RDF-Purchase Request Form - For Medicine: S.N. Item Description Unit Remark Quantity Requested

RDF-Purchase Request Form -For Medicine
Name of Health Facility- _______________________ Region: ________________ Zone: _______________

Supply Hub:- __________________________________ Woreda: _____________
Reporting Period :-___________________________
Quantity
S.N. Item Description Unit Remark
Requested
1 Acetazolamide - 250mg – Tablet 10x10
2 Acetylsalicylic Acid - 300mg - Tablet (Micro fined) 10x10
3 Acetylsalicylic Acid - 81mg - Tablet( Enteric Coated) 20x10
4 Acyclovir - 200mg or 400mg– Capsule/tablet 10x10
5 Acyclovir - 3% - Eye Ointment 4.5gm
6 Acyclovir - 5% - Topical Cream 10gm
7 Acyclovir - 500mg - Powder for injection Each
8 Adrenaline (Epinephrine) - 0.1% in 1ml ampoule –Injection(IV/IM/Subcutaneous) 10X10
9 Albendazole - 100mg/5ml - Oral Suspension 20ml
10 Albendazole - 400mg – Tablet 50x2
11 Allopurinol - 100mg – Tablet 10x5
Antiacid(AL + Mag + Simethicone ) – Suspension OR Aluminium Hydroxide +
12 200ml/100x10
Magnesium Trisilicate - Tablet (Chewable)
13 Aminophylline - 250mg/10ml in 10ml Ampoule - Injection 5
14 Amiodarone - 100mg – Tablet* 10x10
15 Amitriptyline - 25mg – Tablet 10x10
16 Amlodipine - 10mg OR 5mg - Tablet 10x10
17 Amoxicillin - 125mg/5ml OR 250mg/5ml - Oral Suspension 100ml
18 Amoxicillin - 250mg OR 500mg – Capsule 100x10
19 Amoxicillin + Clavulanic Acid - (500mg + 100mg) in Vial- Powder for Injection 10
20 Amoxicillin + Clavulanic Acid - (125mg +31.25mg)/5ml - Oral Suspension 100ml

21 Amoxicillin + Clavulanic Acid - (500mg + 125mg) - Tablet (Film Coated) 5x3
22 Amoxicillin + Clavulanic Acid - 250mg + 125mg - Tablet (Film Coated) 10x2
23 Amphotericin B - 50mg in vial - Injection (Liposomal) Each
Page 1 of 48
Quantity
Requested
24 Ampicillin - 125mg/5ml or 250mg/5ml- Oral Suspension 100ml
25 Ampicillin - 250mg/5ml - Oral Suspension 100ml
26 Ampicillin - 500mg or 250mg– Capsule 50x10
27 Ampicillin Sodium - 500mg in Vial - Injection 50
Anti-haemorrhoidal (Betamethasone Valer-ate + Phenylephrine HCl + Lidocaine
28 20gm
HCl) -(0.5mg+1mg+25mg) – Ointment
Anti-haemorrhoidal (Hydrocortisone + Framycetin + Cinchocaine + Esculoside) -
29 (5mg + 10mg + 5mg 10mg) - Suppository 10
30 Anti-Rho (D) Immune Globulin - 300mcg in 2ml Vial- Injection Each
31 Atenolol - 50mg – Tablet 10x10
32 Atorvastatin - 20mg OR 40mg– Tablet 10x10
33 Atropine Sulfate - 1% - Eye Drop 15ml
34 Atropine Sulfate - 1mg/ml in 1ml ampoule - Injection 10x10
35 Azithromycin - 200mg/5ml - Oral Suspension 15ml
36 Azithromycin - 250mg OR 500 mg – Tablet 30
200 Metered
37 Beclomethasone Propionate - 100mcg/dose - Aerosol (Oral Inhalation)
doses
38 Benzhexol (Trihexyphenidyl HCL) - 2mg - Tablet 10x10
40 Benzoic Acid + Salicylic Acid - (6% + 3%) - Topical Ointment 20gm
41 Benztropine (Mesylate) - 1mg/ml in 2ml ampoule -Injection Each
42 Betamethasone - 0.5mg – Tablet 10x10
43 Betamethasone + Dexchlorpheniramine Maleate - (0.25mg+2mg) - Tablet 10x10
44 Betamethasone Dipropionate - 0.03% - Cream 15gm
45 Betamethasone Dipropionate - 0.05% - Ointment 20gm
46 Bisacodyl - 5mg - Suppository 5x2
47 Bisacodyl - 5mg – Tablet 10x10
48 Bromazepam - 1.5mg OR 3mg– Tablet 10x10
49 Bromocriptine Mesylate - 2.5mg - Tablet 10x3
50 Bupivacaine 0.5%, 10ml injection 5
51 Calamine - 5% - Lotion 100ml
52 Calcium Carbonate - 350mg – Tablet* 10x10
53 Calcium gluconate - 10% in 10ml Ampoule - Injection 10
54 Captopril - 12.5mg or 25mg – Tablet 10x10
Page 2 of 48
Quantity
Requested
55 Carbamazepine - 100mg/5ml – Syrup 100ml
56 Carbamazepine - 200mg – Tablet 10x10
57 Cefepime - 1gm in Vial - Powder for Injection with Solvent Water for Injection* Each
58 Cefixime - 400mg – Tablet 7x2
Cefotaxime Sodium - 0.5g in Vial - Powder for Injec- tion with Solvent Water for
59 Injection Each
60 Ceftazidime - 1gor 0.5g in vial - Powder for Injection with Diluent Each
61 Ceftriaxone - 0.5g/1 g in Vial - Powder for Injection with 5ml Diluent Each
Ceftriaxone - 250mg in Vial - Powder for Injection with 1% Lidocaine
62 Each
Hydrochloride (Intramuscular)
63 Cephalexin - 125mg/5ml or 250mg/5 ml- Oral Suspension 100ml
64 Cephalexin - 250mg or 500mg – Capsule 10x10
65 Cetirizine - 10mg - Tablet 10x10
66 Cetirizine - 1mg/ml - Oral Solution 100ml
67 Chloramphenicol - 0.5% - Eye/Ear drop 10ml
68 Chloramphenicol - 0.5% + Dexamethasone 0.1% - Eye Drop 5ml
69 Chloramphenicol - 1% - Eye Ointment 5gm
70 Chloramphenicol Sodium Succinate - 1g in vial - Pow- der for injection 50
71 Chlordiazepoxide + Clinidium Bromide - (5mg +2.5mg) - Tablet 10x3
72 Chlorpheniramine Maleate - 2mg/5ml - Syrup 100ml
73 Chlorpheniramine Maleate - 4mg - Tablet 10x10
74 Chlorpromazine Hydrochloride - 100mg - Tablet 100x10
75 Chlorpromazine Hydrochloride - 25mg - Tablet 1000
76 Chlorpromazine Hydrochloride - 25mg/2ml in 2ml Ampoule - Injection 50
77 Cimetidine - 200mg/ml in 2ml ampoule - Injection 10
78 Cimetidine - 400mg – Tablet 10x10
79 Ciprofloxacin - 0.3% - Eye/Ear drop 5ml
80 Ciprofloxacin - 250mg OR 500mg – Tablet 10x10
81 Ciprofloxacin - 2mg/ml - Intravenous Infusion (as lactate) 100ml
82 Cisatracurium- 2mg/ml in 10 ml Ampoule - Injection Each
83 Clarithromycin - 500mg – Tablet 10x10
84 Clindamycin - 150mg – Tablet 10x10
85 Clomiphene Citrate - 50mg – Tablet 10x3
Page 3 of 48
Quantity
Requested
86 Clomipramine HCL - 25mg – Tablet 25x10
87 Clonazepam - 0.5mg – Tablet 10x3
88 Clonazepam - 2mg – Tablet 10x3
89 Clotrimazole - 1% - Cream 20gm
90 Clotrimazole - 100mg - Tablet (Vaginal) 6
91 Cloxacillin Sodium - 125mg/5ml or 250mg/5ml- Oral Suspension 100ml
92 Cloxacillin Sodium - 500 mg or 250 mg– Capsule 50x10
93 Cloxacillin Sodium - 500mg in Vial - Powder for injection 50
94 Clozapine - 100mg – Tablet* 10x5
95 Dexamethasone - 0.10% - Eye/Ear drop 10ml
96 Dexamethasone - 0.25% - Topical Cream or ointmnet 15gm
97 Dexamethasone - 0.5mg – Tablet 10x10
98 Dexamethasone - 4mg – Tablet 100
99 Dexamethasone - 4mg/ml in 1ml Ampoule - Injection 5
100 Dextromethorphan Hydro bromide - 15mg/5ml - Syrup 125ml
101 Dextrose - 40% in 20ml - Intravenous Infusion 50
102 Dextrose in Normal Saline - (5% + 0.9%) - Intrave- nous Infusion with Giving Set 1000ml
103 Dextrose in Water - 5% - Intravenous Infusion with Giving Set 1000ml
104 Diazepam - 5 mg/ml in 2ml ampoule - Injection 100
105 Diazepam - 5mg – Tablet 10x10
106 Diclofenac Sodium - 100mg - Suppository 5
107 Diclofenac Sodium - 25mg/ml in 3ml ampoule - Injec- tion 10x10
108 Diclofenac Sodium - 50mg – Tablet 10x10
109 Digoxin - 0.25mg – Tablet 10x10
110 Digoxin - 0.25mg/ml in 2ml ampoule - Injection 5
111 Dimenhydrinate - 50mg – Tablet 10x10
112 Diphenhydramine Hydrochloride - 12.5mg/5ml - Elixir 125ml
113 Dopamine Hydrochloride - 40mg/ml in 5ml Ampoule - Injection 5
114 Doxycycline - 100mg – Capsule 20x10
115 Enalapril Maleate - 5mg or 10mg – Tablet 10x10
116 Ergometrine Maleate - 0.25 mg/ml in 1ml Ampoule - Injection 10x10
117 Ergotamine Tartrate + Caffeine - (1mg+100mg) - Tablet 10x10
118 Erythromycin - 125 mg/5 ml or 200mg/5ml- Oral Suspension 100ml
Page 4 of 48
Quantity
Requested
119 Erythromycin Stearate - 250 mg or 500mg- Tablet 50x10
120 Ferrous Sulfate - 125mg/5ml – Syrup 200ml
121 Ferrous Sulfate - 325mg – Tablet 10x10
122 Ferrous Sulfate - 75mg/0.6ml - Oral Drop 30ml
123 Ferrous Sulfate + Folic Acid - (150mg +0.5mg) - Tab- let( Enteric Coated) 10x10
124 Fluconazole - 100mg or 200mg– Capsule/Tablet 10x10
125 Fluocinolone Acetonide - 0.025% - Cream 10gm
126 Fluoxetine - 20mg – Capsule 10x2
127 Fluphenazine Decanoate - 25 mg/ml in 2ml Ampoule - Injection (Depot, oily) 10
128 Folic Acid - 5mg – Tablet 10x10
129 Frusemide - 10mg/ml in 2ml ampoule - Injection 10x10
130 Frusemide - 40mg – Tablet 10x10
131 Fusidic Acid - 2% - Topical Cream 10gm
132 Gentamicin - 0.3% - Eye/Ear drop 10ml
133 Gentamycin - 40mg/ml in 2ml - Injection 10x10
134 Glibenclamide - 5mg – Tablet 10x10
135 Glycerin - 1g/900mg - Suppository 5
136 Glyceryl Trinitrate (Nitroglycerine) - 0.4mg - Tablet (Sublingual) 10x10
137 Griseofulvin - 125mg or 250 mg – Tablet OR 125mg/5ml - Oral Suspension 10x10/100ml
138 Guaifenesin - 100mg/5ml – Syrup 100ml
139 Haloperidol - 1.5mg – Tablet 10x10
140 Haloperidol - 5mg – Tablet 10x10
141 Haloperidol - 5mg/ml in 1ml Ampule - Injection 10x10
142 Haloperidol Decanoate - 50mg/ml in 1ml Ampoule - Injection (Depot, oily) 5
143 Halothane – Inhalation 250ml
144 Heparin Sulfate - 5000IU/ml in 5ml - Injection 25
145 Hydralazine - 20mg/ml in 1ml ampoule - Injection 5
146 Hydrochlorothiazide - 25mg – Tablet 10x10
147 Hydrocortisone Acetate - 1% - Topical Ointment 15gm
148 Hydrocortisone Sodium Succinate - 50mg/ml in 2ml ampoule - Injection Each
149 Hyoscine (Scopolamine) Butyl bromide - 10mg - Tablet 10x10
150 Hyoscine (Scopolamine) Butyl bromide - 20mg/ml in 1ml ampoule - Injection 10x10
151 Ibuprofen - 400mg – Tablet 10x10
Page 5 of 48
Quantity
Requested
152 Ichthammol - 10% - Topical Ointment 20gm
153 Imipramine - 25mg – Tablet 20x5
154 Indomethacin - 100mg - Suppository 10
155 Indomethacin - 25mg – Capsule 10x10
Insulin Isophane Biphasic (Soluble/Isophane Mixture) - (30 + 70)IU/ml in 10ml
156 Each
Vial - Injection(Suspension)
157 Insulin Isophane Human - 100IU/ml in 10ml Vial - Injection(Suspension) Each

