成交价格："]
[null,"可增加行"]
["单台报价配置清单（调研要求的必须配置）"]
["填写说明：1、需逐一列明各主要分项报价；2、清单列明的配置均视为包含在总报价内的配置；3、根据实际自行添加行或删除空白行。"]
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{"$rows_empty":10}
["专用耗材情况","耗材基本情况：□有专机专用耗材，详见下表        □无专机专用耗材"]
[null,"耗材1：（自行添加删除空白行）",null,"医保码：",null,"报价："]
[null,"耗材2：（自行添加删除空白行）",null,"医保码：",null,"报价："]
[null,"耗材3：（自行添加删除空白行）",null,"医保码：",null,"报价："]
[]
["备注：上述信息加盖公司红章有效"]

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