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INVENTORY REPORT OFFICE/ DEPARTMENT:MEDICAL WARD DEPARTMENT Date:______________ Time:_____________ Date/Actual Inventory_________________Signature:_________________ MEDICAL SUPPLIES Signature (Section Head)______________ ITEM DESCRIPTION Standard Stock on 7 to signature 3 to 11signature 11 to Signature Expiry date Remarks Quality Issuance hand/bal. out bal out bal out bal 1 Activated Glutaraldehyde 2 Alcohol 70%, Isoprophyl 3 Asepto Syringe 4 Blood Set 5 Bed pan 6 Cotton absorbable 400mgs 7 Disposable syringe 1ml 8 Disposable syringe 2ml 9 Disposable syringe 3ml 10 Disposable syringe 5ml 11 Disposable syringe 10ml 12 Disposable Syringe 50ml 13 Disposable syringe 20ml 14 Disposable syringe Insulin 15 Distilled water,100cc 16 Endotracheal tube 5 17 Endotracheal tube 6 18 Endotracheal tube 6.5 19 Endotracheal tube 7 20 Endotracheal tube 7.5 21 Endotracheal tube 8 22 Foley Catheter F-16 23 Foley Catheter F-18 24 Hot Water Bag 25 Hydrogen Peroxide 120ml 26 Hydrogen Peroxide 50ml 27 Hypodermic Needle G-18 28 Hypodermic Needle G-19 29 Hypodermic Needle G-21 30 Hypodermic Needle G-23 31 Hypodermic Needle G-25 32 Hypodermic Needle G-26 33 Ice Bag 34 Infusion Set/Macroset

Inventory Report Form 2

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Page 1: Inventory Report Form 2

INVENTORY REPORT

OFFICE/ DEPARTMENT:MEDICAL WARD DEPARTMENT Date:______________ Time:_____________Date/Actual Inventory_________________Signature:_________________

MEDICAL SUPPLIES Signature (Section Head)______________

ITEM DESCRIPTION Standard Stock on 7 to 3 signature 3 to 11 signature 11 to 7 Signature Expiry date Remarks

Quality Issuance hand/bal. out bal out bal out bal1 Activated Glutaraldehyde2 Alcohol 70%, Isoprophyl3 Asepto Syringe4 Blood Set5 Bed pan6 Cotton absorbable 400mgs7 Disposable syringe 1ml8 Disposable syringe 2ml9 Disposable syringe 3ml

10 Disposable syringe 5ml11 Disposable syringe 10ml12 Disposable Syringe 50ml13 Disposable syringe 20ml14 Disposable syringe Insulin15 Distilled water,100cc16 Endotracheal tube 517 Endotracheal tube 618 Endotracheal tube 6.519 Endotracheal tube 720 Endotracheal tube 7.521 Endotracheal tube 822 Foley Catheter F-1623 Foley Catheter F-1824 Hot Water Bag25 Hydrogen Peroxide 120ml26 Hydrogen Peroxide 50ml27 Hypodermic Needle G-1828 Hypodermic Needle G-1929 Hypodermic Needle G-2130 Hypodermic Needle G-2331 Hypodermic Needle G-2532 Hypodermic Needle G-2633 Ice Bag34 Infusion Set/Macroset

Page 2: Inventory Report Form 2

MEDICAL SUPPLIES

ITEM DESCRIPTION Standard Stock on 7 to 3 signature 3 to 11 signature 11 to 7 Signature Expiry date Remarks

Quality Issuance hand/bal. out bal out bal out bal34 Infusion Set/Microset35 I.V. Cannula G-1836 I.V. Cannula G-2037 I.V. Cannula G-2238 Gauze Bandage 36X10039 Gloves Sterile 6.5 40 Gloves Sterile 7 41 Gloves Sterile 7.5 42 Gloves Sterile 8 43 Gloves, Working Medium44 Lubricating Jelly 5g45 Lubricating Jelly 150g46 Macroset47 Microset48 Mouth Guard Adult 49 Nebulizing Kit w/ Mask-Adult50 NGT/ Feeding Tube 1451 NGT/ Feeding Tube 1652 NGT/ Feeding Tube 1853 Oxygen Cannula-Adult54 Oxygen Mask-Adult55 Plaster Hypoallergenic56 Plaster leukoplast57 Suction Catheter F-1458 Suction Catheter F-1659 Suction Catheter F-1860 Surgical Face Mask61 Soluset62 Thermometer Digital

