REPORT OF SUPPLIES AND

MATERIALS ISSUED

JANUARY 1 - 31, 2018

OFFICE, JANITORIAL, ENGINEERING & CONSTRUCTION,
DRUGS & MEDICINES, FLUIDS, LABORATORY, RADIOLOGY,
MEDICAL & SURGICAL SUPPLIES
 .
MM-007-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIALS MANAGEMENT SECTION

REPORT OF SUPPLIES AND MATERIALS ISSUED

Serial No. :
Fund Cluster: Date :

To be filled up by the Supply and/or Property Division/Unit To be filled up by the Accounting Division/Unit
Responsibility Center Quantity
RIS No. Code Stock No. Item Unit Unit Cost Amount
Issued
CLS-2018-01- Clin. Lab. ASO, (Latex Agglutination), 100't kit 5
0001 Automated Biochemical test for Entero Bacterial ID (Vitek GN) box 9
Automated Biochemical test for Streph ID, 25's, (Vitek GP) box 10
Automated Sensitivity test (gram-), (Vitek 2 AST) box 14
Automated Sensitivity test (gram+), (Vitek GP AST) box 7
Bun reagent, dry method, 60's, Vitros kit 5
Cholesterol Reagent, total, Dry method, 60's, Vitros kit 5
Cleanse Reagent/Rinse for Hematology (5 diff part), Probe Cleanser bot 2
C-reactive Protein (Latex Agglutination), 100't kit 15
Cuvette for coagulation assay, (CP 2000, Almighty) box 1
Diluent reagent for 5 part hematology analyzer (M-68 D5 Diluent) box 6
Electrolyte reagent (N, K, CL), wet method, AUDICOM kit 5
Evacuated lavander top 3ml, 100's box 24
Evacuated tube black top 2ml, 100's box 12
Inoculating Loop, disp. pc 2000
Lactic Dehydrogenase reagent, dry method, Vitros kit 5
Lactic Dehydrogenase reagent, wet method, Dimension kit 1
Lyse reagent for Hemoglobin/RBC for 5 part analyzer, (LH Lyse) bot 10
Lyse reagent for WBC differential for 5 part analyzer, (LD Lyse) bot 3
Reticulocyte Reagent 500ml/Bottle, (M-68 DR Diluent) bot 1
SGOT / AST reagent, dry method, 60's, Vitros kit 5
SGPT/ALT reagent, dry method , 50's, Vitros kit 5
Test for serum magnessium, dry method, 60's, Vitros kit 7
Triglyceride reagent, dry method, 60's, vitros kit 10

CLS-2018-01- Dental COMPOSITE FILLING SET

0002 Permanent Universal Restorative Light Curing Composite box 5
material, 3's Nano Hybrid
Cavity liner light curing calcium hydroxide base syr 4
Celluloid Strip 50's/Fine box 10
Finishing Strip 50's/Fine box 10
Articulating paper 10's box 10
Metal strips pc 100
Matrix band pc 100
Suction Tip, 25's pack 4
Saliva ejector, 100's pack 12
Temporary filling zinz oxide eugenol bot 2
Eugenol bot 2
Debacterol bot 1
Prophylactic cup, smooth, 100's pc 100
ROOT CANAL THERAPHY
Reamers no. 15-40 box 4
Files (H-file & K-file) 15-40 box 4
Paper points S-15-40 box 4
Intracanal calcium hydroxide, pre file, syringe type syr 2
Gutta percha points 15-40 box 4
ROOT CANAL THERAPHY
Needle long g-27, 100's box 10
Needle short g-27, 100's box 20

CLS-2018-01- Dental ACCESSORIES

0003 Mouth mirror w/ handle no. 4 pc 24
Explorer pc 12
Cotton Plier w/ lock pc 12
Spoon Excavator pc 12
Gum Separator pc 11
Diamond Burs, Diff. Sizes pc 40
Allis tissue forcep (small size) pc 3
Jackette scaler no. 1, 2 pc 2
Interdental Sickle pc 4
Dental Syringe pc 4
Straight Elevator pc 2
Forcep 18L pc 2
 Forcep 18R pc 2
Forcep 69 pc 2
Forcep 150 pc 2
Forcep 151 pc 2
Forcep 16 pc 2
Forcep 17 pc 2
Rounger pc 2
Root Tip Pick pc 5
Dental Curette pc 3
Periosteal Elevator molt No. 9 pc 5
Surgical Dental Scissor small,fine/thin blade pc 5
Minnesota cheeck retractor pc 2
Dental Needle Holder pc 3

CLS-2018-01- Dental Micro Adison tissue Forcep pc 1

0004 Fissure Burs pc 20
Dental Hemostant, curved small pc 4
Dental Flowable Composite syr 2
Face Mask w/ shield, 25's box 10

CLS-2018-01- Bloodbank Compatibility Testing, Gel tech. (complete) kit 4

0005 Compatibility Testing, Gel tech., AHG/Coombs kit 4
Compatibility Testing, Gel tech., Neutral kit 4
Compatibility Testing, Gel tech., Diluent kit 5

CLS-2018-01- Clin. Lab. Bld. Culture media for both pedia and adult, anaerobic bot 400
0006 Control reagent for Coagulation Assay, CP 2000 vial 10
Creatinine reagent, wet method, Dimension kit 3
Cuvette for coagulation assay, CP2000 box 1
Diluent reagent for 5 part hematology analyzer (Cell pack) box 5
Diluent reagent for bacteria for automated urinalysis box 2
Diluent reagent for sediment for automated urinalysis box 2
Ethyl alcohol, 95%, AR, 2.5l bot 24
Evacuated blue top 1.8ml, 3.2% preferably plastic box 30
Evacuated red top, 5ml, glass, 100's box 10
Glass slides, frosted ends box 100
Inoculating Loop, disp. pc 2000
Lyse reagent for Hemoglobin/RBC for 5 part analyzer, SULFOLYSER box 1
Multisampler needle g.21 disposable box 40
Paraffin embedding medium, pellets, 1k kilo 20
Pediatric Collecting Tube (minicollect 0.5ml), EDTA 50's box 40
Prothrombin time reagent CP 2000 vial 20
QC reagent, bi-level for automated urinalysis box 2
Sheath /diluent reagent for automated urinalysis box 3
Stain reagent for bacteria for automated urinalysis box 1
Stain reagent for sediments for automated urinalysis box 1
Stain reagent for NRBC, fully automated hematology, Fluorocell WNR box 2
Stain reagent for WBC diff. ct. fully automated hematology,Fluorocell box 3
Xylene / Xylol, AR, 2.5/bot bot 20
HbsAG rapid (Allied) box 3
Dengue IgG/IgM (Allied) box 8
Syphillis rapid (Almighty) box 10
Salmonella typhi, IgG/IgM (Northeast medical) box 4
Tubex, (Almighty) box 4

CLS-2018-01- Bloodbank Blood Collecting Tube, Lavender Top, 5ml pack 100
0007 Blood collecting bag, DOUBLE, 450ml pc 380
Pipette tip, disposable, yellow, 1000's pack 20

CLS-2018-01- Clin. Lab. Activated Partial Thromboplastin Time reagent, (Siron SL) vial 10
0008 Anti-Hbs Control (Abbott) kit 1
Anti-Hbs2 Control (FAS/Siemens) kit 1
BHCG Control (Abbott) kit 1
C3 reagent, plate plate 4
Control Normal (ABX Pentra) vial 5
Control Pathologic (ABX Pentra) vial 5
Control reagent for Coagulation Assay (Siron Technoclot) vial 40
Cuvettes for Chemistry, wet method, Dimension cart 2
Diluent reagent for 5 part hematology analyzer, Cellpack box 5
Erlenmeyer flask 250ml pc 20
Erlenmeyer flask 500ml pc 10
Evacuated lavander top 3ml, 100's box 36
Gamma Glutamyl Tranferase kit 1
HBct Control (FAS/Siemens) kit 1
HBsAg Control (FAS/Siemens) kit 1
HBsAg Dual II Control (Abbott) kit 1
Iron (Fe) kit 1
Lyse reagent for basophils for 5 part analyzer, Lysercell WDF box 1
 Lyse reagent for WBC differential for 5 part analyzer, LYSERCELL W box 1
Lyse reagent for Hemoglobin/RBC for 5 part analyzer, SULFOLYSER box 1
Meropenem, Disc 10ug cart 20
Mounting medium, 1000ml, Germany/US bot 2
Multi-Calibrator (ABX Pentra) vial 2
Optochin disc - (TACO P) cart 13
Plastic tips, blue, disposable, 250/bag bag 3
PW3 (Siemens) kit 1
Sample cups with lid for chemistry analyzer(v) bag 1
Screw capped test tubes, 13 x 100 pc 100

CLS-2018-01- BloodBank Malaria Ag, Rapid, 25't kit 100

0009

CLS-2018-01- Clin. Lab. Amikacin 30 mg Disc/Cart cart 30

0010 Amoxicillin & Clavulanic acid, disc 20/10 ug cart 16
Ampicillin disc, 10 mg cart 20
Amylase reagent, dry method, 60's kit 5
Bld. Culture media for both pedia and adult, anaerobic bot 500
BUN reagent, dry method, 60's kit 5
C3 reagent, plate plate 6
Ceftriaxone disc, 30 ug cart 30
Clean solution for Coagulation analyzer 500ml (Thrombolyzer) bot 1
Creatinine reagent, wet method, Siemens kit 4
Cuvette cartridge, wet method, siemens kit 4
Evacuated lavander top 3ml, 100's box 36
Evacuated red top , 5ml, glass, 100's box 3
FT3, Siemens kit 2
Gentamycin, 10 mg, disc cart 40
HAV IgM, Siemens kit 1
HDL reagent, dry method, 60's kit 10
Isovitalex 5's, 10ml box 1
Linezolid disc cart 15
Pregnancy test reagent - Serum/ urine box 10
Prothrombin time reagent (PT Plus/Thrombolyzer) vial 30
PSA chemilu, Siemens kit 1
Sample cups with lid for chemistry analyzer(v) bag 4
SGOT / AST reagent, wet method, Siemens kit 4
SGPT / ALT reagent, wet method, Siemens kit 2
Sheath /diluent reagent for automated urinalysis box 3
Troponin I test, qualitative, 30's box 5
TSH3-UL, Siemens kit 2
Urine strip, 10 parameter box 20

CLS-2018-01- Clin. Lab. HbsAg reagent (FAS/Siemens) kit 1

0010A CEA reagent (FAS/Siemens) kit 1
AFP reagent (FAS/Siemens) kit 1
Anti HBS reagent (FAS/Siemens) kit 1
CA 125 reagent (FAS/Siemens) kit 1
HbsAg reagent (Abbott) kit 1
Tubex kit 2