158 Insulin Soluble Human - 100IU/ml in 10ml Vial - In- jection Each
159 Isoflurane inhalation 250ml
160 Ketamine HCL - 50 mg/ml in 10ml Ampoule Injection - Injection 25
161 Ketoconazole - 2% - Cream 20gm
162 Ketoconazole - 200mg – Tablet 10x10
163 KY Jelly (Hydroxy Ethyl Cellulose) – Gel 82gm
164 Levodopa + Carbidopa - (250 mg + 25 mg) 10x3
165 Lidocaine HCL - 2% in 50/20ml – Injection 25
166 Lidocaine HCL + Adrenaline - (2%+1:200000IU) in 20ml vial - Injection 25
167 Lidocaine HCL + Dextrose - (5% + 7.5 %)in 2ml - Injection 5
168 Lithium Carbonate - 300mg – Tablet 10x10
169 Loratadine - 10mg - Tablet 10x10
170 Loratadine - 5mg/5ml – Syrup 100ml
171 Lorazepam - 1mg – Tablet 10x10
172 Lovastatin - 20mg – Tablet 10x10
173 Mannitol - 20% in 500ml Ampoule - Intravenous Infusion 500ml
174 Mebendazole - 100mg – Tablet 40x6
175 Mebendazole - 100mg/5ml - Oral Suspension 30ml
176 Metformin - 500mg – Tablet 10x10
177 Methyl Prednisolone - 40mg/ml in 1ml ampoule - Injection Each
178 Methyl salicylate - 25% - Ointment 20gm
179 Methyldopa - 250mg – Tablet 100x10
180 Metoclopramide - 0.2mg/drop - Oral Drop 15ml
181 Metoclopramide - 10mg - Tablet 10x10
182 Metoclopramide - 5mg/5ml – Syrup 60ml
183 Metoclopramide - 5mg/ml in 2ml ampoule - Injection 5
Page 6 of 48
Quantity
Requested
184 Metoprolol - 25mg or 50mg– Tablet 14
185 Metronidazole - 125mg/5ml - Oral Suspension 100ml
186 Metronidazole - 250mg – Capsule 100x10
187 Metronidazole - 5mg/ml - Intravenous Infusion 100ml
188 Miconazole - 25mg/ml - Oral Gel 40gm
189 Miconazole Nitrate - 2% - Cream 30gm
190 Miconazole Nitrate - 200mg - Tablet (Vaginal) 6
191 Morphine Sulfate - 10mg/ml – Injection 10
192 Morphine Sulfate - 20mg/5ml – Syrup 125ml
193 Morphine Sulfate - 30mg – Tablet 10x5
194 Multivitamin - Syrup 120ml
195 Multivitamin with Minerals - Tablet 10x10
196 Neostigmine - 0.5mg/ml or 2.5mg/ml in 1ml Ampoule - Injection 100
197 Nifedipine - 10mg or 20mg- Capsule/tablet 10x10
198 Nitrofurazone -0.2% - soluble dressing- Ointment 30gm
199 Norethindrone (Norethisterone) - 5mg - Tablet 10x3
200 Norfloxacin - 400mg – Tablet 10x10
201 Nystatin - 500,000 IU – Tablet 10x10
202 Olanzapine - 5mg – Tablet 10x10
203 Omeprazole - 20 mg - Capsule (Enclosing Enteric Coated Granules) 10x10
204 Omeprazole - 4mg/ml in 10ml – Injection Each
Oxytetracycline HCL + Hydrocortisone Acetate - (5mg+15mg+ 10.000 Units)/ml -
205 5ml
Eye/Ear drop
206 Oxytocin - 10 Units/ml in 1ml Ampoule - Injection 10x10
207 Pancuronium Bromide - 2 mg/ml in 2ml Ampoule - Injection 10x5
208 Paracetamol - 120mg/5ml – Syrup 60ml
209 Paracetamol - 125mg - Suppository 10x10
210 Paracetamol - 500mg – Tablet 100x10
211 Penicillin G, Benzathine - 1.2 MIU or 2.4MIU - Injection 100
212 Penicillin G, Sodium Crystalline - 1 MIU - Injection 100
213 Pethidine HCL - 50mg/ml in 1ml Ampoule - Injection 10
214 Phenobarbitone (Phenobarbital) - 100mg - Tablet 1000
216 Phenobarbitone (Phenobarbital) Sodium - 30mg/ml OR 120mg/ml - Injection 10
Page 7 of 48
Quantity
Requested
217 Phenytoin (Diphenhydantoin) - 100mg or 50mg- Tablet 100
218 Phenytoin (Diphenhydantoin) Sodium - 250mg - Powder for injection Vial
219 Pilocarpine Hydrochloride - 2% - Eye Drop 10ml
220 Piperazine Citrate - 700mg/5ml – Elixir 29ml
221 Potassium Chloride - 150mg/ml in 10ml ampoule - Injection 10
222 Potassium Chloride - 600mg – Tablet 500
223 Praziquantel - 600mg – Tablet 10x10
224 Prednisolone - 5 mg – Tablet 100x10
225 Procaine Penicillin Fortified - 4 MIU - Powder for injection (Buffered) 100
226 Procyclidine - 5mg/ml in 2ml ampoule - Injection 5
227 Promethazine HCL - 25mg – Tablet 100x10
228 Promethazine HCL - 25mg/ml in 2ml - Injection 10x5
229 Propofol - 10mg/ml in 20ml - Injection 5
230 Propranolol - 10mg - Tablet 10x10
231 Propranolol - 1mg/ml in 1ml ampoule - Injection 10
232 Propranolol - 40mg – Tablet 10x10
233 Propylthiouracil - 100mg or 50mg - Tablet (Scored) 100
234 Ranitidine - 10mg/ml in 5ml ampoule - Injection Each
235 Ranitidine - 150mg – Tablet 10x10
Ringer's Solution - Each contains Na+ 147mEq + K+4mEq Cl-155mEq - Intravenous
236 1000ml
Infusion with Giving Set
237 Risperidone - 1mg or 2mg – Tablet 10x10
238 Risperidone - 4mg – Tablet 10x10
200metered
239 Salbutamol (Albuterol) - 0.1mg/dose - Aerosol (Oral Inhalation)
doses
240 Salbutamol (Albuterol) - 2mg – Tablet 10x10
241 Salbutamol (Albuterol) - 2mg/5ml - Syrup 100ml
242 Sertraline HCL - 50 mg or 100mg – Tablet 10x10
243 Snake Venom Antiserum Polyvalent - Injection 10ml
244 Soda Lime, Carbon Dioxide Adsorbent - Aerosol 4.5kg
245 Sodium Bicarbonate - 7.5%(40mEq/50ml) in 50ml ampoule - Injection 20ml
246 Sodium Chloride (Normal Saline) - 0.009 - Intrave- nous Infusion with Giving Set 1000 ml
247 Sodium Cromoglycate - 2% - Eye Drop 10 ml
Page 8 of 48
Quantity
Requested
248 Sodium Valproate - 200mg - Tablet (enteric coated) 10x10
249 Sodium Valproate - 200mg/5ml – Syrup 300ml
250 Sodium Valproate - 500mg – Tablet 10x10
251 Spironolactone - 25mg – Tablet 10x10
252 Sulphamethoxazole + Trimethoprim - (200mg +40mg)/5ml - Suspension 100ml
253 Sulphamethoxazole + Trimethoprim - (400mg +80mg) - Tablet 100x10
254 Sulphamethoxazole + Trimethoprim -(400mg+80mg)/5ml Bottle - Injection 10
255 Sulphur - 10% - Ointment 50gm
Suxamethonium Chloride (Succinylcholine) - 50 mg/ml in 10ml Vial - Powder for
256 25
injection
257 Tetanus Antitoxin (TAT), Equine - 1,500 IU/ml in 1ml Ampoule - Injection 20
258 Tetracycline - 1% - Eye Ointment 4gm
259 Tetracycline - 3% - Skin Ointment 15gm
260 Theophylline + Ephedrine - (120mg + 11mg) - Tablet 100x10
261 Thiopental Sodium - 1g or 0.5 g - Powder for injection 50
262 Thioridazine HCL - 100mg – Tablet 100x10
264 Thyroxin Sodium - 0.1mg OR 0.05mg – Tablet 100
265 Timolol Maleate - 0.25% - Eye Drop 5ml
266 Timolol Maleate - 0.5% OR 0.25% - Eye Drop 5ml
267 Tinidazole - 500 mg – Tablet 60X4
268 Tramadol HCl - 50mg – Capsule 10x10
269 Tramadol HCl - 50mg/ml in 2ml ampoule - Injection 5
270 Triamcinolone Acetonide - 40mg/ml in Vial - Injection Each
271 Trifluoperazine HCL - 1mg – Tablet 10x10
273 Tropicamide - 1% - Eye Drop 10ml
274 Vancomycine - 500mg or 1gm – Injection Each
275 Vecuronium Bromide - 10 mg in vial - Powder for injection Each
276 Verapamil - 40mg – Tablet 20
277 Vitamin B Complex Preparations - Injection 10x10
278 Vitamin B Complex Preparations - Tablet 10x10
279 Vitamin B1 (Thiamine HCl) - 50mg/ml in 2ml ampoule - Injection 10
Page 9 of 48
Quantity
Requested
280 Vitamin B1 + Vitamin B6 + Vitamin B12 - (100mg +100mg +1000mcg) - Injection 3

281 Vitamin B1 + Vitamin B6 + Vitamin B12 - (100mg +200mg + 1000mcg) - Tablet 10x10
282 Vitamin B12 (Cyanocobalamin) - 1000mcg/ml in 1ml ampoule - Injection 10
283 Vitamin B6 (Pyridoxine HCl) - 100mg - Tablet 10x10

284 Vitamin K1 (Phytomenadione) - 10mg/ml in 1ml ampoule - Injection 3
285 Warfarin Sodium - 5mg – Tablet 10x10
286 Water For Injection - 10ml OR 5ml– Injection 100
287 White Petrolatum – Ointment 50gm
288 Xylometazoline HCL - 0.0005(0.05%) OR 0.001(0.1%)- Solution (Nasal Drops) 10 ml
289 Zinc Oxide 15% Cream 75gm
Page 10 of 48
RDF-Purchase Request Form -For Medical Supplies