63 Tuberculin 1ml

64 Tongue DepressorUrine Bag

Page 3: Inventory Report Form 2

INVENTORY REPORTOFFICE/ DEPARTMENT: MEDICAL WARD DEPARTMENT Date:______________ Time:_____________

Date/Actual Inventory:_________________Signature:_____________________DRUGS & MEDICINES-Emergency Medicines Signature(Section Head)_________________

ITEM DESCRIPTION Standard Stock on 7 to 3 signature 3 to 11 signature 11 to 7 Signature Expiry date Remarks

Quality Issuance hand/bal. out bal out bal out bal1 Aminophylline 25mg/ml,10ml Amp2 Amiodarone 50mg/ml,3ml amp3 Ampicillin 1g vial4 Ampicillin 250mg/ml vial5 Atropine SO4 1mg/ml Amp6 Calcium Glutanate 10%,10ml amp7 Captopril 25mg Tablet8 Captopril 50mg Tablet9 Chlorpromazine Hcl 25ml/mg,2ml Amp

10 Clonidine 150mg/ml amp11 Dexamethasone NaPO4 4mg/ml,2ml Amp

12 Diazepam 5mg/ml,1ml Amp13 Digoxin Hcl 0.5 Amp14 Diphenhydramine 50mg/ml,1ml Amp15 Dobutamine 250mg/20ml vial16 Dopamine Hcl 200mg/250ml17 Ephedrine Sulfate 50mg/ml amp18 Epinephrine 1mg/ml,1ml Amp19 Furosemide 10mg/ml,2ml Amp20 Furosemide Tab21 Gentamicin Amp.22 Heparin Na 1000I.U/ml 10ml Vial23 Hydralazine Hcl 20mg/ml,1ml Amp24 Hydrocortisone Na Succinate 50mg/ml,2ml Vial

25 Hyosine-N-BB 20mg/ml Amp26 Isosorbide Dinitrate27 Lidocaine Hcl 100mg/ml,5ml polyamp28 Lidocaine Hcl 2% 50ml Vial29 Metoclopramide Hcl 5mg/ml,2ml amp30 Morphine SO4 10mg/ml,1ml amp31 Nalbuphine 10mg amp32 Nicardipine 1mg, 2ml amp33 Nefidipine 10mg,tablet

Page 4: Inventory Report Form 2

34 Nefidipine 5mg,tablet35 Nefidipine 30mg Amp.36 Naloxone Hcl 400mg/ml,1ml Amp37 Phenobarbital Na 60mg/ml,2ml Amp38 Phenobarbital 60mg tablet39 Phenytoin Na 50mg/ml,2ml Amp40 Paracetamol 150mg Amp41 Pathidine Hcl 50mcg/ml,2ml Amp42 Phytomenadione Na Diphosphate 10mg/ml Amp

43 Potassium Chloride 2mEq/ml,20ml Amp44 Promethazine 2ml Amp.45 Pyridoxine Hcl 100mg/ml,10ml Vial46 Ranitidine 150mg Tab.47 Ranitidine 25mg/ml,2ml Amp.48 Sodium bicarbonate 84mEq/ml,50ml49 Sodium Chloride 2.5mEq, 20ml Vial 50 Terazolin 2mg51 Terbutaline SO4 500mg/ml Amp52 Tramadol Amp.53 Tranexamic Acid 250mg Cap54 Tranexamic Acid 500mg cap55 Tranexamic Acid Amp.56 Salbutamol nebule 2.5mg, 1ml amp57 Salbutamol + Ipratropium nebule58

FLUIDS

DESCRIPTION Standard Stock on 7 to 3 signature 3 to 11 signature 11 to 7 Signature Expiry date Remarks

Quality Issuance hand/bal. out bal out bal out bal

Dextrose 5% injection -50mlD10 Water, 500mlD5 0.3 Nacl 1L

ITEM D5 0.3 Nacl 500mlD5 0.9 Nacl 1L/ D5 NSS

1 D5 50% injection 50ml2 D5 IMB 500ml3 D5 LR 1L4 D5 LR 500ml5 D5 Water, 1L6 D5 Water, 500ml7 Eurosol-M 1L8 Mannitol 20%, 500ml

Page 5: Inventory Report Form 2

9 Monified Fluid Gelatin,500ml10 Plain LR 1L11 Plain NSS1L/0.9 Nacl12 5% Glucose, 1000ml131415 OTHERS1617

Page 6: Inventory Report Form 2

INVENTORY REPORTOFFICE/ DEPARTMENT: Pharmacy Date:_____________________ Time:_____________

Date of actual inventory:___________Signature:_________DRUGS & MEDICINES: Signature (Section Head)______________

ITEM DESCRIPTION STOCK CARD DISPENSED ACTUAL CNT TOTAL EXP. DATE

1 ALOH+MGOH(antacid) tab2 Alprazolam 1mg tablet3 Amicacin SO4 125mg/ml vial4 Amicacin SO4 50mg/ml,2ml vial5 Aminophylline 25mg/ml,2ml amp.6 Amlodipine 10mg tablet7 Amlodipine 5mg tablet8 Amoxicillin 100mg/1ml DROPS9 Amoxicillin trihydrate 125mg,60ml susp.