CLS-2018-01- Bloodbank HBsAg, EIA, 480't kit 3

0011 Syphillis/Trepsure, EIA, 960't kit 1
HIV Ag/Ab, EIA, 480't kit 3
Multisampler Needle, G21, 100's box 50

CLS-2018-01- Bloodbank HBsAg, Chemilu, 100't - HISCL kit 5

0012 HCV Ag/Ab, Chemilu, 100't - HISCL kit 5
HIV Ag/Ab, Chemilu, 100't - HISCL kit 5
Syphillis / TP, Chemilu, 100't - HISCL kit 5

Recapitulation: Recapitulation:
UACS Object
Stock No. Item Unit Quantity Unit Cost Total Cost
Code
Activated Partial Thromboplastin Time reagent, (Siron SL) vial 10
AFP reagent (FAS/Siemens) kit 1
Amikacin 30 mg Disc/Cart cart 30
Amoxicillin & Clavulanic acid, disc 20/10 ug cart 16
Ampicillin disc, 10 mg cart 20
Amylase reagent, dry method, 60's kit 5
Anti HBS reagent (FAS/Siemens) kit 1
Anti-Hbs Control (Abbott) kit 1
Anti-Hbs2 Control (FAS/Siemens) kit 1
ASO, (Latex Agglutination), 100't kit 5
Automated Biochemical test for Entero Bacterial ID (Vitek GN) box 9
Automated Biochemical test for Streph ID, 25's, (Vitek GP) box 10
Automated Sensitivity test (gram-), (Vitek 2 AST) box 14
Automated Sensitivity test (gram+), (Vitek GP AST) box 7
BHCG Control (Abbott) kit 1
Bld. Culture media for both pedia and adult, anaerobic bot 900
Blood collecting bag, DOUBLE, 450ml pc 380
Blood Collecting Tube, Lavender Top, 5ml pack 100
Bun reagent, dry method, 60's, Vitros kit 10
C3 reagent, plate plate 10
CA 125 reagent (FAS/Siemens) kit 1
CEA reagent (FAS/Siemens) kit 1
Ceftriaxone disc, 30 ug cart 30
Cholesterol Reagent, total, Dry method, 60's, Vitros kit 5
Clean solution for Coagulation analyzer 500ml (Thrombolyzer) bot 1
Cleanse Reagent/Rinse for Hematology (5 diff part), Probe Cleanser bot 2
Compatibility Testing, Gel tech. (complete) kit 4
Compatibility Testing, Gel tech., AHG/Coombs kit 4
Compatibility Testing, Gel tech., Diluent kit 5
Compatibility Testing, Gel tech., Neutral kit 4
Control Normal (ABX Pentra) vial 5
Control Pathologic (ABX Pentra) vial 5
Control reagent for Coagulation Assay (Siron Technoclot) vial 40
Control reagent for Coagulation Assay, CP 2000 vial 10
C-reactive Protein (Latex Agglutination), 100't kit 15
Creatinine reagent, wet method, Dimension kit 3
Creatinine reagent, wet method, Siemens kit 4
Cuvette cartridge, wet method, siemens kit 4
Cuvette for coagulation assay, (CP 2000, Almighty) box 2
Cuvettes for Chemistry, wet method, Dimension cart 2
Dengue IgG/IgM (Allied) box 8
Diluent reagent for 5 part hematology analyzer (Cell pack) box 10
Diluent reagent for 5 part hematology analyzer (M-68 D5 Diluent) box 6
Diluent reagent for bacteria for automated urinalysis box 2
Diluent reagent for sediment for automated urinalysis box 2
Electrolyte reagent (N, K, CL), wet method, AUDICOM kit 5
Erlenmeyer flask 250ml pc 20
Erlenmeyer flask 500ml pc 10
Ethyl alcohol, 95%, AR, 2.5l bot 24
Evacuated tube black top 2ml, 100's box 12
Evacuated blue top 1.8ml, 3.2% preferably plastic box 30
Evacuated lavander top 3ml, 100's box 96
Evacuated red top , 5ml, glass, 100's box 13
FT3, Siemens kit 2
Gamma Glutamyl Tranferase kit 1
Gentamycin, 10 mg, disc cart 40
Glass slides, frosted ends box 100
HAV IgM, Siemens kit 1
HBct Control (FAS/Siemens) kit 1
HBsAg Control (FAS/Siemens) kit 1
HBsAg Dual II Control (Abbott) kit 1
HbsAG rapid (Allied) box 3
HbsAg reagent (Abbott) kit 1
HbsAg reagent (FAS/Siemens) kit 1
HBsAg, Chemilu, 100't - HISCL kit 5
HBsAg, EIA, 480't kit 3
HCV Ag/Ab, Chemilu, 100't - HISCL kit 5
HDL reagent, dry method, 60's kit 10
HIV Ag/Ab, Chemilu, 100't - HISCL kit 5
HIV Ag/Ab, EIA, 480't kit 3
Inoculating Loop, disp. pc 4000
Iron (Fe) kit 1
Isovitalex 5's, 10ml box 1
Lactic Dehydrogenase reagent, dry method, Vitros kit 5
Lactic Dehydrogenase reagent, wet method, Dimension kit 1
Linezolid disc cart 15
Lyse reagent for basophils for 5 part analyzer, Lysercell WDF box 1
Lyse reagent for Hemoglobin/RBC for 5 part analyzer, (LH Lyse) bot 10
Lyse reagent for Hemoglobin/RBC for 5 part analyzer, SULFOLYSER box 2
Lyse reagent for WBC differential for 5 part analyzer, (LD Lyse) bot 3
Lyse reagent for WBC differential for 5 part analyzer, LYSERCELL W box 1
Malaria Ag, Rapid, 25't kit 100
Meropenem, Disc 10ug cart 20
Mounting medium, 1000ml, Germany/US bot 2
Multi-Calibrator (ABX Pentra) vial 2
Multisampler needle g.21 disposable box 90
Optochin disc - (TACO P) cart 13
Paraffin embedding medium, pellets, 1k kilo 20
Pediatric Collecting Tube (minicollect 0.5ml), EDTA 50's box 40
Pipette tip, disposable, yellow, 1000's pack 20
Plastic tips, blue, disposable, 250/bag bag 3
Pregnancy test reagent - Serum/ urine box 10
Prothrombin time reagent (PT Plus/Thrombolyzer) vial 30
Prothrombin time reagent CP 2000 vial 20
PSA chemilu, Siemens kit 1
PW3 (Siemens) kit 1
QC reagent, bi-level for automated urinalysis box 2
Reticulocyte Reagent 500ml/Bottle, (M-68 DR Diluent) bot 1
Salmonella typhi, IgG/IgM (Northeast medical) box 4
Sample cups with lid for chemistry analyzer(v) bag 5
Screw capped test tubes, 13 x 100 pc 100
SGOT / AST reagent, dry method, 60's, Vitros kit 5
SGOT / AST reagent, wet method, Siemens kit 4
SGPT / ALT reagent, wet method, Siemens kit 2
SGPT/ALT reagent, dry method , 50's, Vitros kit 5
Sheath /diluent reagent for automated urinalysis box 6
Stain reagent for bacteria for automated urinalysis box 1
Stain reagent for NRBC, fully automated hematology, Fluorocell WNR box 2
Stain reagent for sediments for automated urinalysis box 1
Stain reagent for WBC diff. ct. fully automated hematology,Fluorocell box 3
Syphillis / TP, Chemilu, 100't - HISCL kit 5
Syphillis rapid (Almighty) box 10
Syphillis/Trepsure, EIA, 960't kit 1
Test for serum magnessium, dry method, 60's, Vitros kit 7
Triglyceride reagent, dry method, 60's, vitros kit 10
Troponin I test, qualitative, 30's box 5
TSH3-UL, Siemens kit 2
Tubex kit 2
Tubex, (Almighty) box 4
Urine strip, 10 parameter box 20
Xylene / Xylol, AR, 2.5/bot bot 20
COMPOSITE FILLING SET
Permanent Universal Restorative Light Curing Composite box 5
material, 3's Nano Hybrid
Cavity liner light curing calcium hydroxide base syr 4
Celluloid Strip 50's/Fine box 10
Finishing Strip 50's/Fine box 10
Articulating paper 10's box 10
Metal strips pc 100
Matrix band pc 100
Suction Tip, 25's pack 4
Saliva ejector, 100's pack 12
Temporary filling zinz oxide eugenol bot 2
Eugenol bot 2
Debacterol bot 1
Prophylactic cup, smooth, 100's pc 100
ROOT CANAL THERAPHY
Reamers no. 15-40 box 4
Files (H-file & K-file) 15-40 box 4
Paper points S-15-40 box 4
Intracanal calcium hydroxide, pre file, syringe type syr 2
Gutta percha points 15-40 box 4
ROOT CANAL THERAPHY
Needle long g-27, 100's box 10
Needle short g-27, 100's box 20
ACCESSORIES
Mouth mirror w/ handle no. 4 pc 24
Explorer pc 12
Cotton Plier w/ lock pc 12
Spoon Excavator pc 12
Gum Separator pc 11
Diamond Burs, Diff. Sizes pc 40
Allis tissue forcep (small size) pc 3
Jackette scaler no. 1, 2 pc 2
Interdental Sickle pc 4
Dental Syringe pc 4
Straight Elevator pc 2
Forcep 18L pc 2
Forcep 18R pc 2
Forcep 69 pc 2
Forcep 150 pc 2
Forcep 151 pc 2
Forcep 16 pc 2
Forcep 17 pc 2
Rounger pc 2
Root Tip Pick pc 5
Dental Curette pc 3
Periosteal Elevator molt No. 9 pc 5
Surgical Dental Scissor small,fine/thin blade pc 5
 Minnesota cheeck retractor pc 2
Dental Needle Holder pc 3
Micro Adison tissue Forcep pc 1
Fissure Burs pc 20
Dental Hemostant, curved small pc 4
Dental Flowable Composite syr 2
Face Mask w/ shield, 25's box 10

I hereby certify to the correctness of the above information. Posted by:

ALADIN M. PASCUAL
Administrative Officer III - OIC Materials Management Section Signature over Printed Name of Designated Date
Accounting Staff
 Republic of the Philippines
MM-007-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIALS MANAGEMENT SECTION

REPORT OF SUPPLIES AND MATERIALS ISSUED

Serial No. :
Fund Cluster: Date :