Quantity
Requested
1 Adhesive Plaster Zinc Oxide - 12.5cmx10m or 7.5cmx10m Each
2 Applicator Stick Wooden with Cotton Tip - 15cmx2.2mm 100
3 Autoclave Indicator Tape - 1.9cmx5m Each
4 Bandage Elastic - 8cmx5m Each
5 Cannula Intravenous Set - 18G 100
6 Cannula Intravenous Set - 20G OR 22G 100
8 Cat Gut -(4/0) Reverse Cutting Needle or Round bodied Needle Dozen
9 Cat Gut -(3/0) Reverse Cutting Needle or Round Bodied Needle Dozen
10 Cat Gut -(2/0) Reverse Cutting Needle or Round Bodied Needle Dozen
11 Cat Gut -(0) Reverse Cutting Needle or Round Bodied Needle Dozen
14 Catheter Condom Latex Medium - 28mm Each
15 Catheter Foley Three Ways- 8CH or 10CH or 12CH Each
16 Catheter Foley Three Ways - 14CH or 16CH Each
17 Catheter Foley Three Ways - 18CH Each
18 Catheter Foley Three Ways - 20CH Each
19 Catheter Foley Three Ways -22CH or 24CH Each
20 Catheter Nasal Oxygen for Adult Each
21 Catheter Nasal Oxygen for Pediatrics Each
22 Catheter Suction - 8CH 100
25 Colostomy Bag Adhesive Regulator Closed - 25cmx14cm 30mm Opening Adult O Each
26 Colostomy Bag Adhesive Regulator Closed - 25cmx14cm 30mm Opening Pediatric Each
Page 11 of 48
Quantity
Requested
27 Cotton Absorbant Wool - 100gm Each
28 Dental Needle - 21mm or 31mm, 27G 100
29 Drainage Chest Tube -10FG Each
30 Drainage Chest Tube -18FG or 22FG Each
32 Endotracheal Tube Cuffed- 3CH or 4CH Each
35 Face Mask Adult - Adult Standard Size 50
36 Gauze Bandage - 7.5cmx5m or 2.5cmx5m Dozen
37 Gauze Paraffin Sterile with Case - 10cm x 10cm 10
38 Gauze Surgical -90cmx100m mesh size 19x15 Roll
39 Glove Examination Latex Non Powdered - Medium/small/large 100
40 Glove Gynecological Examination(Elbow Glove) No-6.5 or 7.5 Pair
41 Glove Surgical Latex Powder -Free Sterile -No.7 or 6.5 50 pairs
42 Glove Surgical Latex Powder -Free Sterile -No.7.5 or 8 50 pairs
43 Goggle Eye plastic Each
44 Mersilk (3/0) Reverse Cutting Needle or Round Bodied Needle Dozen
45 Mersilk (2/0) Reverse Cutting Needle or Round Bodied Needle Dozen
46 Mersilk (0) Reverse Cutting Needle or Round Bodied Needle Dozen
50 Naso Gastric Tube Sterile Infant - 4CH or 6CH Each
51 Naso Gastric Tube Sterile Infant - 8CH or 10 CH Each
52 Naso Gastric Tube Sterile Adult - 16CH Each
54 Oropharyngeal Airway (Guedel) Sterile - 120mm Each
57 Oxygen Face Mask for Adult Each
58 Oxygen Face Mask for Pediatrics Each
59 Plaster Of Paris (P.O.P) - 10cmx3m Dozen
Page 12 of 48
Quantity
Requested
61 Polyamide Monofilament -(9/0) or (10/0) 3/8 Circle Spatula Single Armed Needle Dozen
Polyglycolic Acid Absorbable (8/0) Reverse Cutting Needle or Round Bodied

62 Dozen
Needle
63 Dozen
Needle
64 Dozen
Needle
65 Rectal Tube Rubber With Terminal Size - 14CH Each
67 Scalp Vein Winged Infusion Set - 23G 100
69 Spinal Needle 6cm-21G Each
72 Spinal Needle 8cm-24G or 25G Each
73 Surgical Scalpel Blade - No.10 or No.12 100
74 Surgical Scalpel Blade - No.15 100
75 Surgical Scalpel Blade - No.20 or No. 22 100
77 Syringe (Disposable) - 3ml with Needle 21G 100
78 Syringe (Disposable) - 5ml with needle 21G 100
82 Syringe Dental of metal 1.8ml or 2.5ml 100
83 Syringe Insulin (Disposable) - 1ml on 6mm with Fixed Needle 30G 100
84 Tongue Depressor (Spatula) Wooden 50
85 Tourniquet of Double Belt Each
Tracheostomy Tube 3.0 mm or 3.5 mm with 90 curvature armoured with low
86 Each
Pressure Cuff Universal inflation funnel and pilot balloon
Tracheostomy Tube 4.5 mm or 5.0mm with 90 curvature armoured with low
87 Each
Page 13 of 48
Quantity
Requested
Tracheostomy Tube 6.0 mm or 7.0mm with 90 curvature armoured with low
88 Each
89 Umblical Clamp Sterile - 5.3cm Each
90 Umblical Cord Tie - 6mmx24.5m Each
91 Urine Collecting Bag PVC Latex Product - 2000ml or 1000ml Each
Page 14 of 48
RDF-Purchase Request Form -For Laboratory Reagent and Supplies
Test Quantity
Categories Requested
1 Chemical - Gentian Violet - 1% - Solution 500ml
2 Gram's staining Chemical - Acetone Alcohol - 50% - Solution 500ml
3 solutions Chemical - Safranin - 0.25% - Solution 500ml
4 Chemical - Gram's Iodine - 0.33% - Solution 500ml
5 Blood film Chemical - Giemsa Stain - 0.76% - Solution 500ml
staining
6 Solutions Chemical - Methanol Absolute Acetone Free - 99.00% - Solution 1L
7 Blood film Chemical - Wright Stain - 0.30% - Solution 500ml
staining
8 Solutions Chemical - Buffer - PH 7.0 -Tablet 20 tab
9 Chemical - Paraffin Wax 500gm
10 Chemical - Hematoxylin Stain - Powder 50gm
11 Tissue Staining Chemical - Acetone AR - 99.50% 2.5 litter
Chemicals
12 Chemical - Ethanol Absolute - 98.80% Litter
13 Chemical - Dibutylphthalate Polystyrene Xylene (DPX) 250ml
14 Chemical - Immersion Oil - Refractive Index of 1.515 100ml
Manual Hgb
15 Chemical - Hydrochloric Acid - 0.1N - Solution 500ml
test
Wet smear
16 Chemical - Potassium Hydroxide - 10% - Solution 1L
examination
17 ESR Chemical - Trisodium Citrate - 3.80% - Solution 500ml
White cell Chemical - White Blood Cells Diluting Fluid (Glacial Acetic Acid) - 2% -
18 count Solution 500ml
Stool
concentration
19 Chemical - Formaldehyde - 10% - Solution Liter
& General
Purpose CLINICAL CHEMISTRY REAGENTS
20 Clinical Chemistry - Alanine Aminotransferase -ALT (Serum Glutamic 200ml

