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["附件2："]
["浙江省中医院氧气雾化面罩医用耗材采购市场调研产品响应报价表"]
["序号","物资名称","规格及要求","单位","暂定数量\n（3年）","响应情况\n（注明“正偏离”、“负偏离”或“无偏离”）","响应产品规格型号","响应产品品牌","单价\n（元）","金额\n（元）"]
[1,"氧气雾化面罩","ICU专用，连接呼吸机使用","个",2400]
[2,"氧气雾化面罩","气切面罩","个",20000]
[3,"氧气雾化面罩","成人面罩","个",58000]
[4,"氧气雾化面罩","儿童面罩 不含塑化剂","个",24000]
[5,"氧气雾化面罩","口含型","个",6500]
["合计（元）："]
["大写（人民币）："]
["备注：上表所列数量为暂定数量，本项目为单价采购，具体金额按实结算。"]
[]
[null,"供应商名称（盖章）："]
[null,"日期："]