To be filled up by the Supply and/or Property Division/Unit To be filled up by the Accounting Division/Unit
Responsibility Center Quantity
RIS No. Code Stock No. Item Unit Unit Cost Amount
Issued
DM-2017-12- Losartan + Hydrochlorothiazide 100mg +25mg tablet tab 1000
0114 Co-Amoxiclav 250mg/62.5mg/5ml,60ml granules/powder for suspensibot 10
Lactulose 3.3g/5ml (66% syrup), 120ml bottle bot 300
Dobutamine 2mg/ml, 250ml D5W (pre-mixed) (IV) (as Hcl) vial 18
Hydroxyethyl starh 6% solution 500ml bottle (IV infusion) bot 50
Atorvastatin 40mg tablet tab 1000
Celecoxib 400mg capsule cap 1020
Loratadine 10mg tablet tab 300
Amiodarone 200mg tablet (as HCl) tab 300
Fluconazole 200mg capsule cap 140
Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) vial (IMvial 120
Dextrose 5% in Lactated Ringers 1000ml set 120
Sevoflurane 250ml bottle bot 36
Carboplatin 450mg vial vial 177
Clarithromycin 125mg/5ml, 70ml granules/powder for suspension bot 20
Candesartan 8mg tab 140
Atorvastatin 80mg tablet tab 500
Sodium Bicarbonate 1mEq/ml, 50ml amp/vial (IV infusion) amp 70
Gemcitabine 1g vial vial 100
Gemcitabine 200mg vial vial 100
Hydroxyzine 50mg/ml, 1ml (IM,IV) amp 500

DM-2018-01- Co-Amoxiclav 400mg/57mg/5ml,70ml granules/powder for suspensio bot 100

0001 Cefixime 200mg capsule cap 500
Simvastatin 40mg tablet tab 2000
Clarithromycin 125mg/5ml, 70ml granules/powder for suspension bot 30
Co-Amoxiclav 250mg/62.5mg/5ml,60ml granules/powder for suspensibot 100
Lactulose 3.3g/5ml (66% syrup), 120ml bottle bot 200
Vitamin B Complex tab 2000
Metronidazole 5mg/ml, 100ml vial IV infusion vial 1000
Hydroxyethyl starh 6% solution 500ml bottle (IV infusion) bot 120
Atorvastatin 40mg tablet tab 2000
Atorvastatin 80mg tablet tab 2000
Sodium Bicarbonate 1mEq/ml, 50ml amp/vial (IV infusion) amp 140
Co-Amoxiclav 625mg tablet (as Trihydrtate) tab 500
Tetanus Toxoid 0.5ml ampule (IM) amp 240
Dextrose 50% in Water 50ml set 460
Omeprazole 40mg + 10ml solvent amp/vial (IV) amp 400
Hydrocortisone 50mg/ml, 2ml vial (IV) (as Sodium Succinate) act o viavial 300
Hydrocortisone 125mg/ml, 2ml vial (IV) (as Sodium Succinate) act o vvial 100

DM-2018-01- Omeprazole 40mg + 10ml solvent amp/vial (IV) amp 600

0002 Hydrocortisone 125mg/ml, 2ml vial (IV) (as Sodium Succinate) act o vvial 100
Hydrocortisone 50mg/ml, 2ml vial (IV) (as Sodium Succinate) act o viavial 100
Cefuroxime 750mg vial (IM,IV) (as Sodium salt) vial 500
Ceftriaxone 1g vial (as Disodium/ Sodium salt) vial 600
Cefepime 1g vial (IM,IV) (as Hcl) vial 100
Digoxin 250mcg/ml, 2ml ampule (IM,IV) tab 1000
Folic Acid 5mg tablet tab 1000
Budesonide + Formoterol 160/4.5mcg/ unit dose canister 5
Methyldopa 250mg tablet tab 500
Isosorbide dinitrate 1mg/ml, 10ml amp (IV) amp 100
Lidocaine 2%, 5ml polyamp (as HCl) polyamp 500
Budesonide Nebule 250mcg/ml, 2ml (unit dose) neb 170
Mefenamic Acid 500mg cap/tab tab 2500
Paracetamol 500mg tablet tab 1000
Biperiden 2mg/tablet (as Hcl) tab 3000
Risperidone 2mg tablet tab 2000
Filgrastin 300mcg vial vial 50
Plain NSS 1000ml set 460

DM-2018-01- Ceftriaxone 1g vial (as Disodium/ Sodium salt) vial 1800

0003 Hydrocortisone 50mg/ml, 2ml vial (IV) (as Sodium Succinate) act o viavial 1800
 Omeprazole 40mg + 10ml solvent amp/vial (IV) amp 2100
Hydrocortisone 125mg/ml, 2ml vial (IV) (as Sodium Succinate) act o vvial 1800
Acetylcisteine 200mg sachet sachet 1200
Docetaxel 40mg/ml, 2ml vial 100
Doxorubicin powder 50mg vial (IV) (as HCl) vial 100
Amlodipine 5mg tablet (as Besylate or Camsylate) tab 3000
Losartan + Hydrochlorothiazide 50mg +12.5mg tablet tab 1000
Losartan 50mg tablet (as Potassium salt) tab 980
Losartan 100mg tablet (as Potassium salt) tab 1000
Fluconazole 150mg tablet tab 300
Levofloxacin 750mg tablet tab 500
Mannitol 20%, 500ml bot 1200
Plain Lactated Ringers Solution 1000ml bot 1800

DM-2018-01- Cefixime 400mg capsule cap 150

0004 Azithromycin 500mg tablet (as base/as dihydrate) tab 500
Midazolam 5mg/ml, 3ml amp (IM,IV) amp 1000
Nicardipine 1mg/ml, 10ml amp (IV) (as HCl) amp 100
Methyldopa 250mg tablet tab 500
Co-Amoxiclav 156.25mg/5ml powder for suspension bot 6
Bumetamide 1mg tablet tab 100
Digoxin 250mcg/ml, 2ml ampule (IM,IV) tab 1000
Budesonide + Formoterol 160/4.5mcg/ unit dose canister 5
Folic Acid 5mg tablet tab 1000
Mefenamic Acid 500mg cap/tab tab 7500
Risperidone 2mg tablet tab 27000
Biperiden 2mg/tablet (as Hcl) tab 7000
Paracetamol 500mg tablet tab 1000
Cefepime 1g vial (IM,IV) (as Hcl) vial 400
Ceftriaxone 1g vial (as Disodium/ Sodium salt) vial 3600
Carboplatin 450mg vial vial 123
Docetaxel 20mg/0.5ml, 0.5ml vial 100
Hydrocortisone 50mg/ml, 2ml vial (IV) (as Sodium Succinate) act o viavial 1800
Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) vial 100
Clozapine 100mg tablet vial 5000
Dextrose 5% 0.9 NaCl 1L bot 120
Cefuroxime vial 1200
Isoflurane bot 24

DM-2018-01- Fluorouracil 50mg/ml, 10ml amp/vial (IV, IV Infusion) amp 523

0005 Midazolam 5mg/ml, 3ml amp (IM,IV) amp 1000
Lidocaine 2%, 5ml polyamp (as HCl) polyamp 1500

Recapitulation: Recapitulation:
UACS Object
Stock No. Item Unit Quantity Unit Cost Total Cost
Code
Acetylcisteine 200mg sachet sachet 1200
Amiodarone 200mg tablet (as HCl) tab 300
Amlodipine 5mg tablet (as Besylate or Camsylate) tab 3000
Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) vial (IMvial 120
Atorvastatin 40mg tablet tab 3000
Atorvastatin 80mg tablet tab 2500
Azithromycin 500mg tablet (as base/as dihydrate) tab 500
Biperiden 2mg/tablet (as Hcl) tab 10000
Budesonide + Formoterol 160/4.5mcg/ unit dose canister 10
Budesonide Nebule 250mcg/ml, 2ml (unit dose) neb 170
Bumetamide 1mg tablet tab 100
Candesartan 8mg tab 140
Carboplatin 450mg vial vial 300
Cefepime 1g vial (IM,IV) (as Hcl) vial 500
Cefixime 200mg capsule cap 650
Ceftriaxone 1g vial (as Disodium/ Sodium salt) vial 6000
Cefuroxime 750mg vial (IM,IV) (as Sodium salt) vial 1700
Celecoxib 400mg capsule cap 1020
Clarithromycin 125mg/5ml, 70ml granules/powder for suspension bot 50
Clozapine 100mg tablet vial 5000
Co-Amoxiclav 156.25mg/5ml powder for suspension bot 6
Co-Amoxiclav 250mg/62.5mg/5ml,60ml granules/powder for suspensibot 110
Co-Amoxiclav 400mg/57mg/5ml,70ml granules/powder for suspensio bot 100
Co-Amoxiclav 625mg tablet (as Trihydrtate) tab 500
Dextrose 5% 0.9 NaCl 1L bot 120
Dextrose 5% in Lactated Ringers 1000ml set 120
Dextrose 50% in Water 50ml set 460
Digoxin 250mcg/ml, 2ml ampule (IM,IV) tab 2000
Dobutamine 2mg/ml, 250ml D5W (pre-mixed) (IV) (as Hcl) vial 18
Docetaxel 20mg/0.5ml, 0.5ml vial 100
Docetaxel 40mg/ml, 2ml vial 100
Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) vial 100
Doxorubicin powder 50mg vial (IV) (as HCl) vial 100
Filgrastin 300mcg vial vial 50
 Fluconazole 150mg tablet tab 300
Fluconazole 200mg capsule cap 140
Fluorouracil 50mg/ml, 10ml amp/vial (IV, IV Infusion) amp 523
Folic Acid 5mg tablet tab 2000
Gemcitabine 1g vial vial 100
Gemcitabine 200mg vial vial 100
Hydrocortisone 125mg/ml, 2ml vial (IV) (as Sodium Succinate) act o vvial 2000
Hydrocortisone 50mg/ml, 2ml vial (IV) (as Sodium Succinate) act o viavial 4000
Hydroxyethyl starh 6% solution 500ml bottle (IV infusion) bot 170
Hydroxyzine 50mg/ml, 1ml (IM,IV) amp 500
Isoflurane bot 24
Isosorbide dinitrate 1mg/ml, 10ml amp (IV) amp 100
Lactulose 3.3g/5ml (66% syrup), 120ml bottle bot 500
Levofloxacin 750mg tablet tab 500
Lidocaine 2%, 5ml polyamp (as HCl) polyamp 2000
Loratadine 10mg tablet tab 300
Losartan + Hydrochlorothiazide 100mg +25mg tablet tab 1000
Losartan + Hydrochlorothiazide 50mg +12.5mg tablet tab 1000
Losartan 100mg tablet (as Potassium salt) tab 1000
Losartan 50mg tablet (as Potassium salt) tab 980
Mannitol 20%, 500ml bot 1200
Mefenamic Acid 500mg cap/tab tab 10000
Methyldopa 250mg tablet tab 1000
Metronidazole 5mg/ml, 100ml vial IV infusion vial 1000
Midazolam 5mg/ml, 3ml amp (IM,IV) amp 2000
Nicardipine 1mg/ml, 10ml amp (IV) (as HCl) amp 100
Omeprazole 40mg + 10ml solvent amp/vial (IV) amp 3100
Paracetamol 500mg tablet tab 2000
Plain Lactated Ringers Solution 1000ml bot 1800
Plain NSS 1000ml set 460
Risperidone 2mg tablet tab 29000
Sevoflurane 250ml bottle bot 36
Simvastatin 40mg tablet tab 2000
Sodium Bicarbonate 1mEq/ml, 50ml amp/vial (IV infusion) amp 210
Tetanus Toxoid 0.5ml ampule (IM) amp 240
Vitamin B Complex tab 2000