Pyruvic Transaminase - SGPT)
Clinical Chemistry - Aspartate Aminotransferase -AST (Serum Glutamic
21 200ml
Oxaloacetic Transaminase- SGOT)
22 Clinical Chemistry - Alkaline Phosphatase (ALP) 100ml
Liver
Function Test Clinical Chemistry - Albumin Liqucolor 2X150 ml
23
Page 15 of 48
Test Quantity
S.N. Liver Item Description Unit Remark
Function Test
24 Clinical Chemistry - Gamma-Glutamyl transferase (GGT) 8X10 ml
25 Clinical Chemistry - Alfa Amylase 100ml
26 Clinical Chemistry - Bilirubin Direct(BILD) 160ml
27 Clinical Chemistry - Bilirubin Total (BILT) 10x10ml
28 Clinical Chemistry - Blood Urea Nitrogen-BUN (Urea) 200ml
29 Clinical Chemistry - Creatinine 250ml
30 Renal Clinical Chemistry - Uric Acid 4x100ml
Function Test
31 Clinical Chemistry - Total Protein (TP) 2x250ml
32 Clinical Chemistry - Cholesterol Total Enzymatic Colorimetric Test 12x50ml
33 Clinical Chemistry - Triglyceride (TG) 12x50ml
Lipid profile Clinical Chemistry - High Density Lipoprotein Cholesterol Direct
34 35ml
Colorimetric Test (HDL-C)
35
Clinical Chemistry - Low Density Lipoprotein Cholesterol Direct 80ml
Colorimetric Test (LDL-C)
36 Clinical Chemistry - Creatinine Kinase (CPK) Total 4x10ml
37 Cardiac Test Clinical Chemistry - Creatinine Kinase (CPK), MB 4x10ml
38
Clinical Chemistry - Lactate dehydrogenase (LDH) with Kinetic 5x20ml
Method
39 Clinical Chemistry - Glucose Enzymatic Colorimetric Test 200 ml
40 Clinical Chemistry - Hemoglobin - A1C 20 tests
Metabolic Clinical Chemistry - glucose test strip method with machine of five
41
Disorder packs of test strip 50 tests
42 Clinical Chemistry - Lipase Kinetic Method 10ml
43 Clinical Chemistry - Protein for Urine and CSF 2x150ml
44 For Quality Clinical Chemistry - Control, Normal (N) 10x5ml
45 control & Clinical Chemistry - Control, Pathological (P) 30ml
46 Calibration
For Clinical Chemistry - Multipara metric Serum Calibrator 10x3ml
Biosystem Clinical Chemistry - Bio system - Concentrated - system liquid
47
solution 1000 ml
machine
48 washing Clinical Chemistry - Bio system - Concentrated - wash solution 100ml
For Mindray
solution
machine
49 Clinical Chemistry - Mindray 200E BS Detergent CD-80 1000ml
washing
solution
50 Urine test Urine Dipstick 10 Parameters (Blood, Bilirubin, Urobilinogen, 100tests
Ketone, Protein, Nitrite, Glucose, PH, Specific Gravity, Leucocytes)
HEMATOLOGY CLOSED SYSTEM REAGENTS
51 Mindray 5800 CBC + DIFF, LH Lyse 2L
Page 16 of 48
CBC Mindray
5800 machine
Test Quantity
52 Mindray 5800 CBC + DIFF, Probe cleanser 50ml
53 CBC Mindray Mindray 5800 CBC + DIFF, Diluent 20 L
54 5800 machine Mindray 5800 CBC + DIFF, LBA Lyse 4L
55 Mindray 5800 CBC + DIFF, LEO (I) Lyse 4L
56 Mindray 5800 CBC + DIFF, LEO (II) Lyse 2L
57 CBC Mindray Mindray 5800 CBC + DIFF, Control (L, N, H) 3x3.5ml
5800 control
58 & Calibrator Mindray 5800 CBC + DIFF, Calibrator 2x3ml
59 Mindray BC3000, E-Z Cleaner, 100ml
60 CBC Mindray Mindray BC3000, M-30 L Lyse 500ml
61 3000/3200 Mindray BC3000, M-30 R Rinse 20 L
62 machine Mindray BC3000, M-30 D Diluent 20 L
63 Mindray BC3000, M-30P Probe cleanser 12x17ml
64 CBC Mindray Mindray BC3000, B-30 Control,( L, N, H) 3x3ml
3000 control
65 & Calibrator Mindray BC3000, B-30, Calibrator 2x3ml
66 Dcells 60, Dia-Diluent-D 20 L
67 Dcells 60, Dia-Rinse-D 20 L
68
CBC Dcell Dcells 60, Dia-Lyse-Diff-D-CF 500ml
Machine
69 Dcells 60, Dia-EZ cleanser D 50ml
70 Dcells 60, Dia probe cleaner D 50ml
71 CBC D cell Dcells 60, D-check control ( L, N, H) 3x2ml
control &
72 Calibrator Dcells 60, D-calibrator plus 2ml
73 CBC Mindray mindray BC 5100/5200/5150 Diluent 20L
74 5100/5150 mindray BC 5100/5200/5150 Diff Lyse 4x500ml
75 control & mindray BC 5100/5200/5150 Diff LH Lyse 4x100ml
76 Calibrator mindray BC 5100/5200/5150 Probe Cleanser 50ml
77 CBC Mindray Mindray 5000/5150 control , Low, Normal, High 3x3.5ml
control &
78 Calibrator Mindray 5000/5150 calibrator 2x3ml
SEROLOGICAL AND IMMUNOASSAY
79 Serology - Anti Nucleic Antibody (ANA) 20tests
80 Serology - Pregnancy Test Strip 50tests
81 Serology - Troponin Test Cassese 20tests
82 Serology - Alfa Feto Protein (AFP), Cassette 40tests
83 Serology - Anti-A, Anti-B, Anti-D Monoclonal Antibody 3x10ml
Page 17 of 48
Test Quantity
84 Serology - Anti-Human Globulin-AGT (Coombs') IgG and IgM Test 3x10ml
Serology - Anti-Streptomycin O Antibody (ASO) Latex agglutination
85
test 50tests
86 Serology - C-Reactive Protein (CRP) Test Cassette 50tests
87 Serology - Cryptococcal Reagent, Latex Agglutination Test 50tests
88 Serology and Serology - Helicobacter Pylori (H. Pylori) Antigen Test Strip 50tests
89 Immunologica Serology - Helicobacter Pylori (H. Pylori) Antibody Test Strip 50tests
90 l Test Serology - Hepatitis BsAg Test Cassette 30tests
91 Serology - Hepatitis C Antibody Test Cassette 40tests
Serology - Occult Blood Immunological Immunochromatographic
92
Test 50tests
Serology - Prostate Specific Antigen Immunochromatographic Test
93 25tests
Cassette
94 Serology - Proteus OX-19 Antigen 5ml
95
Serology - Rapid Plasma Ragin-RPR (Venereal Disease Research 100tests
Laboratory-VDRL)
96 Serology - Rheumatoid Factor (RF) Test Slide 50tests
97
Serology - Salmonella Typhi "H" + Salmonella Typhi "O" Antigen 2x5ml
(Widal) Test, agglutination method
98 Serology - Treponema Pallidum Haemo-Agglutination (TPHA) Test 50tests
MEDICAL IMAGING SUPPLIES AND CHEMICALS
99 Chemical - Chemical - Barium Sulfate - Powder sachets
100 Chemical - Chemical - Dental x-ray film 3x4cm 150
101 Chemical - Gadolinium Chelate 1 mml/ml solution for injection 10 ml
50 ml x10
102 Chemical - Iopamiron Injection solution, 376%, iodine: 370 / ml Vial
103 Chemical - Ultrasound gel 2 liter plastic holder bag
104 Chemical - Ultrasound paper Roll
105 Chemical - Urography, Injection, 76% .370mg iodine/ml 20ml
106 Chemical - X - Ray Film 30 x 40cm blue box 100
107 Chemical - X - Ray Film 24x30cm, blue box 100
Imaging
108 Service Chemical - X - Ray Film 35x35cm blue box 100
109 Chemical - X - Ray Film Developer to Make 10 liters sachets
110 Chemical - X-Ray Film Fixer to Make 10 liters sachets
111 Chemical - CT Scan/MRI Films 35x43cm 100
112 Chemical - CT Scan/MRI Films 35X35cm 100
113 Chemical - Mammography Film 24x30cm 100
Page 18 of 48
Test Quantity
114 Chemical - Digital X - Ray Film 24X30cm 100
115 Chemical - Digital X - Ray Film 30x40cm 100
Page 19 of 48
Test Quantity
LABORATORY SUPPLIES
Laboratory Supplies - Contact activated blood lancet (automatic)
116
2mm 100
117 Laboratory Supplies - Capillary tube sealer of 2mm thickness 500
Laboratory Supplies - Cover slides rectangular size 22x22 mm
118 2x5mm
thickness 0.13 mm
119 Laboratory Supplies - Plastic Conical test tube graduated 15 ml 100
Laboratory Supplies - Dropping bottle with ground glass stopper 50
120
ml 50
Laboratory Supplies - EDTA Hematocrit capillary tube length 75mm
121
ID 1.1-1.2mm OD 1.5-1.6mm, 50µ pipit Waster green,100Cm Each
Laboratory Supplies - ESR graduated
122 100
length
Laboratory Supplies - Filter paper qualitative whatman grade1
123 100
diameter 150 mm
124 Laboratory Supplies - Flask heat and chemical resistant 250 ml 100
125 Laboratory Supplies - Flask heat and chemical resistant 500 ml Pcs
127 Laboratory Supplies - Funnel glass 100mm Pcs
128 Laboratory Supplies - Manual sucker Pcs
129 Laboratory Supplies - graduated Measuring cylinder 25ml Pcs
130 Laboratory Supplies - graduated Measuring cylinder 50 ml Pcs
131 Laboratory Laboratory Supplies - graduated Measuring cylinder 100 ml Pcs
132 Supplies Laboratory Supplies - graduated Measuring cylinder 1000ml Pcs
133 Laboratory Supplies - Micropipette tips 10-200 µl Pcs
Laboratory Supplies - Microscope slides size 27x75 mm thickness
135 1000
1.2mm non-frosted or Frosted
136 Laboratory Supplies - Pasteur pipette (plastic) non-sterile 3ml 50
137 Laboratory Supplies - Pipette 5 ml or 10ml or 2mlgraduated Pcs
138
Laboratory Supplies - Stool Specimen Container disposable of Pcs
polypropylene, with Cover
139 Laboratory Supplies - Urine cup plastic 40ml capacity Pcs
Laboratory Supplies - Vacutainer blood collector tube with EDTA
140 1000
anti-coagulant purple top 4ml
141
Laboratory Supplies - Vacutainer blood collector tube with citrated 100
anti-coagulant blue top
Laboratory Supplies 4ml
- Vacutainer blood collector tube vacuum red
142
top 10ml 100
143 Laboratory Supplies - Vacutainer Needle holder 100
Page 20 of 48
Test Quantity
144 Laboratory Supplies - Vacutainer Needle21G 500
Laboratory Supplies - Vacutainer Serum Separator(SS) tube yellow
145
top 5ml 100
146 Laboratory Supplies - Wash bottle 500 ml 100
147 Laboratory Supplies - WBC Thomas pipette Pcs
MISCELLANEOUS CHEMICALS
148 Chemical - Alcohol 70% solution
Chemical - Chlorhexidine Gluconate +Cetrimide 1.5%+15%w/v
149 Litter
Solution
150 Chemical - Diethyl Ether 98% solution Litter
151 For General Chemical - Iodine Tincture - 2% - Solution 2.5litter
152 Purpose, Chemical - Lugol's Iodine for Medical Use - 5% - Solution 500ml
Antiseptic &
153 Disinfectant Chemical - Povidone Iodine - 10% - Solution 500ml
154 Chemicals Chemical - Sodium Hypochlorite - 5% - Solution 130ml
155 Chemical- Glycerin Pure - 98% Liter
156 Chemical - Hydrogen Peroxide - 3% - Solution 1L
Page 21 of 48
Monthly RDF Pharmaceuticals Report (B Category)
PFSA Hub:- __________________________________
Health Facility Name:- _______________________
a. Medicines
Quantity
S.N. Item Description Unit Requested Remark
1 Acetazolamide - 250mg – Tablet 10x10
2 Acetylsalicylic Acid - 300mg - Tablet (Micro fined) 10x10
3 Acetylsalicylic Acid - 81mg - Tablet( Enteric Coated) 20x10
4 Acyclovir - 200mg – Capsule 10x10
5 Acyclovir - 3% - Eye Ointment 4.5gm
6 Acyclovir - 400mg – Tablet 10x10
7 Acyclovir - 40mg/ml - Oral Suspension 125ml
8 Acyclovir - 5% - Topical Cream 10gm
9 Acyclovir - 500mg - Powder for injection Each
10 Adrenaline (Epinephrine) - 0.1% in 1ml ampoule –Injection(IV/IM/Subcutaneous) 10X10
11 Albendazole - 100mg/5ml - Oral Suspension 20ml
12 Albendazole - 400mg – Tablet 50x2
13 Allopurinol - 100mg – Tablet 10x5
14 Alprazolam - 0.5mg – Tablet* 10x3
Aluminium Hydroxide + Magnesium Hydroxide + Simethicone - (225mg + 200mg
15 200ml
+ 50mg)/5ml – Suspension
Aluminium Hydroxide + Magnesium Trisilicate - (120mg + 250mg) - Tablet
16 100x10
(Chewable)
17 Aminophylline - 250mg/10ml in 10ml Ampoule - Injection 5
18 Amiodarone - 100mg – Tablet* 10x10
19 Amitriptyline - 25mg – Tablet 10x10
20 Amlodipine - 10mg - Tablet 10x10
21 Amlodipine - 5mg – Tablet 10x10
22 Amoxicillin - 125mg - Tablet (Dispersible) 10x10
23 Amoxicillin - 125mg/5ml - Oral Suspension 100ml
24 Amoxicillin - 250mg – Capsule 100x10
25 Amoxicillin - 250mg - Tablet (Dispersible) 10x10
26 Amoxicillin - 250mg/5ml - Oral Suspension 100ml
Page 22 RRF List for RDF for Health facility-Medicines

Quantity
27 Amoxicillin - 500mg – Capsule 50x10
28 Amoxicillin + Clavulanic Acid - (500mg + 100mg) in Vial- Powder for Injection 10
29 Amoxicillin + Clavulanic Acid - (125mg +31.25mg)/5ml - Oral Suspension 100ml
30 Amoxicillin + Clavulanic Acid - (500mg + 125mg) - Tablet (Film Coated) 5x3
31 Amoxicillin + Clavulanic Acid - 250mg + 125mg - Tablet (Film Coated) 10x2
32 Amphotericin B - 50mg in vial - Injection (Liposomal) Each
34 Ampicillin - 250mg – Capsule 100x10
36 Ampicillin - 500mg – Capsule 50x10
37 Ampicillin Sodium - 500mg in Vial - Injection 50
Anti-haemorrhoidal (Betamethasone Valer-ate + Phenylephrine HCl + Lidocaine
38 20gm
HCl) -(0.5mg+1mg+25mg) – Ointment
Anti-haemorrhoidal (Hydrocortisone + Framycetin + Cinchocaine + Esculoside) -
39 (5mg + 10mg + 5mg 10mg) - Suppository 10
40 Anti-Rho (D) Immune Globulin - 300mcg in 2ml Vial- Injection Each
41 Atenolol - 50mg – Tablet 10x10
42 Atorvastatin - 20mg – Tablet 10x10
43 Atorvastatin - 40mg – Tablet 10x3
44 Atropine Sulfate - 1% - Eye Drop 15ml
45 Atropine Sulfate - 1mg/ml in 1ml ampoule - Injection 10x10
46 Azelaic Acid - 20% - Cream 30gm
47 Azithromycin - 200mg/5ml - Oral Suspension 15ml
48 Azithromycin - 250mg – Tablet 30
49 Azithromycin - 500mg – Tablet 10x3
50 Beclomethasone Propionate - 100mcg/dose - Aerosol (Oral Inhalation) 200 Metered doses
53 Benzoic Acid + Salicylic Acid - (6% + 3%) - Topical Ointment 20gm
54 Benzoyl Peroxide - 5% - Solution 10ml
55 Benztropine (Mesylate) - 1mg/ml in 2ml ampoule -Injection Each
56 Betamethasone - 0.5mg – Tablet 10x10
57 Betamethasone + Dexchlorpheniramine Maleate - (0.25mg+2mg) - Tablet 10x10
58 Betamethasone Dipropionate - 0.03% - Cream 15gm