10 Amoxicillin trihydrate 250mg,60ml susp.11 Amoxicillin trihydrate 100mg,10ml DROPS12 Amoxicillin trihydrate 500mg capsule13 Ampicillin 1g Vial14 Ampicillin 250mg Vial15 Ampicillin+Sulbactam Vial 750mg16 Anti-rabies vaccine vial17 Artemeter Lumefantrine(5kg to less than 15kg)pack

18 Artemeter Lumefantrine(25kg to less than 35kg)pack

19 Artemeter Lumefantrine(35kg above)pack

20 Artemeter Lumefantrine(15kg to less than 25kg)pack

21 Ascorbic Acid Drops22 Ascorbic Acid 100mg,60ml Syrup23 Aspirin 80mg Tablet24 Atenolol 100mg Tablet25 Atenolol 50mg Tablet26 Atracurium Besylate Amp.27 Atropine Sulfate 1mg/ml,1ml amp.28 ATS 3000 IU Vial29 ATS 5000 IU Vial30 Azithromycin 500mg tablet31 BCG Vaccine+Diluent Vial32 Benzyl Penicillin NA 5M u. Vial33 Bisacodyl 10mg Supp.34 Bisacodyl 5mg Supp.35 Budesonide 200mcg/dose suppository36 Budesonide/Formoterol 80mcg/4.5mcg37 Bupivacaine Hcl 0.5%,10ml plain astra amp38 Bupivacaine Hcl 0.5%,4ml heavy astra amp39 Butamirate Citrate 50mg tablet40 butorphanol 2mg,2ml Amp.41 Calcium Glutanate 100mg/ml,10ml amp.

42 Captopril 25mg Tablet43 Captopril 50mg Tablet44 Cefalexin 100mg,10ml Drops45 Cefalexin 250mg/5ml/60ml Syrup46 Cefalexin 500mg Capsule47 Cefexime 1g Vial48 Cefexime 100mg/5ml,60ml Susp.49 Cefexime 200mg Tablet50 Cefexime 20mg/10ml Drops51 Cefotaxime NA 1g Vial52 Cefoxitin !g Vial53 Ceftriaxone 1g Vial54 Cefuroxime 125mg/5ml/70ml Susp

DRUGS & MEDICINES

ITEM DESCRIPTION STOCK CARD DISPENSED ACTUAL CNT TOTAL EXP. DATE

55 Cefuroxime 250mg/5ml/60ml Susp56 Cefuroxime 250mg/5ml/50ml Susp57 Cefuroxime 500mg Tablet58 Cefuroxime 750mgVial

Page 7: Inventory Report Form 2

59 Celecoxib 200mg Tablet60 Cetirizine 10mg Tablet61 Cetirizine 2.5mg/ml Drops62 Chloramphenicol 1g Vial63 Chloramphenicol 5mg/5ml Opthl64 Chloroquine 150mg Tablet65 Chlorphenamine maleate 4mg tablet

66 Cimitidine 400mg Tablet67 Ciprofloxacin 500mg Capsule68 Clarithromycin 125mg/5ml/60ml susp

69 Clarithromycin 500mg Tablet70 Clindamycin 150mg Capsule71 Clindamycin 300mg Capsule72 Clomiphene citrate 50mg tablet73 Clonidine 150mg,1ml Ampule74 Clopidogrel 75mg Tablet75 Cloxacillin 500mg Capsule 76 Co-Amoxiclav 1g Vial77 Co-Amoxiclav 1g/200mg Vial78 Co-Amoxiclav 625mg Tablet79 Conjugated Estrogens 625mcg Tablet

80 Danazol 200mg Capsule81 Dexamethasone 4mg/ml,2mlVial82 Detromethorphan 10mg,60ml Syrup

83 Diazepam 5mg Tablet84 Diazepam 5mg,2ml Ampule85 Diclofenac NA 75mg,3ml Amp.86 Digoxin 0.25mg Tablet87 Digoxin 0.5mg INJ. Amp.88 Diphenhydramine 12.5mg,60ml Syrup