I hereby certify to the correctness of the above information. Posted by:

ALADIN M. PASCUAL
Administrative Officer III - OIC Materials Management Section Signature over Printed Name of Designated Date
Accounting Staff
 Republic of the Philippines
MM-007-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIALS MANAGEMENT SECTION

REPORT OF SUPPLIES AND MATERIALS ISSUED

Serial No. :
Fund Cluster: Date :

To be filled up by the Supply and/or Property Division/Unit To be filled up by the Accounting Division/Unit
Responsibility Center Quantity
RIS No. Code Stock No. Item Unit Unit Cost Amount
Issued
Absorbent Gauze with X- Ray detector, unsterile, mesh 36 x100
MS-2018-01- CSR bolt 24
yards
0001 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 180
Povidone Iodine antiseptic 10%, Betadine gal 20
Cautery pencil pc. 400
Cotton absorbent, 400 grms. Unsterile roll 72
Decontamination mat pc. 5
Endotracheal Tube 7.0 mm cuffed pc. 100
Nasal Cannula 02, adult pc. 300
Sodalime pail 1
Gloves, sterile s-6.5, 50's box 40
Gloves, sterile s-7.0, 50's box 40
Gloves, sterile s-7.5, 50's box 40
Suction tip fr.5,50's pc. 500
Surgical mask,50's box 120
Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box 60
Syringe w/ Needle (Luer Lock) 2.5cc, Disposable (100's) box 50
Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box 60
Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 60
Thermometer, digital pc 300
Tongue depressor 100's box 100
Urine Bag, w/ Non-Return Valve, w/ hanger, 1L, calibrated 1000-
pc. 250
1200 ml
Urine Collector, with adhesive, calibrated pedia pc. 500

MS-2018-01- CSR Surgical Suture, Chromic 2.0 double arm (round) doz 5
0002 Surgical Suture, Silk 2.0 strands doz 5
Surgical Suture, Silk 3.0 strands doz 5
Synthetic absorbable multifilament braided dyed coated w/
box 12
antibacterial 1 round needle
Synthetic absorbable multifilament braided dyed coated w/
box 15
antibacterial 4.0 cutting edge

MS-2018-01- CSR Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) pc. 3

0003
MS-2018-01- CLIN. LAB. Syringe, Disposable, 5ml, terumo box 24
0004
MS-2018-01- CAO OFFICE Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) pc. 3
0005
MS-2018-01- CSR Chlorhexidine cleanser, 5liters (Gal) gal 20
0006 Cord Clamp pc. 500
Elastic bandage S – 4 inches (Stretchable) roll 48
Gloves, sterile s-6 ½, 50's box 40
Gloves, sterile s-7.0, 50's box 40
Gloves, sterile s-7 ½, 50's box 40
Mask, N-95 pc. 120
Mask, surgical,50's box 80
Nasal Cannula 02, adult pc. 500
Nasal Cannula 02, pedia pc. 100
Nasogastric Tube fr .16, 125cm long pc. 200
Needle disposable g.24,100's box 30
Needle disposable g.26,100's box 30
Suction Tip fr.14 50cm pc. 500
Suction Tip fr.18 55cm pc. 500
Suction Tip fr.16 55cm pc. 500
Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box 60
Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box 75
Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 60

MS-2018-01- CSR Povidone Iodine antiseptic 10%, Betadine gal 20

0007 Blade, surgical #22,100's, Sharp (Stainless) (Box) box 20
Colostomy Bag, Adult pc. 200
 ECG leads adult pack 40
Mediscrub brush pc. 400
Newborn screening kit pc. 1,500
Urine Bag, w/ Non-Return Valve, w/ hanger, 1L, calibrated 1000-
pc. 500
1200 ml

MS-2018-01- CSR Surgical Suture, Silk 2.0 (w/ round needles) doz 20
0008 Surgical Suture, Silk 3.0 (w/ round needles) doz 20
Synthetic absorbable multifilament braided dyed coated w/
doz 12
antibacterial 4.0 round needle, RB-1
Synthetic absorbable multifilament braided dyed coated w/
doz 12
antibacterial 4.0 cutting needle
Synthetic absorbable multifilament braided dyed 0 round needle (1/2
doz 10
circle) 40mm (PDS II-O)

MS-2018-01- CLIN. LAB. Mask, Surgical box 10

0009 Cotton absorbent, 400 grms. Unsterile roll 24
Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 36

MS-2018-01- DENTAL Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 5

0010 Gloves, sterile s-6 ½, 50's box 3
Gloves, sterile s-7.0, 50's box 3

MS-2018-01- EEG EEG TEN20 PASTE jar 3

0011 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 2

MS-2018-01- PHARMACY Soluset set 1,000

0012
MS-2018-01- PHARMACY Mask, Surgical box 5
0013 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 3

Absorbent Gauze with X- Ray detector, unsterile, mesh 36 x100

MS-2018-01- CSR bolt 24
yards
0014 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 72
Anesthesia breathing circuit, Adult pc. 40
Asepto syringe pc. 300
Bed Pan pc. 1,210
Blood glucose strip box 100
Cautery pencil pc. 200
Cotton absorbent, 400 grms. Unsterile roll 72
Needle disposable g.18,100's box 30
Epidural set G. 18 pc. 40
Jackson rees pc. 40
Lubricating Gel, Sterile 3 gms 100/Box box 20
Nebulizer kit pc. 500
Spinal needle G. 25 pc. 500
Gloves, sterile s-6 ½, 50's box 8
Gloves, sterile s-7.0, 50's box 8
Gloves, sterile s-7.5, 50's box 40
Gloves, surgical, sterile long cuff s-7, 50's box 30
Blade, surgical #22,100's, Sharp (Stainless) (Box) box 10
Surgical mask,50's box 40
Syringe w/ Needle (Luer Lock) 1cc, Disposable (100's) box 144
Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box 60
Syringe w/ Needle (Luer Lock) 50cc, Disposable (100's) box 32
Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box 75
Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 60
Thermometer, Digital pc. 300
Urinal plastic pc. 200
Urine Bag, w/ Non-Return Valve, w/ hanger, 1L, calibrated 1000-
pc. 500
1200 ml
Yankuer Suction Connecting Tube, Double packing with pool drain
pc. 300
suction (Universal Connecting tube 210-250cm)

MS-2018-01- CSR Surgical Suture, Chromic 2.0 w/ needles SA doz 20

0015 Surgical Suture, Chromic 2.0 w/ needles DA doz 30
Surgical Suture, Chromic 3.0 w/ needles doz 20
Surgical Suture, Chromic 4.0 w/ needles doz 7
Surgical Suture, Plain 2.0 round needle doz 20
Surgical Suture, Silk 2.0 strands (w/o needle) doz 18
Surgical Suture, Silk 3.0 strands (w/o needle) doz 18
Synthetic absorbable multifilament braided dyed 0 round needle (1/2
doz 20
circle) 40mm (PDS II-O)
Synthetic absorbable monofilament dyed coated 2.0 round
doz 16
needle,12's
Synthetic absorbable monofilamentdyed coated (polyglyyolic
doz 20
acid/polyglactin/glyconate 2.0,12's, SH
Synthetic absorbable monofilament dyed coated w/ antibacterial 3.0
doz 18
w/ needle, RB-1

MS-2018-01- BLOOD BANK Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 36
0016 Cotton absorbent, 400 grms. Unsterile roll 15
 Mask, surgical disposable,50's box 3
Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 3

MS-2018-01- DRUGTEST Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 4

0017
MS-2018-01- REHAB MED Cotton absorbent, 400 grms. Unsterile rolls 2
0018 Mask, Surgical box 4
Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) pcs 3
Tongue Depressor box 5
Elastic Bandage 4" pcs 5

MS-2018-01- RADIO DEPT Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot. 2
0019 Mask, Surgical box 20
Thermal Paper, Ultrasound roll 20

MS-2018-01- ADMITTING Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 3

0020 Mask, Surgical box 1

MS-2018-01- CSR Absorbent Gauze, unsterile, mesh, 36 x100 yards bolt 36

0021 Asepto syringe pc. 300
Povidone Iodine antiseptic 10%, Betadine gal 12
Povidone Iodine antiseptic 7.5%, Betadine gal 12
Boufant caps, 100's (Box) pack 20
Cautery pencil pc. 300
Chlorhexidine cleanser, 5liters (Gal) gal 10
Cord Clamp pc. 300
Cotton absorbent, 400 grms. Unsterile roll 48
ECG tracing paper for 1 channels roll 30
Elastic bandage S – 4 inches (Stretchable) roll 60
Endotracheal Tube 4.5 mm cuffed pc. 50
Endotracheal Tube 3.0 mm cuffed pc. 50
Endotracheal Tube 3.5 mm cuffed pc. 50
Nasal Cannula, adult pc. 200
Nasal Cannula, neonate pc. 300
Nasal Cannula, pedia pc. 300
Nebulizer kit pc. 200
Gloves, sterile s-7.5, 50's box 40
Sterile gloves long cuff 7.5,50's box 30
Blade, surgical #22,100's, Sharp (Stainless) (Box) box 10
Mask, Surgical 50's box 80
Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box 60
Syringe w/ Needle (Luer Lock) 1cc, Disposable (100's) box 40
Syringe w/ Needle (Luer Lock) 2.5cc, Disposable (100's) box 75
Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box 32
Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 60
Wound Drainage 150cc capacity pc. 50

