Republic of the Philippines Province of Ilocos Sur Municipality of Tagudin OFFICE of the MUNICIPAL HEALTH OFFICER Rural Health

Unit April 12, 2012 JOSE MARIA A. OCHAVE Senior Vice President Business Development Group United Laboratories Inc. 66 United Street Mandaluyong City Metro Manila 1550 Dear Sir; The Rural Health Unit of Tagudin, Ilocos Sur is committed to serve our People With Disability (PWD) by giving them free medical and dental check-up on May 3,2012 we have a total of 1,165 PWD in our municipality. The RHU Tagudin is saddled with the perennial problem of inadequate supply of vital medicines. We know that our Local Leaders are doing their best to provide the necessary medical care for our PWDs but they are hampered by the inadequacy of Local Government funds. We are appealing to your good office for your support. Attached herewith is the list of medicines needed. Respectfully Yours, MELJOHN I. VERZOSA Municipal Administrator

Republic of the Philippines Province of Ilocos Sur Municipality of Tagudin OFFICE of the MUNICIPAL HEALTH OFFICER Rural Health Unit UNIT COST 225 250 3744 3456 3600 200 3168 125 150 4320 75 3600 3600 10080 500 4320 195 2376 250 250 150 150 250 3168 120 600 TOTAL COST 2250 2500 18720 17280 18000 2000 15840 1250 1500 21600 750 1800 1800 100800 5000 43200 1950 23760 2500 2500 1500 1500 2500 15840 1200 6000 345940

ITEM 1. Amoxicillin Capsule 250 mg 2. Amoxicillin Capsule 500 mg 3. Amoxicillin Syrup 4. Dipenhydramine Syrup 12.5mg/5mL/60mL 5. cotrimoxazole suspension 400mg/80mg/5mL/60mL 6. Cotrimoxazole Capsule 800mg 7. mefenamic acid susoension 5mg/5mL/60mL 8. mefenamic acid capsule 250mg 9. mefenamic acid capsule 500mg 10. hyoscine syrup 1mg/mL/60mL 11. paracetamol tablet 500mg x 100s 12. paracetamol syrup 250mg/5mL x 60mL 13.metoclopramide hydrochloride 5mg/5mL/60mL 14. multivitamins syrup 60mL 15. multivitamins capsule 16. ambroxol syrup 15mg/5mL 17.ambroxol tablet 30mg x 100s 18. ferrous sulfate suspension 150mg/5mL x60mL 19. ferrous sulfate + folic acid + B complex x 250mg tablet/ 100 20. metoprolol tartrate tablet 50mg x 100s 21. furosemide 40 mg x 100s 22. aspirin 80 mg/ tablet x 100s 23. metronidazole tablet 500mg x 100s 24. metronidazole syrup 125mg/ 5mL x 60 mL 25. diclofenac sodium 50mg tablet/ 100s 26. allupurinol tablet 300mg x 100s TOTAL

UNIT box box gross gross gross box gross box box gross box gross gross gross box gross box gross box box box box box gross box box

QUANTITY 10 10 5 5 5 10 5 10 10 5 10 5 5 10 10 10 10 10 10 10 10 10 10 5 10 10

Republic of the Philippines Province of Ilocos Sur Municipality of Tagudin OFFICE of the MUNICIPAL HEALTH OFFICER Rural Health Unit Dental Supplies and Medicines ITEM 1. lidocaine HCl 2% corpuls (violet) 2. dental neddle 27 gauge 3. absorbable galatri sponge gel foam 4. xylocaine 10% 120mL topical spray 5. isoprophyl alcohol 705 500mL 6. povidone iodine 60 mL 7. absorbent cotton 400 grams 8. Lysol concentrated 150mL 9. disposable face mask 10. examination gloves (medium) 11. amoxicillin capsule 250mg 12. amoxicillin capsule 500mg 13. mefenamic acid 250 mg 14. mefenamic acid 500mg 15. tranexamic acid capsule 500mg UNIT QUANTITY box box bottle bottle bottle bottle pcs bottle box box box box box box box 10 10 24 6 50 50 12 12 5 12 10 10 10 10 6 UNIT COST 703 587 400 1200 72 80 400 85 300 450 225 250 125 150 250 TOTAL COST 7030 5870 9600 7200 3600 4000 4800 1020 1500 5400 2250 2500 1250 1500 1500

TOTAL

59020