89 Diphenhydramine 150mg Capsule90 Diphenhydramine 50mg Amp.91 Divalproex NA 250mg Syrup92 Dobutamine 250mg/20ml Amp.93 Domperidone 10mg Tablet94 Domperidone10mg,60ml Susp.95 Dopamine Hcl 40mg/ml Vial96 Doxycycline 100mg Capsule97 Dydrogesterone 10mg Tablet98 Enoxaparin 40 IU PFS99 Ephedrine SO4 50mg/ml Ampule

100 Epinephrine 1mg INJ. Ampule101 Erythromycin 0.5% ointment102 Erythromycin 500mg Tablet103 Erythromycin Estolate 125mg,100ml Susp.104 Erythromycin Estolate 250mg,100ml Susp.105 Erythromycin+Colistin Eye Drops106 Felodipine 10mg Tablet107 Felodipine 5mg Tablet108 Fluconazole 2mg/ml,2ml INJ.Vial109 Furosemide 20mg INJ.110 Gentamicin 80mg Ampule111 Gentamicin SO4 0.3% Eye/ear Drops112 Glibenclamide 2.5mg Tablet

DRUGS & MEDICINES

ITEM DESCRIPTION STOCK CARD DISPENSED ACTUAL CNT TOTAL EXP. DATE

113 Glibenclamide 5mg Tablet114 Gliclazide 80mg Tablet115 Hepa B Vaccine100u/5ml PFS116 Heparine 5,000IU Ampule117 HTIG 250IU Ampule118 Human Insulin 30/70 100IU/ml,3ml PFS

119 Hydralazine 20mg INJ. Amp.120 Hydrocortisone Nassuc. 250mg vial121 Hydrocortisone Nassuc. 500mg vial122 Hyoscine-NBB 10mg Tablet123 Hyoscine-NBB 10mg INJ. Amp

Page 8: Inventory Report Form 2

124 Ipratropium+salbu 500mg Neb.125 Isoflurane 100ml Liquid Inh'n126 Isosorbide Dinitrate 5mg SL Tablet127 Isosorbide Mononitrate 60mg Tablet128 Isoxsuprine 10mg tablet129 Isoxsuprine 10mg/ml,2ml INJ. Amp130 Ketamine 50mg/ml Vial131 Ketorolac 30mg/ml,1ml Amp.132133 Lanzoprazole 15mgTablet134 Lanzoprazole 30mgTablet135 Levofloxacin 500mg Tablet136 Levofloxacin NA 50mcg Tablet137 Lidocaine 2%,5ml PolyAmp.138 Lidocaine+Epinephrine2% Carpule139 Liverpro Silymarin/vits Tablet140 Loperamide 2mg Capsule141 Loratadine10mg Tablet142 Losartan 50mg Tablet143 Magnesium SO4 500mg/ml Amp.144 Mefenamic Acid 500mg Cap.145 Meropenem 500mg Capsule146 Metformin 500mg Tablet147 Metformin 850mg Tablet148 Methyldopa 125mg Tablet149 Methyldopa 250mg Tablet150 Methylergometrine maleate 125mcg Tablet151 Methylergometrine maleate 200mcg Amp.152 Metoclopramide 10mg Tablet153 Metoclopramide 10mg INJ.154 Metronidazole125mg/ml Susp.155 Metronidazole 500mg Tablet156 Metronidazole 500mg,100ml I.V157 Midazolam15mg Tablet158 Midazolam Ampule159 Mono Basic Sodium PO4,133ml160 Montelukast 5mg Tablet161 Multivitamins+Iron Capsule162 Multivitamins+Minerals Capsule

163 Multivitamins w/ Taurine+Lysine Syrup

164 Multivitamins w/ Taurine+Lysine w/ Chlorella Syrup

165 Mupirocin 2% Ointment166 Nalbuphine HL 10mg/ml Amp.167 Nicardipine Hcl 2mg/2ml INJ. Amp.168 Nifedipine 10mg Tablet169 Nifedipine 30mg Gits170 Nifedipine 5mg Tablet

DRUGS & MEDICINES

ITEM DESCRIPTION STOCK CARD DISPENSED ACTUAL CNT TOTAL EXP. DATE

171 Nitrofurantoin Capsule172 Nitroglycerin Transdermal System 0.2mg/hr173 Norfloxacin 200mg Tablet174 Norfloxacin 400mg Tablet175 Omeprazole 20mg Capsule176 Omeprazole 40mg Capsule177 ORS Sachet178 Oxytocin 10 I.U. INJ. Amp.179 Paracetamol+Ibuprofen 325/200mg Tab.180 Paracetamol 100mg,15ml Drp.181 Paracetamol 125mg Supp.182 Paracetamol 150mg/2ml Amp.183 Paracetamol 250mg,Supp.184 Paracetamol 250mg,60ml Susp185 Paracetamol 500mg Tablet186 Paracetamol 300mg Ampule187 Penicillin 250mg Tablet188 Phenobarbital 30mg Tablet

Lactulose 3.35g/5ml,120ml Syp.