MS-2018-01- CSR Surgical Suture, Chromic 2.0 w/ needles SA doz 20

0022 Surgical Suture, Chromic 2.0 w/ needles DA doz 30
Surgical Suture, Silk 3.0 (w/ round needles) doz 10
Surgical Suture, Silk 2.0 strands - w/o needle doz 12
Surgical Suture, Silk 3.0 strands - w/o needle doz 12
Synthetic absorbable monofilament dyed coated w/ antibacterial 3.0
doz 20
w/ needle, RB-1
Synthetic absorbable multifilament braided dyed coated w/
doz 13
antibacterial - 4.0 w/cutting needle 12's
Synthetic absorbable monofilament dyed (polyglycolic
acid/polyglactin/glyconate coated 0-round needle 37mm taper 21/2 doz 20
circle,12's, NOVOSYN
Synthetic absorbable monofilament dyed (polyglycolic
doz 21
acid/polyglactin/glyconate coated 2.0,12's,(MH)

MS-2018-01- CLIN. LAB Syringe w/ Needle (Luer Lock) 1cc, Disposable (100's) box 12
0023
MS-2018-01- HEMODIALYSIS Dialyzer, Low Flux pc. 300
0024 Dialyzer, High Flux pc. 300

MS-2018-01- LUNG UNIT Heparinized Syringe box 20

0025
MS-2018-01- CSR Adhesive cloth tape, 1/2'' box 50
0026 Bouffant caps, 100's (Box) pack 20
Cold sterilan/cidex gal 20
Cotton absorbent, 400 grms. Unsterile roll 18
ECG tracing paper for 1 channels roll 50
Elastic bandage S – 4 inches (Stretchable) roll 100
Endotracheal Tube 7.0 mm cuffed pc 50
Foley Catheter, 2-way, siliconized, latex Fr.10, pc 160
Foley Catheter, 2-way, siliconized, latex Fr.12, pc 200
Foley Catheter, 2-way, siliconized, latex Fr.18, pc 240
Foley Catheter, 2-way, siliconized, latex Fr.8, pc 200
 Airway oral no.3 (oropharyngeal) yellow 90mm pc 100
Plaster, Surgical Hypoallergenic, Adhesive 1/2”, 24's box 50
Gloves, surgical, sterile long cuff s-7.5, 50's box 60
Suction tip fr.10,50's pc 200
Suction tip fr.12,50's pc 500
Mask, surgical 50's box 80
Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box 60
Syringe w/ Needle (Luer Lock) 1cc, Disposable (100's) box 72
Syringe w/ Needle (Luer Lock) 50cc, Disposable (100's) box 32

MS-2018-01- CSR Tracheostomy Tube, F. 6.0 pc 5

0027 Tracheostomy Tube, F. 7.0 pc 5
Tracheostomy Tube, F. 8.0 pc 5
Stop cock,50's pc 100
Gloves, sterile s-7.5, 50's box 20

MS-2018-01- PHARMACY Mask, Surgical 50's box 2

0028
MS-2018-01- BLOODBANK Mask, surgical ,50's box 5
0029 Surgical tape,1/2 inch,24's box 10
Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 3

MS-2018-01- HEMODIALYSIS Hemodialysis Supplies and Consumables set 600

0030

Recapitulation: Recapitulation:
UACS Object
Stock No. Item Unit Quantity Unit Cost Total Cost
Code
Absorbent Gauze with X- Ray detector, unsterile, mesh 36 x100
bolt 48
yards
Absorbent Gauze, unsterile, mesh, 36 x100 yards bolt 36
Adhesive cloth tape, 1/2'' box 50
Airway oral no.3 (oropharyngeal) yellow 90mm pc 100
Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 352
Anesthesia breathing circuit, Adult pc. 40
Asepto syringe pc. 600
Bed Pan pc. 1,210
Blade, surgical #22,100's, Sharp (Stainless) (Box) box 40
Blood glucose strip box 100
Bouffant caps, 100's (Box) pack 40
Cautery pencil pc. 900
Chlorhexidine cleanser, 5liters (Gal) gal 30
Cold sterilan/cidex gal 20
Colostomy Bag, Adult pc. 200
Cord Clamp pc. 800
Cotton absorbent, 400 grms. Unsterile roll 251
Decontamination mat pc. 5
Dialyzer, High Flux pc. 300
Dialyzer, Low Flux pc. 300
ECG leads adult pack 40
ECG tracing paper for 1 channels roll 80
EEG TEN20 PASTE jar 3
Elastic bandage S – 4 inches (Stretchable) roll 213
Endotracheal Tube 3.0 mm cuffed pc. 50
Endotracheal Tube 3.5 mm cuffed pc. 50
Endotracheal Tube 4.5 mm cuffed pc. 50
Endotracheal Tube 7.0 mm cuffed pc. 150
Epidural set G. 18 pc. 40
Foley Catheter, 2-way, siliconized, latex Fr.10, pc 800
Gloves, sterile s-6 ½, 50's box 91
Gloves, sterile s-7 ½, 50's box 40
Gloves, sterile s-7.0, 50's box 91
Gloves, sterile s-7.5, 50's box 140
Gloves, surgical, sterile long cuff s-7, 50's box 30
Gloves, surgical, sterile long cuff s-7.5, 50's box 90
Hemodialysis Supplies and Consumables set 600
Heparinized Syringe box 20
Jackson rees pc. 40
Lubricating Gel, Sterile 3 gms 100/Box box 20
Mask, N-95 pc. 120
Mask, surgical disposable,50's box 450
Mediscrub brush pc. 400
Nasal Cannula, adult pc. 1,000
Nasal Cannula, pedia pc. 400
Nasal Cannula, neonate pc. 300
Nasogastric Tube fr .16, 125cm long pc. 200
Nebulizer kit pc. 700
Needle disposable g.18,100's box 30
Needle disposable g.24,100's box 30
Needle disposable g.26,100's box 30
Newborn screening kit pc. 1,500
 Plaster, Surgical Hypoallergenic, Adhesive 1/2”, 24's box 50
Povidone Iodine antiseptic 10%, Betadine gal 52
Povidone Iodine antiseptic 7.5%, Betadine gal 12
Sodalime pail 1
Soluset set 1,000
Spinal needle G. 25 pc. 500
Stop cock,50's pc 100
Suction tip fr.10,50's pc 200
Suction tip fr.12,50's pc 500
Suction Tip fr.14 50cm pc. 500
Suction Tip fr.16 55cm pc. 500
Suction Tip fr.18 55cm pc. 500
Suction tip fr.5,50's pc. 500
Surgical Suture, Chromic 2.0 double arm (round) doz 5
Surgical Suture, Chromic 2.0 w/ needles DA doz 60
Surgical Suture, Chromic 2.0 w/ needles SA doz 40
Surgical Suture, Chromic 3.0 w/ needles doz 20
Surgical Suture, Chromic 4.0 w/ needles doz 7
Surgical Suture, Plain 2.0 round needle doz 20
Surgical Suture, Silk 2.0 (w/ round needles) doz 20
Surgical Suture, Silk 2.0 strands - w/o needle doz 35
Surgical Suture, Silk 3.0 (w/ round needles) doz 30
Surgical Suture, Silk 3.0 strands - w/o needle doz 35
Surgical tape,1/2 inch,24's box 10
Synthetic absorbable monofilament dyed (polyglycolic
acid/polyglactin/glyconate coated 0-round needle 37mm taper 21/2 doz 20
circle,12's, NOVOSYN
Synthetic absorbable monofilament dyed (polyglycolic
doz 21
acid/polyglactin/glyconate coated 2.0,12's,(MH)
Synthetic absorbable monofilament dyed coated 2.0 round
doz 16
needle,12's
Synthetic absorbable monofilament dyed coated w/ antibacterial 3.0
doz 38
w/ needle, RB-1
Synthetic absorbable monofilamentdyed coated (polyglyyolic
doz 20
acid/polyglactin/glyconate 2.0,12's, SH
Synthetic absorbable multifilament braided dyed coated w/
doz 13
antibacterial - 4.0 w/cutting needle 12's
Synthetic absorbable multifilament braided dyed coated w/
box 12
antibacterial 1 round needle
Synthetic absorbable multifilament braided dyed coated w/
doz 27
antibacterial 4.0 cutting needle
Synthetic absorbable multifilament braided dyed coated w/
doz 12
antibacterial 4.0 round needle, RB-1
Synthetic absorbable multifilament braided dyed 0 round needle (1/2
doz 30
circle) 40mm (PDS II-O)
Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box 300
Syringe w/ Needle (Luer Lock) 1cc, Disposable (100's) box 268
Syringe w/ Needle (Luer Lock) 2.5cc, Disposable (100's) box 125
Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box 242
Syringe w/ Needle (Luer Lock) 50cc, Disposable (100's) box 64
Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 246
Syringe, Disposable, 5ml, terumo box 24
Thermal Paper, Ultrasound roll 20
Thermometer, digital pc 600
Tongue depressor 100's box 105
Tracheostomy Tube, F. 6.0 pc 5
Tracheostomy Tube, F. 7.0 pc 5
Tracheostomy Tube, F. 8.0 pc 5
Urinal plastic pc. 200
Urine Bag, w/ Non-Return Valve, w/ hanger, 1L, calibrated 1000-
pc. 1,250
1200 ml
Urine Collector, with adhesive, calibrated pedia pc. 500
Wound Drainage 150cc capacity pc. 50
Yankuer Suction Connecting Tube, Double packing with pool drain
pc. 300
suction (Universal Connecting tube 210-250cm)

I hereby certify to the correctness of the above information. Posted by:

ALADIN M. PASCUAL
Administrative Officer III - OIC Materials Management Section Signature over Printed Name of Designated Date
Accounting Staff
 Republic of the Philippines
MM-007-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIALS MANAGEMENT SECTION

REPORT OF SUPPLIES AND MATERIALS ISSUED

Serial No. :
Fund Cluster: Date :

To be filled up by the Supply and/or Property Division/Unit To be filled up by the Accounting Division/Unit
Responsibility Center Quantity
RIS No. Code Stock No. Item Unit Unit Cost Amount
Issued
2018-01-001 CLINICAL LABORATORY RECORD BOOK 500PP BOOK 20

2018-01-002 OPD PSYCHIATRY PAPER, COPY A4 REAM 8

PAPER, COPY LEGAL REAM 3
FOLDER/TAGBOARD A4 PC 30
FASTENER FOR PAPER BOX 2
ENVELOPE DOCUMENTARY LEGAL PC 20

2018-01-003 BILLING AND CLAIMS FASTENER FOR PAPER BOX 2

PAPER CLIP BIG BOX 2
STAPLE WIRE NO. 35 BOX 3
TONER CART HP CE278A BLACK CART 6
TONER CART HP CE285A BLACK CART 4
PAPER, COPY A4 REAM 15
PAPER, COPY LEGAL REAM 30
PAPER, MULTI PURPOSE A4
PMRF REAM 2
PAPER, MULTI PURPOSE LEGAL
CF2 REAM 4
CF1 REAM 1
DISCHARGE CLEARANCE REAM 2
CHECKLIST REAM 1
NBB REIMBURSEMENT WITH EXCESS REAM 2
ACKNOWLEDGEMENT SLIP REAM 2
PROMISORY NOTE REAM 2