Quantity
59 Betamethasone Dipropionate - 0.05% - Ointment 20gm
60 Bisacodyl - 5mg - Suppository 5x2
61 Bisacodyl - 5mg – Tablet 10x10
62 Bromazepam - 1.5mg – Tablet 10x10
63 Bromazepam - 3mg – Tablet 10x10
64 Bromocriptine Mesylate - 2.5mg - Tablet 10x3
65 Bupivacaine 0.5%, 10ml injection 5
66 Bupivacaine Hydrochloride - 0.25% in 10ml Vial - In-jection (Epidural )* Each
67 Calamine - 5% - Lotion 100ml
68 Calcium Carbonate - 350mg – Tablet* 10x10
69 Calcium gluconate - 10% in 10ml Ampoule - Injection 10
70 Candesartan - 8mg – Tablet* 14x2
71 Captopril - 12.5mg – Tablet 10x10
72 Captopril - 25mg – Tablet 10x10
73 Carbamazepine - 100mg/5ml – Syrup 100ml
74 Carbamazepine - 200mg – Tablet 10x10
75 Castor oil – Liquid 60ml
76 Cefepime - 1gm in Vial - Powder for Injection with Solvent Water for Injection* Each
77 Cefixime - 400mg – Tablet 7x2
Cefotaxime Sodium - 0.5g in Vial - Powder for Injec- tion with Solvent Water for
78 Injection Each
79 Ceftazidime - 0.5g in Vial - Powder for injection* Each
80 Ceftazidime - 1g in vial - Powder for Injection with Diluent Each
81 Ceftriaxone - 0.5g in Vial - Powder for Injection with 5ml Diluent Each
82 Ceftriaxone - 1g in vial - Powder for Injection with 10ml Diluent Each
Ceftriaxone - 250mg in Vial - Powder for Injection with 1% Lidocaine
83 Each
Hydrochloride (Intramuscular)
84 Cephalexin - 125mg/5ml - Oral Suspension 100ml
85 Cephalexin - 250mg – Capsule 10x10
86 Cephalexin - 250mg/5ml - Oral Suspension 100ml
87 Cephalexin - 500mg – Capsule 10x10
88 Cephazoline Sodium - 1gm - Injection with Diluent vial
89 Cetirizine - 10mg - Tablet 10x10

Quantity
90 Cetirizine - 1mg/ml - Oral Solution 100ml
91 Chloramphenicol - 0.5% - Eye/Ear drop 10ml
92 Chloramphenicol - 0.5% + Dexamethasone 0.1% - Eye Drop 5ml
93 Chloramphenicol - 1% - Eye Ointment 5gm
94 Chloramphenicol Sodium Succinate - 1g in vial - Pow- der for injection 50
95 Chlordiazepoxide + Clinidium Bromide - (5mg +2.5mg) - Tablet 10x3
96 Chlorpheniramine Maleate - 2mg/5ml - Syrup 100ml
97 Chlorpheniramine Maleate - 4mg - Tablet 10x10
98 Chlorpromazine Hydrochloride - 100mg - Tablet 100x10
99 Chlorpromazine Hydrochloride - 25mg - Tablet 1000
100 Chlorpromazine Hydrochloride - 25mg/2ml in 2ml Ampoule - Injection 50
101 Cimetidine - 200mg/ml in 2ml ampoule - Injection 10
102 Cimetidine - 400mg – Tablet 10x10
103 Ciprofloxacin - 0.3% - Eye/Ear drop 5ml
104 Ciprofloxacin - 250mg – Tablet 10x10
105 Ciprofloxacin - 2mg/ml - Intravenous Infusion (as lactate) 100ml
106 Ciprofloxacin - 500mg – Tablet 10x10
107 Cisatracurium- 2mg/ml in 10 ml Ampoule - Injection Each
108 Clarithromycin - 500mg – Tablet 10x10
109 Clindamycin - 150mg – Tablet 10x10
110 Clomiphene Citrate - 50mg – Tablet 10x3
111 Clomipramine HCL - 25mg – Tablet 25x10
112 Clonazepam - 0.5mg – Tablet 10x3
113 Clonazepam - 2mg – Tablet 10x3
114 Clotrimazole - 1% - Cream 20gm
117 Cloxacillin Sodium - 125mg/5ml - Oral Suspension 100ml
118 Cloxacillin Sodium - 250mg – Capsule 50x10
119 Cloxacillin Sodium - 250mg/5ml - Oral Suspension 100ml
120 Cloxacillin Sodium - 500 mg – Capsule 50x10
121 Cloxacillin Sodium - 500mg in Vial - Powder for injection 50
122 Clozapine - 100mg – Tablet* 10x5
123 Codeine Phosphate - 30mg – Tablet 10x10

Quantity
124 Desmopressin Acetate - 100mcg - Tablet 10x10
125 Dexamethasone - 0.10% - Eye/Ear drop 10ml
126 Dexamethasone - 0.25% - Topical Cream 15gm
127 Dexamethasone - 0.25% - Topical Ointment 20gm
128 Dexamethasone - 0.5mg – Tablet 10x10
129 Dexamethasone - 4mg – Tablet 100
130 Dexamethasone - 4mg/ml in 1ml Ampoule - Injection 5
131 Dextromethorphan Hydro bromide - 15mg/5ml - Syrup 125ml
132 Dextrose - 40% in 20ml - Intravenous Infusion 50
133 Dextrose in Normal Saline - (5% + 0.9%) - Intrave- nous Infusion with Giving Set 1000ml
134 Dextrose in Water - 5% - Intravenous Infusion with Giving Set 1000ml
135 Diazepam - 5 mg/ml in 2ml ampoule - Injection 100
136 Diazepam - 5mg – Tablet 10x10
137 Diclofenac Sodium - 100mg - Suppository 5
138 Diclofenac Sodium - 12.5mg - Suppository 10
139 Diclofenac Sodium - 25mg/ml in 3ml ampoule - Injec- tion 10x10
140 Diclofenac Sodium - 50mg – Tablet 10x10
141 Digoxin - 0.05mg/ml – Elixir 60ml
142 Digoxin - 0.25mg – Tablet 10x10
143 Digoxin - 0.25mg/ml in 2ml ampoule - Injection 5
144 Dimenhydrinate - 50mg – Tablet 10x10
145 Diphenhydramine Hydrochloride - 12.5mg/5ml - Elixir 125ml
146 Dopamine Hydrochloride - 40mg/ml in 5ml Ampoule - Injection 5
147 Doxycycline - 100mg – Capsule 20x10
148 Enalapril Maleate - 10mg - Tablet 10x10
149 Enalapril Maleate - 5mg – Tablet 10x10
150 Ergometrine Maleate - 0.25 mg/ml in 1ml Ampoule - Injection 10x10
151 Ergotamine Tartrate + Caffeine - (1mg+100mg) - Tablet 10x10
152 Erythromycin - 125 mg/5 ml - Oral Suspension 100ml
153 Erythromycin - 200mg/5ml - Oral Suspension 100ml
154 Erythromycin Stearate - 250 mg - Tablet 50x10
155 Erythromycin Stearate - 500mg – Tablet 10x10

Quantity
Ferrous Fumarate + Folic Acid + Cyanocobalamin+ Cupric sulfate + Manganese
156 100ml
sulfate - (200mg+30mcg+1.5mg+2.5mg+2.5mg) - Syrup
157 Ferrous Sulfate - 125mg/5ml – Syrup 200ml
158 Ferrous Sulfate - 325mg – Tablet 10x10
159 Ferrous Sulfate - 75mg/0.6ml - Oral Drop 30ml
160 Ferrous Sulfate + Folic Acid - (150mg +0.5mg) - Tab- let( Enteric Coated) 10x10
161 Fluconazole - 100mg – Capsule* 10x10
162 Fluconazole - 200mg – Tablet 10x10
163 Fluocinolone Acetonide - 0.025% - Cream 10gm
164 Fluoxetine - 20mg – Capsule 10x2
165 Fluphenazine Decanoate - 25 mg/ml in 2ml Ampoule - Injection (Depot, oily) 10
166 Folic Acid - 5mg – Tablet 10x10
167 Frusemide - 10mg/ml in 2ml ampoule - Injection 10x10
168 Frusemide - 40mg – Tablet 10x10
169 Fusidic Acid - 2% - Topical Cream 10gm
170 Gentamicin - 0.3% - Eye/Ear drop 10ml
171 Gentamycin - 40mg/ml in 2ml - Injection 10x10
172 Glibenclamide - 5mg – Tablet 10x10
173 Glycerin - 1g/900mg - Suppository 5
174 Glyceryl Trinitrate (Nitroglycerine) - 0.4mg - Tablet (Sublingual) 10x10
175 Griseofulvin - 125mg – Tablet 10x10
176 Griseofulvin - 125mg/5ml - Oral Suspension 100ml
177 Griseofulvin - 250mg – Tablet 10x10
178 Guaifenesin - 100mg/5ml – Syrup 100ml
179 Haloperidol - 1.5mg – Tablet 10x10
180 Haloperidol - 5mg – Tablet 10x10
181 Haloperidol - 5mg/ml in 1ml Ampule - Injection 10x10
182 Haloperidol Decanoate - 50mg/ml in 1ml Ampoule - Injection (Depot, oily) 5
183 Halothane – Inhalation 250ml
184 Heparin Sulfate - 5000IU/ml in 5ml - Injection 25
185 Hydralazine - 20mg/ml in 1ml ampoule - Injection 5
186 Hydrochlorothiazide - 25mg – Tablet 10x10
187 Hydrocortisone Acetate - 1% - Topical Ointment 15gm
188 Hydrocortisone Sodium Succinate - 50mg/ml in 2ml ampoule - Injection Each

Quantity
189 Hyoscine (Scopolamine) Butyl bromide - 10mg - Tablet 10x10
190 Hyoscine (Scopolamine) Butyl bromide - 20mg/ml in 1ml ampoule - Injection 10x10
191 Ibuprofen - 400mg – Tablet 10x10
192 Ichthammol - 10% - Topical Ointment 20gm
193 Imipramine - 25mg – Tablet 20x5
194 Indomethacin - 100mg - Suppository 10
195 Indomethacin - 25mg – Capsule 10x10
Insulin Isophane Biphasic (Soluble/Isophane Mixture) - (30 + 70)IU/ml in 10ml
196 Each
Vial - Injection(Suspension)
197 Insulin Isophane Human - 100IU/ml in 10ml Vial - Injection(Suspension) Each
198 Insulin Soluble Human - 100IU/ml in 10ml Vial - In- jection Each
199 Isoflurane inhalation 250ml
200 Ketamine HCL - 50 mg/ml in 10ml Ampoule Injection - Injection 25
201 Ketoconazole - 2% - Cream 20gm
202 Ketoconazole - 2% - shampoo 100 ml
203 Ketoconazole - 200mg – Tablet 10x10
204 KY Jelly (Hydroxy Ethyl Cellulose) – Gel 82gm
205 Levodopa + Carbidopa - (100mg+25mg) - Tablet 10x3
206 Levodopa + Carbidopa - (250 mg + 25 mg) - Tablet 10x3
207 Lidocaine HCL - 2% in 50/20ml – Injection 25
208 Lidocaine HCL + Adrenaline - (2%+1:200000IU) in 20ml vial - Injection 25
209 Lidocaine HCL + Dextrose - (5% + 7.5 %)in 2ml - Injection 5
210 Lithium Carbonate - 300mg – Tablet 10x10
211 Loratadine - 10mg - Tablet 10x10
212 Loratadine - 5mg/5ml – Syrup 100ml
213 Lorazepam - 1mg – Tablet 10x10
214 Lovastatin - 20mg – Tablet 10x10
215 Magnesium Sulfate - 50% in 10ml ampoule - Injection 10
216 Mannitol - 20% in 500ml Ampoule - Intravenous Infusion 500ml
217 Mebendazole - 100mg – Tablet 40x6
218 Mebendazole - 100mg/5ml - Oral Suspension 30ml
219 Metformin - 500mg – Tablet 10x10
220 Methyl Prednisolone - 40mg/ml in 1ml ampoule - Injection Each
221 Methyl salicylate - 25% - Ointment 20gm