Page 9: Inventory Report Form 2

189 Phenobarbital 60mg Tablet190 Phenobarbital NA120mg,2ml Amp.191 Phenylephrine Hcl Brompheniramine192 Phenylephrine Hcl Brompheniramine 60ml syrup

193 Phenylephrine Hcl Brompheniramine194 Phenylephrine Hcl Brompheniramine 15ml DROPS

195 Phenytoin NA 100mg Tablet196 Phenytoin NA 30mg Tablet197 Phenytoin SO4 50mg/2ml Amp198 Phytomenadione 10mg/ml Amp199 Piperacillin Tazobactam 2.25g Vial200 Piperacillin Tazobactam 4.5g Vial201 Potassium Chloride 40mEq Vial202 PPD 5TU w/ dilluent pwder Vial203 Prednisone 20mg Ampule204 Prednisone 5mg Ampule205 Primaquine SO4 25.5mg Tab.206 Procaterol 25mg Tablet207 Procaterol 50mg Tablet208 Procaterol Hcl 1`0mcg/143MDI209 Propofol 10mg,20ml Ampule210 Propranolol 10mg Tablet211 Propranolol 40mg Tablet212 Propylthiouracil 50mg Tab.213 Pyrazinamide 250mg Tablet214 Pyrazinamide 400mg Tablet215 Pyrazinamide 500mg Tablet216 Quinine SO4 300mg Tablet217 Quinine SO4 600mg Tablet218 Ranitidine 150mg Tablet219 Ranitidine 150mg/2ml Amp.220 Rifam 150mg,INH 75mg Tab.221 Salbutamol 100mcg MDI(Asmalin)222 Salbutamol 100mg inhalation MDI223 Salbutamol 2mg,2.5ml Nebules224 Salbutamol+Guiafenesin 60ml Syrup

225 Silver Sulfadiazine 25g Cream226 Simvastatin 20mg Tablet227 Simvastatin 40mg Tablet228 Sodium bicarbonate 325mg tab.

DRUGS & MEDICINES

ITEM DESCRIPTION STOCK CARD DISPENSED ACTUAL CNT TOTAL EXP. DATE

230 Spironolactone 100mg Tablet231 Spironolactone 25mg Tablet232 Spironolactone 50mg Tablet233 Succinylcholine/Suxamethonium 20mg/10ml234 Sucralfate 1g Tablet235 Terazosin Hcl 250mg Tablet236 Terbutaline 2.5mg/ml,2ml Neb.237 Terbutaline SO4 2.5mg Tablet238 Terbutaline SO4 1.5mg/5ml,120ml Syrup

239 Terbutaline SO4 500mcg/1ml Amp240 Tetanus Toxiod 0.5mg Ampule241 Tramadol 50mg,2ml Ampule242 Tramadol 50mg Capsule243 Tranexamic Acid 500mg Tablet244 Tranexamic Acid 500mg Amp.245 Verorab Vaccine 1ml Vial246 Vit. B Complex Tablet 247 Vit. B Complex INJ. Ampule 248 Vit. A Retinol-200,000IU Caplet249 Zinc 27.5mg 15ml drops250 Zinc 55mg/5ml/60ml Syrup

Page 10: Inventory Report Form 2

FLUIDS

ITEM DESCRIPTION STOCK CARD DISPENSED ACTUAL CNT TOTAL EXP. DATE

1 D10 Water 500cc2 D5 IMB 500cc3 D5 0.3 NaCl 500cc4 D50% Water 50cc5 D5LR 1L6 D5NSS 1L7 D5 Water 1L 8 Distilled Water 100cc9 Dopamine 200mg/250ml

10 Hydrogen Peroxide 120cc11 Mannitol 20%,500cc12 Modified Fluid Gelatin 500ml13 PLR 1L14 PNSS 1L15 PNSS 20cc

Medical Supplies

ITEM DESCRIPTION STOCK CARD DISPENSED ACTUAL CNT TOTAL EXP. DATE

1 Asepto Syringe2 Assucryl 3-03 Assucryl 4-04 Blood trasfusion set5 Chromic 06 Chromic 1-0 NON ATR7 Chromic 2-0 w/ 2 Needle8 Chromic 2-0 w/ Neelde9 Chromic 3-0 w/ Needle