2018-01-004 CAO OFFICE FOLDER/TAGBOARD A4 PC 30

ENVELOPE DOCUMENTARY LEGAL PC 30
ENVELOPE DOCUMENTARY A4 PC 30
PEN, PERMANENT PC 3
STAPLER PC 2
PAPER, COPY A4 REAM 5
PAPER, COPY LEGAL REAM 5
INK REFILL L210 CYAN BOT 1
INK REFILL L210 YELLOW BOT 1
INK REFILL L210 MAGENTA BOT 1
PAPER CLIP BIG BOX 2
WHITEBOARD ERASER PC 2
FASTENER FOR PAPER BOX 2

2018-01-005 REHABILITATION MEDICINE PAPER, MULTI PURPOSE A4

STANDARD WHEELCHAIR ASSESTMENT FORM REAM 1
SUPPORTIVE WHEELCHAIR ASSESTMENT REAM 1
CERTIFICATION OF COMMUNITY SERVICE REAM 1

2018-01-006 CENTRAL SUPPLY ROOM PAPER, COPY A4 REAM 3

ENVELOPE DOCUMENTARY LEGAL PC 50
FASTENER FOR PAPER BOX 2
FOLDER/TAGBOARD A4 PC 50
GLUE BOT 1
PAPER CLIP BIG BOX 1
PEN, PERMANENT PC 5
RECORD BOOK 500PP BOOK 5
RECORD BOOK 300PP BOOK 5
STAPLE WIRE NO. 35 BOX 1
PAPER, MULTI PURPOSE A4
STOCK CARD REAM 2

2018-01-007 PEDIA WARD RECORD BOOK 500PP BOOK 5

PAPER, MULTI PURPOSE A4
DNR WAIVER FORM REAM 1
INFORMED REFUSAL FORM REAM 1
ABDOMINAL GIRTH REAM 1
BLOOD TRANFUSSION SHEET REAM 2
 CONSENT FOR BT REAM 2
HEAD CIRCUMFERENCE REAM 1
ORAL GASTRONOMY REAM 1
INFORMED CONSENT REAM 1
NURSES NOTES REAM 3
DOCTORS ORDER REAM 4
MEDICATION SHEET REAM 3
EVERY SHIFT I & O REAM 3
VITAL SIGN MONITORING REAM 3
TPR REAM 3
DAILY FLOOR CENSUS REAM 1
TAGUBILIN FORM REAM 3
DISCHARGE SUMMARY REAM 3
PAPER, MULTI PURPOSE LEGAL
IVF SHEET REAM 1
LABORATORY REQUEST REAM 3

2018-01-008 HOSPITAL CUSTOMER SERVICE PAPER, MULTI PURPOSE LEGAL

CSS OFFICES REAM 5
CSS IN-PATIENT REAM 10
CSS OUT-PATIENT REAM 5

2018-01-009 EMERGENCY DEPARTMENT STAPLE WIRE NO. 35 BOX 1

PAPER, COPY A4 REAM 5
PAPER, COPY LEGAL REAM 3
TONER CART HP CE285A BLACK CART 1
FOLDER/TAGBOARD A4 PC 30
STAPLER PC 2
TAPE, TRANSPARENT 1 " ROLL 2
PEN, WHITEBOARD PC 2
RECORD BOOK 500PP BOOK 10
PAPER, MULTI PURPOSE A4
CONSENT FORM REAM 7
ED DOCUMENTATION REAM 7
NURSES NOTES REAM 7
HISTORY REAM 5
PHYSICAL EXAMINATION REAM 5
DOCTORS ORDER REAM 5
TAGUBILIN FORM REAM 3
PATIENTS RIGHT REAM 7
ADMISSION SLIP REAM 3
TRANSFER CONSENT FORM REAM 3
PAPER, MULTI PURPOSE LEGAL
LABORATORY REQUEST REAM 10
HOSPITAL CHARGE FORM REAM 10
DIAGNOSTIC IMAGING REQUEST FORM REAM 5
IV TAG REAM 2

2018-01-010 HRMS TAPE, TRANSPARENT 1 " ROLL 3

TONER CART HP CE285A BLACK CART 4
CCF 2 PLY 280mm x 241mm BOX 5
GLUE BOT 3
PAPER, COPY A4 REAM 10

2018-01-011 IHOMP UNIT PAPER, COPY A4 REAM 15

2018-01-012 IHOMP UNIT DRUM UNIT FOR FUJI XEROX DOCUCENTRE s2011 UNIT 2
FUSING UNIT FOR FUJI XEROX DOCUCENTRE s2011 UNIT 2

2018-01-013 IHOMP UNIT DRUM 1312/MP1500/MP2001 PC 4

CLEANING BLADE PC 4
DEVELOPER TYPE 28 BLACK PC 4
GEAR 13Z PC 4
HOT ROLLER DIA. 30 PC 2
STRIPPER PAWLS PC 7
THERMISTOR PC 8
PRESSURE ROLLER BRUSHING PC 8
STRIPPER PAWLS,SUB-ASSY PC 2
LOWER DEVELOPMENT UNIT PC 2
CASE: DEVELOPMENT ROLLER ASSY. PC 2
HOT ROLLER PC 2

2018-01-014 POST ANESTHESIA CARE UNIT STAPLE WIRE NO. 35 BOX 1

FASTENER FOR PAPER BOX 1
PAPER, COPY A4 REAM 1
PAPER, MULTI PURPOSE A4
KARDEX REAM 1
PACU FLOWSHHET REAM 1
PAPER, MULTI PURPOSE LEGAL
 PACU RECORD REAM 1
LOGBOKS(NEWBORN,BORROWERS,INVENTORY) REAM 7

2018-01-015 DELIVERY ROOM/OR PAPER, COPY A4 REAM 2

PAPER, COPY LEGAL REAM 2
FOLDER/TAGBOARD A4 PC 25
FASTENER FOR PAPER BOX 1
PAPER, MULTI PURPOSE A4
OR REQUEST FORM REAM 1
DOCTORS ORDER REAM 4
CONSENT FOR ANESTHESIA REAM 1
INFORMED CONSENT REAM 1
TPR REAM 1
VITAL SIGN MONITORING REAM 1
KARDEX REAM 1
FETAL HEART MONITORING RATE REAM 2
SURGICAL PATHOLOGY CONSULTATION REQUEST REAM 2
EINC FORM REAM 1
PAPER, MULTI PURPOSE LEGAL
DIAGNOSTIC IMAGING REQUEST FORM REAM 1
CHARGE SLIP FORM REAM 2

2018-01-016 LUNG AND HEART UNIT GLUE BOT 3

PEN, PERMANENT PC 3
STAPLER PC 1
PAPER, MULTI PURPOSE LEGAL
ABG RESULT FORM REAM 1
CHARGE SLIP FORM REAM 1
ECG FORM REAM 1

2018-01-017 NICU PAPER, MULTI PURPOSE A4

NICU MEDICATION SHEET REAM 2
DIET LIS REAM 1
DISCHARGE SUMMARY REAM 2
BALLARDS SCORE FORM REAM 2
DOCTORS ORDER REAM 3
NEWBORN RECORD FORM REAM 2
IV THERAPY SHEET REAM 1
BLOOD TRANFUSSION SHEET REAM 1
NICU VITAL SIGN REAM 2
REFERRAL FORM REAM 1
LINEN LOGBOOK REAM 1
ANTHROMETRIC LOGBOOK REAM 2
ADMITTING LOGBOOK REAM 1
DISCHARGE LOGBOOK FORM REAM 1
FENTON CHART FOR GIRL REAM 1
FENTON CHART FOR BOYS REAM 1
PAPER, MULTI PURPOSE LEGAL
LABORATORY REQUEST REAM 1
LUNG AND HEART REQUEST FORM REAM 1
ID BAND LOGBOOK FORM REAM 2
NICU DISCHARGE CLEARANCE REAM 1

2018-01-018 EEG UNIT PAPER, COPY A4 REAM 1

FOLDER/TAGBOARD A4 PC 10
INK CARTRIDGE HP 704 BLACK CART 1
INK CARTRIDGE HP 704 COLORED CART 1

2018-01-019 INFECTION CONTROL PAPER, COPY A4 REAM 4

PAPER, COPY LEGAL REAM 2
FOLDER/TAGBOARD A4 PC 10
FOLDER, EXPANDED PC 10
FASTENER FOR PAPER BOX 1
DATA FILE BOX BOX 10

2018-01-020 DRUGTEST LABORATORY FOLDER/TAGBOARD A4 PC 10

PEN, PERMANENT PC 12
TAPE, TRANSPARENT 1 " ROLL 5
TAPE, MASKING 1" ROLL 5

2018-01-021 PEDIATRICS OFFICE PAPER, COPY LEGAL REAM 3

PAPER, COPY A4 REAM 6
DATA FILE BOX PC 3
ENVELOPE DOCUMENTARY LEGAL PC 25
ENVELOPE DOCUMENTARY A4 PC 25
INK REFILL L210 CYAN BOT 1
INK REFILL L210 YELLOW BOT 1
INK REFILL L210 MAGENTA BOT 1
TONER CART HP CE285A BLACK CART 1
 PAPER CLIP BIG BOX 1
RECORD BOOK 500PP BOOK 5
RECORD BOOK 300PP BOOK 5
TAPE, TRANSPARENT 1 " ROLL 2

2018-01-022 PICU PEN, PERMANENT PC 3

PAPER, COPY A4 REAM 2
PAPER, COPY LEGAL REAM 2
WHITEBOARD ERASER PC 1
PAPER, MULTI PURPOSE A4
DOCTORS ORDER REAM 1
OXYGEN SATURATION REAM 1
PAPER, MULTI PURPOSE LEGAL
LABORATORY REQUEST REAM 1

