CANVASS

NAME OF CUSTOMER: ______________________ SIZE: ________

ADDRESS: _______________________________ SIZE OF PHARMACY

NEAR HOSPITAL: _______________________ _________________________

NAME OF PRODUCTS SIZE COST PRICE SELLING PRICE

Oxygen Cannula Adult & Pedia    
Nebulizer Kit Adult & Pedia    
Nebulizer Kit, Mask Type Adult, Pedia    
Cord Clamp    
Disposable Razor Single Blade    
Disposable Syringe Tubersulin 1ml    
Disposable Syringe Insulin    
Disposable Syringe 3 ml G-23x1    
Disposable Syringe 5 ml G-23x1    
Disposable Syringe, 10 ml G-23x1    
Asepto Syringe 60 ml    
Examination Gloves, Powder
Small
Free,    
Sterile Surgical Gloves, 6.0, 6.5, 7.0, 7.5,
Powder Free 8.0    
ECG Paper 80 x 20 mm    
ECG Paper 112 mm    
Disposable Cautery Pencil    
Disposable Grounding Pad    
Polyglactin Sutures    
Silk Sutures w/ and w/o
needle    
Nylon Sutures

ACI-SALES-CAF-007-2020 REV.0
NAME OF PRODUCTS SIZE COST PRICE SELLING PRICE
Polypropylene Sutures    
Disinfectant Tablet, Sochlor    
80x50x10's ,
Absorbable Gelatin Sponges 125x80x10's ,
250x 80x10's    
Cotton 400g    
Sterile Cotton Balls    
Wadding Sheet 4x5, 6x5    
Elastic Bandage 4x5, 6x5    
Foley Bag Catheter Assorted    
Nasogactric Tube Assorted    
Suction Catheter Assorted    
2x2x8 ply mesh
Gauze Sponges
24x28    
2x2x12 ply mesh
Gauze Sponges
24x28    
3x3x8 ply mesh
Gauze Sponges
24x28    
4x4x4 ply mesh
Gauze Sponges
24x28    
4x4x8 ply mesh
Gauze Sponges
24x28    
4x4x12 ply mesh
Gauze Sponges
24x28    
4x4x16 ply mesh
Gauze Sponges
24x28    
4x8x8 ply mesh
Gauze Sponges
24x28    
4x8x12 ply mesh
Gauze Sponges
24x28    
4x8x16 ply mesh
Gauze Sponges
24x28

PREPARED BY:
CHECKED BY:

ACI-SALES-CAF-007-2020 REV.0
NAME OF PRODUCTS SIZE COST PRICE SELLING PRICE
4x8x24 ply mesh
Gauze Sponges
24x28    
4x36x12 ply mesh
Lap Sponges
24x28    
12x12x8 ply mesh
Lap Sponges
24x28    
12x12x12 ply
Lap Sponges
mesh 24x28    
12x12x12 ply,
Lap Sponges
Sterile    
18x18x8 ply mesh
Lap Sponges
24x28    
18x18x12 ply
Lap Sponges
mesh 24x28    
18x18x8 ply,
Lap Sponges
Sterile    
Disposable Surgical Gown    
Laparotomy Pack    
Surgical Blade 10, 11, 15, 20    
Adult 1.8m w/
Breathing Circuit
Water Trap    
Pedia 1.8m w/
Breathing Circuit
Water Trap    
Neonate 1.8m w/
Breathing Circuit
Water Trap    
Anesthesia Needle 0, 1, 2, 3, 4, 5    
Gauze / Cherry Ball    
Digital Thermometer    
Aneroid Sphygmomanometer Desk Type    
Aneroid Sphygmomanometer Mobile Tpe    
Stethoscope Adult, Pedia
Kelly Pad w/ inflator

Endotrachal Tube Assorted

Alcohol Swab

ACI-SALES-CAF-007-2020 REV.0
ACI-SALES-CAF-007-2020 REV.0