10 Chromic 4-011 Chromic 1-0 ATR12 Cord Clamp13 Diaper Adult (Medium)14 Disposable Needle G-2115 E. Tube 2.516 E. Tube 3.017 E. Tube 3.518 E. Tube 4.019 E. Tube 5.020 E. Tube 6.021 E. Tube 6.522 E. Tube 7.023 E. Tube 7.524 E. tube 8.025 Elastic Bandage2X526 Elastic Bandage3X527 Foley Cath FR.1228 Foley Cath FR. 1429 Foley Cath FR. 1630 Foley Cath FR. 18

Page 11: Inventory Report Form 2

31 Foley Cath FR. 2232 Gloves 6.5 33 Gloves 734 Gloves 7.535 Gloves 836 IV Cannula G-1837 IV Cannula G-2038 IV Cannula G-2239 IV Cannula G-2640 KY Jelly Sachet41 Macroset42 Microset43 Name band Adult (white)44 Neb. Kit w/ mask Pedia45 Neb. Kit Simple tubings46 Neb. Kit w/ mask Adult47 NGT FR. 548 NGT FR. 849 NGT FR. 1050 NGT FR. 1251 NGT FR. 1452 NGT FR. 1653 NGT FR. 1854 Nylon Non-Absordable55 O2 Cannula Pedia

56 O2 Cannula Adult57 O2 Mask Adult58 O2 Mask Pedia

Medical Supplies

ITEM DESCRIPTION STOCK CARD DISPENSED ACTUAL CNT TOTAL EXP. DATE

59 Plaster of Paris 4X560 Plaster of Paris 6X561 Plaster (Hypoallergenic)62 Plain 2-0 w/ Needle63 Plain 3-0 ATR w/ Needle64 Polyglycoloc Acid 0 w/ Needle65 Polyglycoloc Acid 1-0 w/ Needle66 Polyglycoloc Acid 3-0 w/ Needle67 Polyglycoloc Acid 4-0 w/ Needle68 Prolene 2-069 Prolene 3-0 w/ Needle70 Prolene 3-0 ATR71 Prolene 4-072 Prolene 5-073 Razor w/ Blade74 Silk 0 Strand75 Silk 1-0 w/ Needle76 Silk 2-0 w/ Needle77 Silk 2-0 Strands78 Silk 3-0 w/ Needle79 Silk 3-0 Strands80 Soluset for Pedia81 Suction Cath. Fr. 882 Suction Cath. Fr. 1083 Suction Cath. Fr. 1284 Suction Cath. Fr. 1485 Suction Cath. Fr. 1686 Surgical stapler87 Insulin Syringe88 Syringe 1cc89 Syringe 3cc90 Syringe 5cc91 Syringe 10cc92 Urine Bag93 Urethral Catheter F-1294 Urethral Catheter F-14

Page 12: Inventory Report Form 2

95 Urethral Catheter F-1696 Vicryl 0 w/ Needle97 Vicryl 0 ATR98 Vicryl 1 ATR99 Vicryl 3-0 ATR

100 Vicryl 4-0 ATR101 Wadding Sheet 6X5

Page 13: Inventory Report Form 2

INVENTORY REPORT

OFFICE/ DEPARTMENT:D.R. DEPARTMENT Date:____________Time:_____________Date/Actual Inventory_________________Signature:_________________

MEDICAL SUPPLIES Signature (Section Head)______________

ITEM DESCRIPTION Standard Stock on 7 to 3 signature 3 to 11 signature 11 to 7 Signature Expiry date Remarks

legend Quality Issuance hand/bal. out bal out bal out bal1 Activated Glutaraldehyde2 Adult Diaper,Medium3 Alcohol 70%, Isoprophyl4 Ambu-Bag-Adult w/ Complete set

5 Ambu-Bag-Pedia w/ Complete set

6 Autoclave Indicator,S-Inch7 Cord Clamp8 Cotton, absorbable 400mg9 D50 Water, 50ml

10 Disp.Hypodermic Needle G-2111 Disp.Hypodermic Needle G-2312 Disp.Hypodermic Needle G-2513 Disp.Hypodermic Needle G-2614 Disposable Syringe insulin15 Disp.Syringe w/ Needle 1ml16 Disp.Syringe w/ Needle 3ml17 Disp.Syringe w/ Needle 5ml18 Disp.Syringe w/ Needle 10ml19 Distilled Water,100cc Vials20 Endotracheal tube 2.521 Endotracheal tube 322 Endotracheal tube 3.523 Endotracheal tube 4