2018-01-023 ICU PAPER, MULTI PURPOSE A4

MEDICATION SHEET REAM 1
CHART SEQUENCE REAM 1

2018-01-024 ICU PAPER, COPY A4 REAM 2

PAPER, COPY LEGAL REAM 2

2018-01-025 ACCOUNTING SECTION PAPER, COPY A4 REAM 10

PAPER, COPY LEGAL REAM 10
FOLDER/TAGBOARD A4 PC 10
ENVELOPE DOCUMENTARY A4 PC 10
ENVELOPE DOCUMENTARY LEGAL PC 10
PAPER CLIP BIG BOX 1
TONER CART HP CE278A BLACK CART 3
TAPE, TRANSPARENT 1 " ROLL 2
TAPE, MASKING 1" ROLL 2
TAPE, PACKAGING 2" ROLL 1
PEN, PERMANENT PC 2
FOLDER, LOOSELEAF PC 50
DATA FILE BOX BOX 53
PAPER, MULTI PURPOSE A4
SUPPORTING DOCUMENTS REAM 3

2018-01-026 FMO II PAPER, COPY A4 REAM 8

PAPER, COPY LEGAL REAM 3

2018-01-027 REHABILITATION MEDICINE PAPER, COPY A4 REAM 3

PAPER, COPY LEGAL REAM 3
FOLDER/TAGBOARD A4 PC 30
INK REFILL L210 CYAN BOT 1
INK REFILL L210 YELLOW BOT 1
INK REFILL L210 MAGENTA BOT 1
WHITEBOARD ERASER PC 1
GLUE BOT 2
FASTENER FOR PAPER BOX 2
DATA FILE BOX BOX 2
TAPE, TRANSPARENT 1 " ROLL 2
TAPE, MASKING 1" ROLL 2
PAPER, MULTI PURPOSE A4
PT/OT REFERRAL NOTES REAM 1
PT/OT NOTES REAM 1
WHEEL CHAIR FOLLOW-UP FORM REAM 1
PAPER, MULTI PURPOSE LEGAL
CHARGE SLIP REAM 1

2018-01-028 SURGERY WARD PAPER, COPY LEGAL REAM 2

PAPER, COPY A4 REAM 1
FOLDER/TAGBOARD A4 PC 20
TAPE, TRANSPARENT 1 " ROLL 1
PAPER, MULTI PURPOSE A4
OUTGOING COMMUNICATION LOGBOOK REAM 1
UNIT MEETING LOGBOOK REAM 1
REQUEST OFF LOGBOOK REAM 1
USED BLOOD BAG LOGBOOK REAM 1
OPERATION REQUEST LOGBOOK REAM 1
CADAVER LOGBOOK REAM 1
BILLING AND CLAIMS LOGBOOK REAM 1
HISTOPATHOLOGY LOGBOOK REAM 1
TIME-IN/TIME-OUT LOGBOOK REAM 1
PAPER, MULTI PURPOSE LEGAL
SUPPLY INVENTORY LOGBOOK REAM 1
PREVENTIVE MAINTENANCE LOGBOOK REAM 1
SOCIAL SERVICE REFFERAL LOGBOOK REAM 1
BORROWERS LOGBOOK REAM 1
 PHARMACY RETURN LOGBOOK REAM 1
LINEN LOGBOOK REAM 1
SOILED LINEN LOGBOOK REAM 1

2018-01-029 PPSYCHIATRY WARD FOLDER/TAGBOARD A4 PC 20

GLUE BOT 2
TAPE, TRANSPARENT 1 " ROLL 2

2018-01-030 OB OFFICE PAPER, COPY A4 REAM 4

PAPER, COPY LEGAL REAM 2
FASTENER FOR PAPER BOX 1

2018-01-031 NUTRITION AND DIETETICS SERBENTO BOX SET 300

2018-01-032 PHARMACY SECTION FOLDER/TAGBOARD A4 PC 50

TAPE, MASKING 1" ROLL 5
GLUE BOT 2
RECORD BOOK 500PP BOOK 4
PEN, PERMANENT PC 5
FASTENER FOR PAPER BOX 2
PAPER CLIP BIG BOX 2
TONER CART HP CE285A BLACK CART 1
TAPE, TRANSPARENT 1 " ROLL 2
PAPER, MULTI PURPOSE A4
ENDORSEMENT FORM REAM 2

2018-01-033 HIMS TONER CART HP CE285A BLACK CART 6

TAPE, MASKING 1" ROLL 10
STAPLER PC 5
GLUE BOT 7
PEN, PERMANENT PC 12
PAPER, COPY A4 REAM 10
PAPER, COPY LEGAL REAM 5
CALCULATOR UNIT 1
PAPER, MULTI PURPOSE LEGAL
ABSTRACT FORM REAM 3

2018-01-034 HOSPITAL CUSTOMER SERVICE GLUE BOT 2

RECORD BOOK 500PP BOOK 10
DATA FILE BOX BOX 7
FASTENER FOR PAPER BOX 2
PEN, PERMANENT PC 12
FOLDER, EXPANDED PC 50

2018-01-035 MEDICINE OFFICE RECORD BOOK 500PP BOOK 20

PAPER, COPY LEGAL REAM 5
PAPER, COPY A4 REAM 10
PAPER CLIP BIG BOX 1
TONER CART HP CE285A BLACK CART 2
ENVELOPE DOCUMENTARY A4 PC 150
GLUE BOT 2
STAPLER PC 1
FOLDER/TAGBOARD A4 PC 25

2018-01-036 OB-GYNE WARD PAPER, MULTI PURPOSE A4

DIET LIST REAM 1
TAGUBILIN FORM REAM 1
PAPER, MULTI PURPOSE LEGAL
PHARMACY CLAIM STUB REAM 1
LABORATORY REQUEST REAM 1

2018-01-037 BLOOD BANK SECTION FOLDER/TAGBOARD A4 PC 10

RECORD BOOK 500PP BOOK 5

2018-01-038 ENGINEERING AND FAC. UNIT FOLDER/TAGBOARD A4 PC 10

FASTENER FOR PAPER BOX 1
RECORD BOOK 500PP BOOK 6
STAPLER PC 1
TAPE, MASKING 1" ROLL 4
GLUE BOT 1

2018-01-039 OPD PAPER, MULTI PURPOSE A4

GREEN TRIAGE SLIP REAM 2
RED TRIAGE SLIP REAM 2
PAPER, MULTI PURPOSE LEGAL
WHITE TRIAGE SLIP REAM 2

2018-01-040 CASHIER SECTION TONER CART HP CE285A BLACK CART 3

PAPER, COPY LEGAL REAM 10
 RECORD BOOK 500PP BOOK 6
PEN, PERMANENT PC 2
TAPE, TRANSPARENT 1 " ROLL 4
TAPE, PACKAGING 2" ROLL 1
PAPER CLIP BIG BOX 2
ENVELOPE DOCUMENTARY LEGAL PC 20
GLUE BOT 1
FASTENER FOR PAPER BOX 2
PAPER, MULTI PURPOSE A4
PETTY CASH VOUCHER REAM 3

2018-01-041 TB DOTS CLINIC0 TOKEN: CALENDAR PC 120

2018-01-042 CHIEF NURSE OFFICE PAPER, COPY A4 REAM 8

PAPER, COPY LEGAL REAM 5
RECORD BOOK 500PP BOOK 3
FASTENER FOR PAPER BOX 3
PEN, PERMANENT PC 2
PAPER CLIP BIG BOX 3
PAPER, MULTI PURPOSE A4
APPLICATION FOR LEAVE REAM 2
PAPER, MULTI PURPOSE LEGAL
MRAUT REAM 1

2018-01-043 OPD FOLDER, EXPANDED PC 50

FOLDER/TAGBOARD A4 PC 50
PAPER, COPY LEGAL REAM 3
PAPER, COPY A4 REAM 5
TAPE, TRANSPARENT 1 " ROLL 3
FASTENER FOR PAPER BOX 3
STAPLER PC 1
GLUE BOT 2
PAPER CLIP BIG BOX 2
PEN, PERMANENT PC 5
PAPER, MULTI PURPOSE A4
NURSES NOTES REAM 3
CYTOLOGY FORM REAM 2
PATIENTS RIGHT REAM 3
PAPER, MULTI PURPOSE LEGAL
CONSULTATION CHECKLIST REAM 10
IV TAG REAM 2
MEDICAL CERTIFICATE REAM 2
LABORATORY REQUEST REAM 2

2018-01-044 ORTHO OFFICE PEN, PERMANENT PC 12

PAPER, COPY A4 REAM 5
PAPER, COPY LEGAL REAM 3
ENVELOPE DOCUMENTARY A4 PC 30
FOLDER/TAGBOARD A4 PC
TAPE, MASKING 1" ROLL 5
TAPE, TRANSPARENT 1 " ROLL 5
SCISSOR PAIR 1
TONER CART HP CE285A BLACK CART 2
DATA FILE BOX BOX 7
RECORD BOOK 500PP BOOK 10

2018-01-045 SURGERY OFFICE PAPER, COPY A4 REAM 5

PAPER, COPY LEGAL REAM 3
DATA FILE BOX BOX 6
RECORD BOOK 500PP BOOK 5
TAPE, TRANSPARENT 1 " ROLL 1
FOLDER/TAGBOARD A4 PC 20

2018-01-046 RADIOLOGY DEPARTMENT PAPER, COPY A4 REAM 10

FASTENER FOR PAPER BOX 3
FOLDER/TAGBOARD A4 PC 20
INK CART HP 704 BLACK CART 4
RECORD BOOK 300PP BOOK 10

2018-01-047 HEPO PAPER, COPY A4 REAM 5

ENVELOPE DOCUMENTARY LEGAL PC 24
GLUE BOT 1
TAPE, TRANSPARENT 1 " ROLL 2

2018-01-048 CLINICAL LABORATORY PAPER, COPY A4 REAM 40

PAPER, COPY LEGAL REAM 5
INK REFILL L210 CYAN BOT 1
INK REFILL L210 YELLOW BOT 1
INK REFILL L210 MAGENTA BOT 1
 PEN, PERMANENT PC 12
TAPE, TRANSPARENT 1 " ROLL 2
TAPE, MASKING 1" ROLL 5
TAPE, PACKAGING 2" ROLL 5
PAPER, MULTI PURPOSE A4
HEMATOLOGY RESULT FORM REAM 3
CLINICAL CHEMISTRY FORM REAM 10
MISCELANEOUS FORM REAM 5
PARASITOLOGY FORM REAM 2
G6PD BROCHURE REAM 5
PAPER, MULTI PURPOSE LEGAL
CHARGE SLIP FORM REAM 3

2018-01-049 TB DOTS CLINIC STAPLER PC 1

PAPER, COPY A4 REAM 1
TAPE, PACKAGING 2" ROLL 3
TAPE, TRANSPARENT 1 " ROLL 3
PAPER, MULTI PURPOSE A4
LABORATORY RECEIVING FORM REAM 1
TPR MONITORING LOG REAM 1
ACKNOWLEDGEMENT SLIP REAM 1
STOCK CARD REAM 1
COMMITMENT TO UNDERGO DX ABD TX REAM 1

