Hospital Drug Mail Order Agreement

Party A: _________
Party B: _________
1. Party A shall determine and accurately inform Party B of the name, price, course of treatment and medication instructions in accordance with Party B's oral medical records and telex inspection data.
2. Party A guarantees that the drug will be sent by express mail within 24 hours after receiving the remittance from Party B, and will be notified by phone within _________ days whether Party B is receiving the drug.
3. If a drug sent by Party A is lost, it must be responsible for recovery or compensation.
4. If the medicines sent by Party A cause Party B's drug poisoning or affect Party B's life safety, they shall bear all medical responsibilities.
5. When Party B accepts Party A's treatment, it must accurately answer the inquiry content submitted by Party A's doctor.
6. Party B must provide Party A with the recent _________ test list and _________ test form.
7. Party B must accurately tell the detailed address and telephone number and postal code after purchasing the medicine.
8. The drugs purchased by Party B are: nickname, nickname, _________; remittance _________ yuan.
9. The price of prescription drugs in Party A includes postage.
person A person B:_________
Person in charge: _________ Person in charge: _________
Bank account number: _________ bank account number: _________
Address: _________ Address: _________
Zip code: _________ Zip code: _________
Phone: _________ Phone: _________
Fax: _________ Fax: _________
_________Year ____________________________________________
1. Party B shall, in accordance with the drugs designated by the doctor, mark the number in the eighth article of this contract;
2. The prepayment method shall be adopted for the fee. After Party B remits the money according to the designated account of Party A, Party B shall promptly call or telegraph the remittance slip to Party A.
3. Drug price: _________.