Page 14: Inventory Report Form 2

ITEM DESCRIPTION Standard Stock on 7 to 3 signature 3 to 11 signature 11 to 7 Signature Expiry date Remarks

legend Quality Issuance hand/bal. out bal out bal out bal24 Gauzen Bandage,36X10025 Gloves Sterile-Surgical 6.526 Gloves Sterile-Surgical 727 Gloves Sterile-Surgical 7.528 Gloves,Working s-large29 Gloves,Working s-Meduim30 Gloves,Working s-Small31 Hot Water Bag32 I.V. Cannula G-1833 I.V. Cannula G-2434 I.V. Cannula G-2635 Ice Cap Bag36 Infusion Set (Macro)37 Kelly pad (Rubbermade)38 Lubricating Jelly 5g39 Lubricating Jelly 150ml40 Name Bond, Blue41 Name Bond, Pink42 Oxygen Cannula-Adult43 Oxygen Humidifier44 Oxygen Mask-Adult45 Oxygen mask-Pedia46 Plaster Hypoallergenic,1"47 Plaster,Adhesive(Leukoplast)48 Povidone Iodine7.6%(cleanser)49 Povidone 10%50 Razor w/ Blade51 Rubber Sheet52 Soluset for Pedia53 Suctio Catheter Fr-854 Surgical Cap55 Surgical Face Mask

Page 15: Inventory Report Form 2

56 Tape Measure-Plastic57 Thermometer,Axilla(Non-Hg)

DESCRIPTION Standard Stock on 7 to 3 signature 3 to 11 signature 11 to 7 Signature Expiry date Remarks

legend Quality Issuance hand/bal. out bal out bal out bal58 Urine Bag 2000ml59 Chromic 2/0 w/ 2 Needle

FLUIDS

1 D5 Water 500ml2 D10 Water, 500ml3 D5 LR 1L4 Plain LR 1L5 Plain NSS 1L/0.9

Page 16: Inventory Report Form 2

Date:____________Time:_____________Date/Actual Inventory_________________Signature:_________________

DRUGS & MEDICINES Signature (Section Head)______________

ITEM DESCRIPTION Standard Stock on 7 to 3 signature 3 to 11 signature 11 to 7 Signature Expiry date Remarks

legend Quality Issuance hand/bal. out bal out bal out bal1 D50 Water2 Calcium Gluconate3 Dexamethasone4 Diphenhydramine5 Epinephrine6 Gentamicin Eyedrops7 Hyoscine N-BB8 Hydralazine9 Hydrocortisone

10 Lidocaine11 KCL12 Magnesium SO4 500mg/ml,2ml13 Methergine14 Metoclopramide15 Oxytetracycline16 Oxytocin17 Furosemide18 PNSS 50cc19 Ranitidine20 Terbutaline21 Tranexamic Acid

Page 17: Inventory Report Form 2

INVENTORY REPORT

OFFICE/ DEPARTMENT:WING-A DEPARTMENT Date:____________Time:_____________Date/Actual Inventory_________________Signature:_________________

DRUGS & MEDICINES Signature (Section Head)______________

ITEM DESCRIPTION Standard Stock on 7 to 3 signature 3 to 11 signature 11 to 7 Signature Expiry date Remarks

legend Quality Issuance hand/bal. out bal out bal out bal1 Acetone 60 ml2 Activated Glutaraldehyde3 Alcohol 70%, Isoprophyl4 Asepto Syringe5 Bed pan, plastic6 Cotton absorbable 400mgs7 Disposable syringe 10ml8 Disposable syringe 1ml9 Disposable syringe 20ml

10 Disposable syringe 2ml11 Disposable syringe 3ml12 Disposable syringe 5ml13 Disposable syringe Insulin14 Distilled water,100cc15 Endotracheal tube 2.516 Endotracheal tube 317 Endotracheal tube 3.518 Endotracheal tube 419 Endotracheal tube 520 Endotracheal tube 621 Endotracheal tube 722 Hydrogen Peroxide 120ml23 Hydrogen Peroxide 50ml24 Hypodermic Needle G-1825 Hypodermic Needle G-19