Quantity
222 Methyldopa - 250mg – Tablet 100x10
223 Metoclopramide - 0.2mg/drop - Oral Drop 15ml
224 Metoclopramide - 10mg - Tablet 10x10
225 Metoclopramide - 5mg/5ml – Syrup 60ml
226 Metoclopramide - 5mg/ml in 2ml ampoule - Injection 5
227 Metoprolol - 25mg – Tablet 14
228 Metoprolol - 50mg – Tablet 14x2
229 Metronidazole - 125mg/5ml - Oral Suspension 100ml
230 Metronidazole - 250mg – Capsule 100x10
231 Metronidazole - 5mg/ml - Intravenous Infusion 100ml
232 Miconazole - 25mg/ml - Oral Gel 40gm
233 Miconazole Nitrate - 2% - Cream 30gm
234 Miconazole Nitrate - 200mg - Tablet (Vaginal) 6
235 Morphine Sulfate - 10mg/ml – Injection 10
236 Morphine Sulfate - 20mg/5ml (5mg/5ml) – Syrup 125ml
237 Morphine Sulfate - 30mg – Tablet 10x5
238 Multivitamin - Syrup 120ml
239 Multivitamin with Minerals - Tablet 10x10
240 Naloxone HCL - 0.02mg/ml in 2ml ampoule - Injec- tion Each
241 Neostigmine - 0.5mg/ml in 1ml Ampoule - Injection 100
242 Neostigmine - 2.5mg/ml in 1ml Ampoule - Injection 10x5
243 Nifedipine - 10mg - Capsule 10x10
244 Nifedipine - 20mg – Tablet 10x10
245 Nitrofurazone -0.2% - soluble dressing- Ointment 30gm
246 Norethindrone (Norethisterone) - 5mg - Tablet 10x3
247 Norfloxacin - 400mg – Tablet 10x10
248 Nystatin - 100,000IU – Cream 30gm
249 Nystatin - 500,000 IU – Tablet 10x10
250 Olanzapine - 5mg – Tablet 10x10
251 Omeprazole - 20 mg - Capsule (Enclosing Enteric Coated Granules) 10x10
252 Omeprazole - 4mg/ml in 10ml – Injection Each
253 Oral Rehydration Salt - 20.7g for 1 Littre Preparation- Powder Sachet
254 Oxytetracycline HCL + Hydrocortisone Acetate - (5mg+15mg+ 10.000 Units)/ml - 5ml
Eye/Ear drop

Quantity
255 Oxytetracycline Hydrochloride - 0.5% - Eye Ointment Tube
256 Oxytocin - 10 Units/ml in 1ml Ampoule - Injection 10x10
257 Pancuronium Bromide - 2 mg/ml in 2ml Ampoule - Injection 10x5
258 Paracetamol - 120mg/5ml – Syrup 60ml
259 Paracetamol - 125mg - Suppository 10x10
260 Paracetamol - 500mg – Tablet 100x10
261 Penicillin G, Benzathine - 1.2 MIU - Injection 100
262 Penicillin G, Benzathine - 2.4 MIU - Injection 100
263 Penicillin G, Sodium Crystalline - 1 MIU - Injection 100
264 Pentazocine - 30mg/ml in 1 ampoule - Injection 10
265 Permethrin - 0.05 – Cream 30gm
266 Pethidine HCL - 50mg/ml in 1ml Ampoule - Injection 10
267 Phenobarbitone - 120mg/ml - Injection 10
270 Phenobarbitone (Phenobarbital) Sodium - 30mg/ml - Injection 10
271 Phenytoin (Diphenhydantoin) - 100mg - Tablet 100
272 Phenytoin (Diphenhydantoin) Sodium - 250mg - Powder for injection Vial
273 Phenytoin (Diphenylhydantoin) Sodium - 50mg - Tablet 200
274 Pilocarpine Hydrochloride - 2% - Eye Drop 10ml
275 Piperazine Citrate - 700mg/5ml – Elixir 29ml
276 Potassium Chloride - 150mg/ml in 10ml ampoule - Injection 10
277 Potassium Chloride - 600mg – Tablet 500
278 Praziquantel - 600mg – Tablet 10x10
279 Prednisolone - 5 mg – Tablet 100x10
280 Procaine Penicillin Fortified - 4 MIU - Powder for injection (Buffered) 100
281 Procyclidine - 5mg/ml in 2ml ampoule - Injection 5
282 Promethazine HCL - 25mg – Tablet 100x10
283 Promethazine HCL - 25mg/ml in 2ml - Injection 10x5
284 Promethazine HCL - 5mg/5ml – Elixir 100ml
285 Propofol - 10mg/ml in 20ml - Injection 5
286 Propranolol - 10mg - Tablet 10x10
287 Propranolol - 1mg/ml in 1ml ampoule - Injection 10
288 Propranolol - 40mg – Tablet 10x10

Quantity
289 Propylthiouracil - 100mg - Tablet (Scored) 100
290 Propylthiouracil - 50mg - Tablet (Scored) 100
291 Ranitidine - 10mg/ml in 5ml ampoule - Injection Each
292 Ranitidine - 150mg – Tablet 10x10
Ringer's Solution - Each contains Na+ 147mEq + K+4mEq Cl-155mEq - Intravenous
293 1000ml
Infusion with Giving Set
297 Salbutamol (Albuterol) - 0.1mg/dose - Aerosol (Oral Inhalation) 200metered doses
298 Salbutamol (Albuterol) - 2mg – Tablet 10x10
299 Salbutamol (Albuterol) - 2mg/5ml - Syrup 100ml
300 Salicylic Acid + Lactic Acid + Polidocanol - (2gm +0.5gm + 0.2gm) - Tincture) 10ml
301 Sertraline HCL - 100mg – Tablet 10x10
302 Sertraline HCL - 50mg – Tablet 10x10
303 Snake Venom Antiserum Polyvalent - Injection 10ml
304 Soda Lime, Carbon Dioxide Adsorbent - Aerosol 4.5kg
305 Sodium Bicarbonate - 7.5%(40mEq/50ml) in 50ml ampoule - Injection 20ml
306 Sodium Chloride (Normal Saline) - 0.009 - Intrave- nous Infusion with Giving Set 1000 ml
307 Sodium Cromoglycate - 2% - Eye Drop 10 ml
308 Sodium Stibogluconate - 33% W/V - Injection 100ml
309 Sodium Valproate - 200mg - Tablet (enteric coated) 10x10
310 Sodium Valproate - 200mg/5ml – Syrup 300ml
311 Sodium Valproate - 500mg – Tablet 10x10
312 Spironolactone - 25mg – Tablet 10x10
313 Sulphamethoxazole + Trimethoprim - (200mg +40mg)/5ml - Suspension 100ml
314 Sulphamethoxazole + Trimethoprim - (400mg +80mg) - Tablet 100x10
315 Sulphamethoxazole + Trimethoprim -(400mg+80mg)/5ml Bottle - Injection 10
316 Sulphur - 10% - Ointment 50gm
317 Suxamethonium Chloride (Succinylcholine) - 50 mg/ml in 10ml Vial - Powder for 25
injection
318 Tetanus Antitoxin (TAT), Equine - 1,500 IU/ml in 1ml Ampoule - Injection 20
319 Tetracaine - 0.5% - Eye Drop 10ml

Quantity
320 Tetracycline - 1% - Eye Ointment 4gm
321 Tetracycline - 3% - Skin Ointment 15gm
322 Theophylline + Ephedrine - (120mg + 11mg) - Tablet 100x10
323 Thiabendazole - 100mg/ml - Suspension 120ml
324 Thiabendazole - 500mg – Tablet 10x10
325 Thiopental Sodium - 0.5 g - Powder for injection 50
326 Thiopental Sodium - 1g in vial - Powder for injection 50
329 Thyroxin Sodium - 0.05mg – Tablet 100
330 Thyroxin Sodium - 0.1mg – Tablet 100
333 Tinidazole - 500 mg – Tablet 60X4
334 Tramadol HCl - 50mg – Capsule 10x10
335 Tramadol HCl - 50mg/ml in 2ml ampoule - Injection 5
336 Triamcinolone Acetonide - 40mg/ml in Vial - Injection Each
339 Tropicamide - 1% - Eye Drop 10ml
340 Vancomycine - 1gm – Injection Each
341 Vancomycin - 500mg – Injection Each
342 Vecuronium Bromide - 10 mg in vial - Powder for injection Each
343 Verapamil - 40mg – Tablet 20
344 Vitamin B Complex Preparations - Injection 10x10
345 Vitamin B Complex Preparations - Tablet 10x10
346 Vitamin B1 (Thiamine HCl) - 50mg/ml in 2ml ampoule - Injection 10
347 Vitamin B1 + Vitamin B6 + Vitamin B12 - (100mg +100mg +1000mcg) - Injection 3
348 Vitamin B1 + Vitamin B6 + Vitamin B12 - (100mg +200mg + 1000mcg) - Tablet 10x10
349 Vitamin B12 (Cyanocobalamin) - 1000mcg/ml in 1ml ampoule - Injection 10
350 Vitamin B6 (Pyridoxine HCl) - 100mg - Tablet 10x10
351 Vitamin K1 (Phytomenadione) - 10mg/ml in 1ml ampoule - Injection 3
352 Warfarin Sodium - 5mg – Tablet 10x10

Quantity
353 Water For Injection - 10ml – Injection 100
354 Water For Injection - 5ml – Injection 100
355 White Petrolatum – Ointment 1kg
356 White Petrolatum – Ointment 50gm
357 Xylometazoline HCL - 0.0005(0.05%) - Solution (Nasal Drops) 10 ml
358 Xylometazoline HCL - 0.001(0.1%) - Solution (Nasal Drops) 10ml
359 Zinc Oxide 15% Cream 75gm

PFSA Hub:- __________________________________
b. Medical Supplies
Quantity
1 Adhesive Plaster Zinc Oxide - 12.5cmx10m Each
2 Adhesive Plaster Zinc Oxide - 7.5cmx10m Each
3 Applicator Stick Wooden with Cotton Tip - 15cmx2.2mm 100
4 Apron Plastic Protection Against Most Chemicals - 80x120cm Each
5 Autoclave Indicator Tape - 1.9cmx5m Each
6 Bandage Elastic - 8cmx5m Each
7 Bandage Triangular - 96x96x136cm Each
8 Blood Collecting Bag CPDA1 Anticoagulant Quadraple - 450ml Each
9 Blood Collecting Bag CPDA1 Anticoagulant Single - 350ml Each
Cat Gut Chromic - Gauge 2.0(4/0) 75cm on 15mm 1/2 Circle Reverse Cutting
14 Needle Dozen
Cat Gut Chromic - Gauge 2.0(4/0) 75cm on 15mm 1/2 Circle Round Bodied
15 Dozen
Needle
Cat Gut Chromic - Gauge 3.0(3/0) 75cm on 25 mm ½ Circle Reverse Cutting
16 Dozen
Needle
Cat Gut Chromic - Gauge 3.0(3/0) 75cm on 25 mm ½ Circle Round Bodied
17 Dozen
Needle
Cat Gut Chromic - Gauge 3.5(2/0) 75cm on 27 mm ½ Circle Round Bodied
18 Dozen
Needle
Cat Gut Chromic -Gauge 3.5(2/0) 75cm on 27mm ½ Circle Reverse Cutting
19 Dozen
Needle
20 Cat Gut Chromic - Gauge 4.0(0) 75cm on 30 mm ½ Circle Round Bodied Needle Dozen
21 Cat Gut Chromic -Gauge 4.0(0) 75cm on 30 mm ½ Circle Reverse Cutting Needle Dozen
Page 34 RRF List for RDF for Health facility-Medical Supplies

Quantity
Cat Gut Chromic -Gauge 5.0(1) 75cm on 48 mm ½ Circle Round Bodied Heavy
23 Dozen
Needle
Cat Gut Chromic -Gauge 6.0(2) 75cm on 35 mm ½ Circle Round Bodied Heavy
25 Dozen
Needle
Cat Gut Chromic -Gauge 7.0(3) 75cm on 48 mm 1/2 Circle Reverse Cutting
26 Dozen
Needle
Cat Gut Chromic -Gauge 7.0(3) 75cm on 48mm 1/2 Circle Round Bodied Heavy
27 Dozen
Needle
28 Catheter Condom Latex Medium - 28mm Each
29 Catheter Foley Silconized Latex Three Ways - 30-50ml Balloon 18CH Each
32 Catheter Foley Silconized Latex Three Ways- 5-15ml Balloon 12CH Each
33 Catheter Foley Silconized Latex Three Ways -5-15ml Balloon 14CH Each
36 Catheter Foley Silconized Latex Two Ways- 30-50ml Balloon 16CH Each
39 Catheter Foley Silconized Latex Two Ways -5-15ml Balloon 6CH Each
40 Catheter Nasal Oxygen for Adult Each
41 Catheter Nasal Oxygen for Pediatrics Each
48 Catheter Ureteral -10CH Each

Quantity
53 Cerclage-Wire, 1.0 diameter with 10 meter length Each
56 Collar-Cervical ,Soft Each
Colostomy Bag Adhesive Regulator Closed - 25cmx14cm 30mm Opening Adult
57 Each
Opec Medium
Colostomy Bag Adhesive Regulator Closed - 25cmx14cm 30mm Opening
58 Each
Pediatric
59 Cotton Absorbant Wool - 100gm Each
60 Dental Arch Bar Each
61 Dental Needle - 21mm, 27G 100
62 Dental Needle - 31mm, 27G 100
69 Endotracheal Tube Cuffed- 3CH Each
75 Endotracheal Tubes without Cuffs with ID -3.0CH Each
76 Endotracheal Tubes without Cuffs with ID -4.0CH Each
77 Face Mask Adult - Adult Standard Size 50
78 Face Mask with Face Shield 50
79 Gauze Bandage - 12.5cmx5m Dozen
80 Gauze Bandage - 7.5cmx5m Dozen
81 Gauze Paraffin Sterile with Case - 10cm x 10cm 10

Quantity
82 Gauze Surgical -90cmx100m mesh size 19x15 Roll
83 Gauze Swab - 10cmx10cm 10
84 Glove Examination Latex Non Powdered - Large 100
85 Glove Examination Latex Non Powdered - Medium 100
86 Glove Examination Latex Non Powdered - Small 100
87 Glove Gynecological Examination(Elbow Glove) No-6.5 Pair
88 Glove Gynecological Examination(Elbow Glove) No-7.5 Pair
89 Glove Heavy Duty Latex (Disposable) - large Pair
90 Glove Heavy Duty Latex (Disposable) - medium Pair
91 Glove Surgical Latex Powder -Free Sterile -No.6.5 50 pairs
92 Glove Surgical Latex Powder -Free Sterile -No.7 50 pairs
93 Glove Surgical Latex Powder -Free Sterile -No.7.5 50 pairs
94 Glove Surgical Latex Powder -Free Sterile -No.8 50 pairs
95 Goggle Eye plastic Each
96 K-wire 0.8 mm diameter with 15 cm length Each
97 K-wire 1.2 mm diameter with 15 mm length Each
101 Medicine Envelope Plastic 1000
102 Mersilk Braided Black -Gauge 2.0 (3/0) 75cm on 26 mm ½ Circle Reverse Cutting Dozen
Needle
Mersilk Braided Black -Gauge 2.0(3/0) 75cm on 26 mm ½ Circle Round Bodied
103 Dozen
Needle
104 Mersilk Braided Black -Gauge 3.5(0) 75cm on 32 mm ½ Circle Cuting Tapper Dozen
Needle
105 Mersilk Braided Black -Gauge 3.5(0) 75cm on 32 mm ½ Circle Round Bodied Dozen
Needle
106 Mersilk Braided Black -Gauge 4.0(1) 75cm on 30 mm ½ Circle Reverse Cutting Dozen
Needle
107 Mersilk Braided Black -Gauge 4.0(1) 75cm on 30 mm ½ Circle Round Bodied Dozen
Needle
108 Mersilk Braided Black -Gauge 1.5(4/0) 75cm 20 mm 1/2 Circle Reverse Cutting Dozen
Needle

Quantity
Mersilk Braided Black -Gauge 1.5(4/0) 75cm on 20 mm 1/2 Circle Round Bodied
109 Dozen
Needle
Mersilk Braided Black -Gauge 3.0(2/0) 75cm on 33 mm 1/2 Circle Reverse Cutting
110 Dozen
Needle
Mersilk Braided Black Gauge 3.0(2/0) 75cm on 33 mm 1/2 Circle Round Bodied
111 Dozen
Needle
Mersilk Braided Black -Gauge 5.0(2) 75cm on 38 mm 1/2 Circle Reverse Cutting
112 Dozen
Needle
Mersilk Braided Black -Gauge 5.0(2) 75cm on 38 mm 1/2 Circle Round Body
113 Dozen
Needle
Mersilk Braided Black -Gauge 6.0(3) 75cm on 40 mm on 1/2 Circle Reverse
114 Dozen
Cutting Needle
115 Mersilk Braided Black -Gauge 6.0(3) 75cm on 40 mm on 1/2 Circle Round Body Dozen
Needle
123 Naso Gastric Tube Sterile Infant - 10CH Each
131 Oxygen Face Mask for Adult Each
132 Oxygen Face Mask for Pediatrics Each

Quantity
Polyamide Monofilament - Gauge 0.2(10/0) 38cm on 6mm 1/3 Circle Spatula
135 Dozen
Double Armed Needle
136 Dozen
Single Armed Needle
Polyamide Monofilament - Gauge 0.3(9/0) 30cm on 6.5mm 3/8 Circle Spatula
137 Dozen
Single Armed Needle
138 Dozen
Double Armed Needle
Polyglycolic Acid Absorbable Braided Violet - Gauge 0.4(8/0) 45cm on 8mm 1/2
139 Dozen
Circle Reverse Cutting Needle
Polyglycolic Acid Absorbable Braided Violet - Gauge 0.4(8/0) 45cm on 8mm 1/2
140 Dozen
Circle Round Bodied Needle
141 Polyglycolic Acid Absorbable Braided Violet - Gauge 2.0(3/0) 75cm on 26mm 1/2 Dozen
142 Polyglycolic Acid Absorbable Braided Violet - Gauge 2.0(3/0) 75cm on 26mm 1/2 Dozen
Polyglycolic Acid Absorbable Braided Violet -Gauge 0.7(6/0) 30 cm on 12 mm ½
143 Dozen
Circle Cutting Taper Needle
144 Dozen
145 Polyglycolic Acid Absorbable Braided Violet -Gauge 1.0(5/0) 45 cm on 13 mm ½ Dozen

146 PolyGlycolic Acid Absorbable Braided Violet -Gauge 1.0(5/0) 45 cm on 13 mm ½ Dozen

Circle Round Bodieded Needle

Circle Round Bodieded Needle

Circle Reverse Cutting Taper Needle
149 Dozen
Polyglycolic Acid Absorbable Braided Violet -Gauge 3.0(2/0) 75 cm on 27 mm 1/2
150 Dozen
Polyglycolic Acid Absorbable Braided Violet -Gauge 3.5(0) 75 cm on 48 mm 1/2
151 Dozen

Quantity
Polyglycolic Acid Absorbable Braided Violet -Gauge 3.5(0) 75 cm on 48 mm 1/2
152 Dozen
Polyglycolic Acid Absorbable Braided Violet -Gauge 4.0(1) 75 cm on 45 mm ½
153 Dozen
Circle Cutting Taper Heavy Needle
Polyglycolic Acid Absorbable Braided Violet -Gauge 4.0(1) 75 cm on 45 mm ½
154 Dozen
Polyglycolic Acid Absorbable Braided Violet -Gauge 5.0(2) 75cm on 40mm ½
155 Dozen
Circle Cuting Tapper Needle
Polyglycolic Acid Absorbable Braided Violet -Gauge 5.0(2) 75cm on 40mm ½
156 Dozen
157 Pump Breast Manual Plastic -30ml Each
170 Surgical Absorbable Hemostat -1" x 2" Dozen
171 Surgical Absorbable Hemostat -2" x 4" Dozen
172 Surgical Absorbable Hemostat -4'' x 4'' Dozen
173 Surgical Absorbable Hemostat -4'' x 8'' Dozen

Quantity
185 Syringe Dental of metal 1.8ml 100
186 Syringe Dental of metal 2.5ml 100
187 Syringe Insulin (Disposable) - 1ml on 6mm with Fixed Needle 30G 100
188 T- Tube - No. 14G Each
189 T- Tube - No. 16G Each
190 Tongue Depressor (Spatula) Wooden 50
191 Tourniquet of Double Belt Each
Tracheostomy Tube 3.0 mm with 90 curvature armoured with low Pressure Cuff
192 Each
Universal inflation funnel and pilot balloon
193 Universal inflation funnel and pilot balloon metallic Each
194 Each
196 Universal inflation funnel and pilot balloon Each
198 Each
199 Umblical Clamp Sterile - 5.3cm Each
200 Umblical Cord Tie - 6mmx24.5m Each
201 Ureteric Tubes -5mm-6mm,75cm Each
202 Urine Collecting Bag PVC Latex Product - 1000ml Each
203 Urine Collecting Bag PVC Latex Product - 2000ml Each
204 Wire Dental No. 26 Each
205 Wire Dental No. 25 Each