Page 18: Inventory Report Form 2

26 Hypodermic Needle G-2127 Hypodermic Needle G-2328 Hypodermic Needle G-2529 Hypodermic Needle G-26

ITEM DESCRIPTION Standard Stock on 7 to 3 signature 3 to 11 signature 11 to 7 Signature Expiry date Remarks

legend Quality Issuance hand/bal. out bal out bal out bal30 KY Jelly sachet31 KY Jelly tube32 I.V. Cannula G-1833 I.V. Cannula G-2034 I.V. Cannula G-2235 I.V. Cannula G-2436 I.V. Cannula G-2637 Macroset38 Microset39 Mouth Guard Adult 40 Mouth Guard Pedia41 Nebulizing Kit Adult42 Nebulizing Kit Pedia43 NGT/ Feeding Tube 1244 NGT/ Feeding Tube 1445 NGT/ Feeding Tube 1646 NGT/ Feeding Tube 1847 NGT/ Feeding Tube 848 O2 Nasal Cannula Adult49 O2 Nasal Cannula Pedia50 Plaster Hypoallergenic51 Plaster leukoplast52 Povidone Iodine 10%53 Povidone Iodine 120ml54 Razor w/ blade55 Surgical Gloves Sterile 6.556 Surgical Gloves Sterile 757 Surgical Gloves Sterile 7.558 Suction catheter F-6

Page 19: Inventory Report Form 2

59 Suction catheter F-860 Suction catheter F-1061 Suction catheter F-1263 Suction catheter F-1464 Suction catheter F-16

MEDICAL SUPPLIES

ITEM DESCRIPTION Standard Stock on 7 to 3 signature 3 to 11 signature 11 to 7 Signature Expiry date Remarks

legend Quality Issuance hand/bal. out bal out bal out bal65 Suction catheter F-1866 Surgical Face Mask67 Thermometer Digital w/ bat68 Tuberculin 1ml69 Urine Bag 70 Working Gloves S-Large71 Working Gloves S-Medium72 Working Gloves S-Small

Page 20: Inventory Report Form 2

Date:____________Time:_____________

DRUGS & MEDICINES Date/Actual Inventory_________________Signature:_________________Signature (Section Head)______________

ITEM DESCRIPTION Standard Stock on 7 to 3 signature 3 to 11 signature 11 to 7 Signature Expiry date Remarks

legend Quality Issuance hand/bal. out bal out bal out bal1 Ambroxol 130mg Tab.2 Ampicillin Na 250mg powder

3 Aspirin Aspilets 80mgTab.4 Bezylpenicillin Na 5,0005 Butamirate citrate Sinecod 50mg

6 Captopril 50mg Tab.7 Co-Amoxiclav 1.2g Powder8 Cefuroxime 500mg9 Citicoline Zynapse 500mg, Caps

10 Chloramphenicol Na 1g11 Diazepam 5mg/ml12 Domperidone Motillum 10mg13 Doxycycline ansimar 400mg tab

14 Ferrous sulfate+Folic acid, caps

15 Furesomide 10mg/ml,2ml16 Gentamycin 40 mg/ml, 2ml17 Gliclazide Zebet 80mg, Tab18 Hyocine-N-Butabromide 20mg/ml

19 Epinephrine2021 Isosorbide 5mg, Tab.22 Ketorolac 1ml23 Lidocaine Hcl 2%,20ml/ml24 Levofloxacin 500mg, Tab.25 Metoclopramide 5mg/ml,2ml

Hydrocortizone Na Soccinate

Page 21: Inventory Report Form 2

26 Metoprolol 50mg, Tab.27 Metformin 500mg, Tab.28 Omeprazole 20mg, Tab.29 Paracetamol 150mg/ml, 2ml30 Paracetamol 500mg, Tab31 Potassium Chloride 20mg32 Prednisone 5mg, Tab.

DRUGS & MEDICINES

33 Ranitidine 2ml34 Ranitidine 25mg/ml, I.M./I.V.35 Ranitidine 150mg, Tab.36 Rebamipide 100mg, Tab.37 Salbutamol 2.5mg/2.5ml38 Simvastatin 20mg, Tab.39 Tranexamic Acid 500mg, Cap.40 Trimitazidine 20mg Tab.41 Trimitazidine 35mg Tab.42 Vitamin B1+B6+B12, 3ml

FLUIDS

ITEM DESCRIPTION Standard Stock on 7 to 3 signature 3 to 11 signature 11 to 7 Signature Expiry date Remarks

legend Quality Issuance hand/bal. out bal out bal out bal1 Dextrose 5% injection -50ml2 D5 50% injection 50ml3 D10 Water, 500ml4 D5 0.3 Nacl 1L5 D5 0.3 Nacl 500ml6 D5 0.9 Nacl 1L/ D5 NSS7 D5 IMB 500ml8 D5 LR 500ml9 D5 LR 1L

10 D5 Water, 500ml

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11 D5 Water, 1L12 Eurosol-M 1L13 Mannitol 20%, 500ml14 Monified Fluid Gelatin,500ml15 Plain LR 1L16 Plain NSS1L/0.9 Nacl