PFSA Hub:- __________________________________
c. Routine Medical Equipments
Quantity
1 Clinical thermometer Each
2 Binocular Microscope,Led Each
3 oxygen Regulator Each
4 Resuscitator - Infant, Manual Each
5 Sphygmomanometer-Aneroid, Infant/pedatric/adult Each
6 Stethoscope with dual head chest piece/infant /pediatric/Adult Each
7 set,- Manual vacume aspiretor Each
8 Nebulizer Each
9 centrifuge Each
10 Tourniquet - Pneumatic, Manual Each
Page 42 RRF List for RDF for Health facility-Routine Medical Equipments
PFSA Hub:- __________________________________
d. Laboratory Reagent and Supplis
Quantity
1 Chemical - Gentian Violet - 1% - Solution 500ml
2 Chemical - Acetone Alcohol - 50% - Solution 500ml
3 Chemical - Safranin - 0.25% - Solution 500ml
4 Chemical - Gram's Iodine - 0.33% - Solution 500ml
5 Chemical - Giemsa Stain - 0.76% - Solution 500ml
6 Chemical - Methanol Absolute Acetone Free - 99.00% - Solution 1L
7 Chemical - Wright Stain - 0.30% - Solution 500ml
8 Chemical - Buffer - PH 7.0 -Tablet 20 tab
9 Chemical - Paraffin Wax 500gm
10 Chemical - Hematoxylin Stain - Powder 50gm
11 Chemical - Acetone AR - 99.50% 2.5 litter
12 Chemical - Ethanol Absolute - 98.80% Litter
13 Chemical - Dibutylphthalate Polystyrene Xylene (DPX) 250ml
14 Chemical - Immersion Oil - Refractive Index of 1.515 100ml
15 Chemical - Hydrochloric Acid - 0.1N - Solution 500ml
16 Chemical - Potassium Hydroxide - 10% - Solution 1L
17 Chemical - Trisodium Citrate - 3.80% - Solution 500ml
Chemical - White Blood Cells Diluting Fluid (Glacial Acetic Acid) - 2% -
18 500ml
Solution
19 Chemical - Formaldehyde - 10% - Solution Liter
Clinical Chemistry - Alanine Aminotransferase -ALT (Serum Glutamic
20 200ml
Pyruvic Transaminase - SGPT)
Clinical Chemistry - Aspartate Aminotransferase -AST (Serum Glutamic
21 200ml
Oxaloacetic Transaminase- SGOT)
22 Clinical Chemistry - Alkaline Phosphatase (ALP) 100ml
23 Clinical Chemistry - Albumin Liqucolor 2X150 ml
24 Clinical Chemistry - Gamma-Glutamyl transferase (GGT) 8X10 ml
25 Clinical Chemistry - Alfa Amylase 100ml
26 Clinical Chemistry - Bilirubin Direct(BILD) 160ml
Page 43 RRF List for RDF for Health facility-Laboratory Reagent and Supplis
Quantity
27 Clinical Chemistry - Bilirubin Total (BILT) 10x10ml
28 Clinical Chemistry - Blood Urea Nitrogen-BUN (Urea) 200ml
29 Clinical Chemistry - Creatinine 250ml
30 Clinical Chemistry - Uric Acid 4x100ml
31 Clinical Chemistry - Total Protein (TP) 2x250ml
32 Clinical Chemistry - Cholesterol Total Enzymatic Colorimetric Test 12x50ml
33 Clinical Chemistry - Triglyceride (TG) 12x50ml
Clinical Chemistry - High Density Lipoprotein Cholesterol Direct
34 35ml
Colorimetric Test (HDL-C)
Clinical Chemistry - Low Density Lipoprotein Cholesterol Direct
35 80ml
Colorimetric Test (LDL-C)
36 Clinical Chemistry - Creatinine Kinase (CPK) Total 4x10ml
37 Clinical Chemistry - Creatinine Kinase (CPK), MB 4x10ml
38 Clinical Chemistry - Lactate dehydrogenase (LDH) with Kinetic Method 5x20ml
39 Clinical Chemistry - Glucose Enzymatic Colorimetric Test 200 ml
40 Clinical Chemistry - Hemoglobin - A1C 20 tests
Clinical Chemistry - glucose test strip method with machine of five packs
41 50 tests
of test strip
42 Clinical Chemistry - Lipase Kinetic Method 10ml
43 Clinical Chemistry - Protein for Urine and CSF 2x150ml
44 Clinical Chemistry - Control, Normal (N) 10x5ml
45 Clinical Chemistry - Control, Pathological (P) 30ml
46 Clinical Chemistry - Multipara metric Serum Calibrator 10x3ml
47 Clinical Chemistry - Bio system - Concentrated - system liquid solution 1000 ml
48 Clinical Chemistry - Bio system - Concentrated - wash solution 100ml
49 Clinical Chemistry - Mindray 200E BS Detergent CD-80 1000ml
Urine Dipstick 10 Parameters (Blood, Bilirubin, Urobilinogen, Ketone,
50 100tests
Protein, Nitrite, Glucose, PH, Specific Gravity, Leucocytes)
51 Mindray 5800 CBC + DIFF, LH Lyse 2L
52 Mindray 5800 CBC + DIFF, Probe cleanser 50ml
53 Mindray 5800 CBC + DIFF, Diluent 20 L
54 Mindray 5800 CBC + DIFF, LBA Lyse 4L
55 Mindray 5800 CBC + DIFF, LEO (I) Lyse 4L
56 Mindray 5800 CBC + DIFF, LEO (II) Lyse 2L
Quantity
57 Mindray 5800 CBC + DIFF, Control (L, N, H) 3x3.5ml
58 Mindray 5800 CBC + DIFF, Calibrator 2x3ml
59 Mindray BC3000, E-Z Cleaner, 100ml
60 Mindray BC3000, M-30 L Lyse 500ml
61 Mindray BC3000, M-30 R Rinse 20 L
62 Mindray BC3000, M-30 D Diluent 20 L
63 Mindray BC3000, M-30P Probe cleanser 12x17ml
64 Mindray BC3000, B-30 Control,( L, N, H) 3x3ml
65 Mindray BC3000, B-30, Calibrator 2x3ml
66 Dcells 60, Dia-Diluent-D 20 L
67 Dcells 60, Dia-Rinse-D 20 L
68 Dcells 60, Dia-Lyse-Diff-D-CF 500ml
69 Dcells 60, Dia-EZ cleanser D 50ml
70 Dcells 60, Dia probe cleaner D 50ml
71 Dcells 60, D-check control ( L, N, H) 3x2ml
72 Dcells 60, D-calibrator plus 2ml
73 mindray BC 5100/5200/5150 Diluent 20L
74 mindray BC 5100/5200/5150 Diff Lyse 4x500ml
75 mindray BC 5100/5200/5150 Diff LH Lyse 4x100ml
76 mindray BC 5100/5200/5150 Probe Cleanser 50ml
77 Mindray 5000/5150 control , Low, Normal, High 3x3.5ml
78 Mindray 5000/5150 calibrator 2x3ml
79 Serology - Anti Nucleic Antibody (ANA) 20tests
80 Serology - Pregnancy Test Strip 50tests
81 Serology - Troponin Test Cassese 20tests
82 Serology - Alfa Feto Protein (AFP), Cassette 40tests
83 Serology - Anti-A, Anti-B, Anti-D Monoclonal Antibody 3x10ml
84 Serology - Anti-Human Globulin-AGT (Coombs') IgG and IgM Test 3x10ml
85 Serology - Anti-Streptomycin O Antibody (ASO) Latex agglutination test 50tests
86 Serology - C-Reactive Protein (CRP) Test Cassette 50tests
87 Serology - Cryptococcal Reagent, Latex Agglutination Test 50tests
88 Serology - Helicobacter Pylori (H. Pylori) Antigen Test Strip 50tests
89 Serology - Helicobacter Pylori (H. Pylori) Antibody Test Strip 50tests
90 Serology - Hepatitis BsAg Test Cassette 30tests
Quantity
91 Serology - Hepatitis C Antibody Test Cassette 40tests
92 Serology - Occult Blood Immunological Immunochromatographic Test 50tests
Serology - Prostate Specific Antigen Immunochromatographic Test
93 25tests
Cassette
94 Serology - Proteus OX-19 Antigen 5ml
Serology - Rapid Plasma Ragin-RPR (Venereal Disease Research
95 Laboratory-VDRL) 100tests
96 Serology - Rheumatoid Factor (RF) Test Slide 50tests
Serology - Salmonella Typhi "H" + Salmonella Typhi "O" Antigen (Widal)
97 Test, agglutination method 2x5ml
98 Serology - Treponema Pallidum Haemo-Agglutination (TPHA) Test 50tests
99 Chemical - Chemical - Barium Sulfate - Powder sachets
100 Chemical - Chemical - Dental x-ray film 3x4cm 150
101 Chemical - Gadolinium Chelate 1 mml/ml solution for injection 10 ml
50 ml x10
102 Chemical - Iopamiron Injection solution, 376%, iodine: 370 / ml
Vial
103 Chemical - Ultrasound gel 2 liter plastic holder bag
104 Chemical - Ultrasound paper Roll
105 Chemical - Urography, Injection, 76% .370mg iodine/ml 20ml
106 Chemical - X - Ray Film 30 x 40cm blue box 100
107 Chemical - X - Ray Film 24x30cm, blue box 100
108 Chemical - X - Ray Film 35x35cm blue box 100
109 Chemical - X - Ray Film Developer to Make 10 liters sachets
110 Chemical - X-Ray Film Fixer to Make 10 liters sachets
111 Chemical - CT Scan/MRI Films 35x43cm 100
112 Chemical - CT Scan/MRI Films 35X35cm 100
113 Chemical - Mammography Film 24x30cm 100
114 Chemical - Digital X - Ray Film 24X30cm 100
115 Chemical - Digital X - Ray Film 30x40cm 100
116 Laboratory Supplies - Contact activated blood lancet (automatic) 2mm 100
117 Laboratory Supplies - Capillary tube sealer of 2mm thickness 500
Laboratory Supplies - Cover slides rectangular size 22x22 mm thickness
118 0.13 mm 2x5mm
119 Laboratory Supplies - Plastic Conical test tube graduated 15 ml 100
Quantity
120 Laboratory Supplies - Dropping bottle with ground glass stopper 50 ml 50
Laboratory Supplies - EDTA Hematocrit capillary tube length 75mm ID 1.1-
121 Each
1.2mm OD 1.5-1.6mm, 50µ
122 Laboratory Supplies - ESR graduated pipit Waster green,100Cm length 100
Laboratory Supplies - Filter paper qualitative whatman grade1 diameter
123 100
150 mm
124 Laboratory Supplies - Flask heat and chemical resistant 250 ml 100
127 Laboratory Supplies - Funnel glass 100mm Pcs
128 Laboratory Supplies - Manual sucker Pcs
135 Laboratory Supplies - Microscope slides size 27x75 mm thickness 1.2mm 1000
non-frosted or Frosted
136 Laboratory Supplies - Pasteur pipette (plastic) non-sterile 3ml 50
137 Laboratory Supplies - Pipette 5 ml or 10ml or 2mlgraduated Pcs
Laboratory Supplies - Stool Specimen Container disposable of
138 Pcs
polypropylene, with Cover
139 Laboratory Supplies - Urine cup plastic 40ml capacity Pcs
Laboratory Supplies - Vacutainer blood collector tube with EDTA anti-
140 1000
coagulant purple top 4ml
Laboratory Supplies - Vacutainer blood collector tube with citrated anti-
141 coagulant blue top 4ml 100
Laboratory Supplies - Vacutainer blood collector tube vacuum red top

142 100
10ml
143 Laboratory Supplies - Vacutainer Needle holder 100
144 Laboratory Supplies - Vacutainer Needle21G 500
145 Laboratory Supplies - Vacutainer Serum Separator(SS) tube yellow top 5ml 100
Quantity
146 Laboratory Supplies - Wash bottle 500 ml 100
147 Laboratory Supplies - WBC Thomas pipette Pcs
148 Chemical - Chlorhexidine Gluconate +Cetrimide 1.5%+15%w/v Solution Litter
149 Chemical - Diethyl Ether 98% solution Litter
150 Chemical - Iodine Tincture - 2% - Solution 2.5litter
151 Chemical - Lugol's Iodine for Medical Use - 5% - Solution 500ml
152 Chemical - Povidone Iodine - 10% - Solution 500ml
153 Chemical - Sodium Hypochlorite - 5% - Solution 130ml
154 Chemical- Glycerin Pure - 98% Liter
155 Chemical - Hydrogen Peroxide - 3% - Solution 1L

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Available Formats

RDF-Purchase Request Form -For Medicine

Name of Health Facility- _______________________ Region: ________________ Zone: _______________

Reporting Period :-___________________________

19 Amoxicillin + Clavulanic Acid - (500mg + 100mg) in Vial- Powder for Injection 10

20 Amoxicillin + Clavulanic Acid - (125mg +31.25mg)/5ml - Oral Suspension 100ml

157 Insulin Isophane Human - 100IU/ml in 10ml Vial - Injection(Suspension) Each

280 Vitamin B1 + Vitamin B6 + Vitamin B12 - (100mg +100mg +1000mcg) - Injection 3

282 Vitamin B12 (Cyanocobalamin) - 1000mcg/ml in 1ml ampoule - Injection 10

283 Vitamin B6 (Pyridoxine HCl) - 100mg - Tablet 10x10

Name of Health Facility- _______________________ Region: ________________ Zone: _______________

Reporting Period :-___________________________

Polyglycolic Acid Absorbable (8/0) Reverse Cutting Needle or Round Bodied

Reporting Period :-___________________________

20 Clinical Chemistry - Alanine Aminotransferase -ALT (Serum Glutamic 200ml

Page 22 RRF List for RDF for Health facility-Medicines

Page 23 RRF List for RDF for Health facility-Medicines

Page 24 RRF List for RDF for Health facility-Medicines

Page 25 RRF List for RDF for Health facility-Medicines

Page 26 RRF List for RDF for Health facility-Medicines

Page 27 RRF List for RDF for Health facility-Medicines

Page 28 RRF List for RDF for Health facility-Medicines

Page 29 RRF List for RDF for Health facility-Medicines

Page 30 RRF List for RDF for Health facility-Medicines

Page 31 RRF List for RDF for Health facility-Medicines

Page 32 RRF List for RDF for Health facility-Medicines

Page 33 RRF List for RDF for Health facility-Medicines

Page 34 RRF List for RDF for Health facility-Medical Supplies

Page 35 RRF List for RDF for Health facility-Medical Supplies

Page 36 RRF List for RDF for Health facility-Medical Supplies

Page 37 RRF List for RDF for Health facility-Medical Supplies

Page 38 RRF List for RDF for Health facility-Medical Supplies

145 Polyglycolic Acid Absorbable Braided Violet -Gauge 1.0(5/0) 45 cm on 13 mm ½ Dozen

146 PolyGlycolic Acid Absorbable Braided Violet -Gauge 1.0(5/0) 45 cm on 13 mm ½ Dozen

147 PolyGlycolic Acid Absorbable Braided Violet -Gauge 1.5(4/0) 75 cm on 15 mm ½ Dozen

148 PolyGlycolic Acid Absorbable Braided Violet -Gauge 1.5(4/0) 75 cm on 15 mm ½ Dozen

Page 39 RRF List for RDF for Health facility-Medical Supplies

Page 40 RRF List for RDF for Health facility-Medical Supplies

Page 41 RRF List for RDF for Health facility-Medical Supplies

Laboratory Supplies - Vacutainer blood collector tube vacuum red top

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Name of Health Facility- _________ Region: Zone: _

Name of Health Facility- _________ Region: Zone: _