2018-01-050 Sbac PAPER, COPY A4 REAM 5

PAPER, COPY LEGAL REAM 3
GLUE BOT 2
DATA FILE BOX BOX 10
STAPLER PC 1
FOLDER/TAGBOARD A4 PC 50
FOLDER, EXPANDED PC 50
ENVELOPE DOCUMENTARY LEGAL PC 50
ENVELOPE DOCUMENTARY A4 PC 20
FASTENER FOR PAPER BOX 1
RECORD BOOK 500PP BOOK 5
TAPE, MASKING 1" ROLL 3

2018-01-051 BILLING AND CLAIMS TONER CART HP CE505A BLACK CART 4

TONER CART HP CE285A BLACK CART 3
PAPER, COPY A4 REAM 15
PAPER, COPY LEGAL REAM
PAPER, MULTI PURPOSE A4
PMRF REAM 2
PAPER, MULTI PURPOSE LEGAL
CF2 REAM 3
CF1 REAM 1
DISCHARGE CLEARANCE REAM 2
CHECKLIST REAM 1
CHARGE SLIP REAM 1
BILLING SLIP REAM 1
PROMISORY NOTE REAM 2

2018-01-052 PICU RECORD BOOK 500PP BOOK 20

2018-01-053 BUDGET OFFICE TONER CART HP CE285A BLACK CART 2

PAPER, COPY A4 REAM 5
TONER CART HP CE278A BLACK CART 2
CALCULATOR UNIT 1
PAPER, MULTI PURPOSE LEGAL
CHECKLIST REAM 2

2018-01-054 BUDGET OFFICE FOLDER, LOOSELEAF PC 20

TAPE, TRANSPARENT 1 " ROLL 2
ENVELOPE DOCUMENTARY A4 PC 20
ENVELOPE DOCUMENTARY LEGAL PC 20

2018-01-055 FAMILY AND COMMUNITY MEDIFOLDER/TAGBOARD A4 PC 50

TAPE, TRANSPARENT 1 " ROLL 5
PEN, PERMANENT PC 3
PAPER, COPY LEGAL REAM 2
PAPER, COPY A4 REAM 5

2018-01-056 COMMUNICATIONS UNIT RECORD BOOK 500PP BOOK 5

2018-01-057 OMCC FOLDER, EXPANDED PC 20

ENVELOPE DOCUMENTARY LEGAL PC 20
TONER CART HP Q2612A BLACK CART 1
PAPER, COPY A4 REAM 10
INK REFILL L210 CYAN BOT 1
 INK REFILL L210 YELLOW BOT 1
INK REFILL L210 MAGENTA BOT 1
INK REFILL L210 BLACK BOT 1

2018-01-058 BLOOD BANK SECTION PAPER, MULTI PURPOSE A4

BLOOD COMPONENT RELEASING FORM REAM 5
ABO/Rh BLOOD GROUPING WORKSHEET REAM 5
PAPER, MULTI PURPOSE LEGAL
BDHQ,CBD REAM 10
BDHQ,HBD REAM 10

2018-01-059 FMO II PAPER, COPY A4 REAM 5

PAPER, COPY LEGAL REAM 2

2018-01-060 ADMITTING SECTION FASTENER FOR PAPER BOX 60

TONER CART HP CE285A BLACK CART 5
PAPER, COPY A4 REAM 5
STAPLER PC 2
PAPER, MULTI PURPOSE LEGAL
ED BLOTTER REAM 5

2018-01-061 EMERGENCY DEPARTMENT TONER CART HP CE285A BLACK CART 2

STAPLER PC 2
TAPE, PACKAGING 2" ROLL 2
PAPER, MULTI PURPOSE A4
CONSENT FORM REAM 7
ED DOCUMENTATION REAM 7
NURSES NOTES REAM 7
HISTORY REAM 3
PEN, PERMANENT REAM 3
DOCTORS ORDER REAM 5
TAGUBILIN FORM REAM 5
PATIENTS RIGHT REAM 7
EEG REQUEST REAM 1
INFORMED CONSENT REAM 2
PAPER, MULTI PURPOSE LEGAL
LABORATORY REQUEST REAM 10
HOSPITAL CHARGE FORM REAM 10
DIAGNOSTIC IMAGING REQUEST FORM REAM 2
BLOOD PRODUCT REQUISITION FORM REAM 1

2018-01-062 CMPS PRESCRIPTION SLIPS, PRE NUMBERED WITH CVMC LOGO PAD 7000

2018-01-063 NUTRITION AND DIETETICS SERPAPER, MULTI PURPOSE A4

STATEMENT OF DMP REAM 2
SERVICE CENSUS FULL DIET REAM 1
THERAPEUTIC DIET CENSUS REAM 1
COOKS MEAL CENSUS REAM 2
PAPER, MULTI PURPOSE LEGAL
RER REAM 2
DIET KARDEX REAM 2

2018-01-064 MEDICAL WARD ENVELOPE DOCUMENTARY LEGAL PC 20

PAPER, COPY LEGAL REAM 1
PAPER, COPY A4 REAM 3
FOLDER/TAGBOARD A4 PC 20
TAPE, PACKAGING 2" ROLL 1
FASTENER FOR PAPER BOX 2
PEN, PERMANENT PC 4
RECORD BOOK 500PP BOOK 5
STAPLER PC 3
TAPE, TRANSPARENT 1 " ROLL 2
PAPER, MULTI PURPOSE A4
KARDEX REAM 2
DIET LIST REAM 2
DOCTORS ORDER REAM 5
EVERY SHIFT I & O REAM 3
MEDICATION SHEET REAM 5
NURSES NOTES REAM 5
TAGUBILIN FORM REAM 5
TPR REAM 2
VITAL SIGN MONITORING REAM 2
PAPER, MULTI PURPOSE LEGAL
ECG FORM REAM 2
LABORATORY REQUEST REAM 6
PHARMACY CLAIM STUB REAM 1
FORMS FOR LOGBOOKS REAM 6

2018-01-065 ORTHO WARD PAPER, COPY A4 REAM 2

 TAPE, TRANSPARENT 1 " ROLL 2
TONER CART HP CE285A BLACK CART 1
PAPER, MULTI PURPOSE A4
MEDICATION SHEET REAM 2
TAGUBILIN FORM REAM 1
REFERRAL FORM REAM 1
TPR REAM 1
VITAL SIGN MONITORING REAM 1
OR REQUEST FORM REAM 1
NURSES NOTES REAM 1
DOCTORS ORDER REAM 1
PAPER, MULTI PURPOSE LEGAL
BED TAG REAM 1
DIAGNOSTIC IMAGING REQUEST FORM REAM 1
LABORATORY REQUEST REAM 1
BLOOD PRODUCT REQUISITION FORM REAM 1

2018-01-066 IHOMP UNIT TONER CART HP CE278A BLACK CART 3

2018-01-067 SURGERY WARD FOLDER/TAGBOARD A4 PC 10

FASTENER FOR PAPER BOX 1
PEN, PERMANENT PC 3
TAPE, TRANSPARENT 1 " ROLL 2
PAPER CLIP BIG BOX 1
PAPER, MULTI PURPOSE A4
CONSENT FOR BT REAM 2
DIET LIST REAM 2
DOCTORS ORDER REAM 2
OR REQUEST FORM REAM 2
FLOOR CENSUS REAM 2
PRE OP CHECKLIST REAM 2
MEDICATION SHEET REAM 2
NURSES NOTES REAM 2
DAMA FORM REAM 2
REFERRAL FORM REAM 2
EVERY SHIFT I & O REAM 2
PAPER, MULTI PURPOSE LEGAL
BLOOD PRODUCT REQUISITION FORM REAM 2
PHARMACY CLAIM STUB REAM 2

2018-01-068 SOCIAL SERVICE SECTION PAPER, COPY A4 REAM 5

PAPER, COPY LEGAL REAM 5
FOLDER/TAGBOARD A4 PC 100
FASTENER FOR PAPER BOX 4
PAPER, MULTI PURPOSE A4
PMRF REAM 5
ASSESTMENT TOOL REAM 5
CERT. OF ELIGIBILITY REAM 5
MAP FORM REAM 5
PAPER, MULTI PURPOSE LEGAL
CF1 REAM 5

2018-01-069 PYCHIATRY WARD PAPER, MULTI PURPOSE A4

MEDICATION SHEET REAM 1
INVENTORY FORM REAM 1

2018-01-070 ENG'G. AND FACILITIES UNIT TONER CART HP CE285A BLACK CART 1

2018-01-071 HIV/AIDS TREATMENT HUB PAPER, MULTI PURPOSE LEGAL

CBC REAM 1
X-RAY REAM 1
OTHER LABORATORY RESULTS REAM 1
CD4 COUNT REAM 1
CONFIRMATORY RESULT REAM 1
VIRAL LOAD REAM 1
PHILHEALTH REQUIREMENTS REAM 1

2018-01-072 HIV/AIDS TREATMENT HUB FOLDER/TAGBOARD A4 PC 30

PEN, PERMANENT PC 2
TAPE, TRANSPARENT 1 " ROLL 2
PAPER, COPY A4 REAM 5
ENVELOPE DOCUMENTARY LEGAL PC 25
ENVELOPE DOCUMENTARY A4 PC 50
PAPER, MULTI PURPOSE A4
DOCTORS ORDER REAM 1
HIV/TESTING FORM REAM 2
CONSENT FOR HOSPITAL CARE REAM 2
HIV CARE REPORT REAM 2
PHYSICIANS HIV AIDS CASE REPORTING REAM 2
 HIV CASE INVESTIGATION REPORT REAM 2
WAIVER AND CONSENT FORM REAM 2

2018-01-073 ANESTHESIOLOGY DEPARTMENPAPER, COPY A4 REAM 2

PAPER, COPY LEGAL REAM 1
PEN, PERMANENT PC 3
ENVELOPE DOCUMENTARY LEGAL PC 20
PAPER, MULTI PURPOSE A4
CONSENT FOR ANESTHESIA REAM 2
PAPER, MULTI PURPOSE LEGAL
ANESTHESIA RECORD REAM 2
PRE-OPERATIVE FORM REAM 2

2018-01-074 ORL-HNS PAPER, COPY A4 REAM 5

2018-01-075 OPD MEDICAL RECORDS UNIT TONER CART HP CE285A BLACK CART 3
PAPER, COPY A4 REAM 5
PEN, PERMANENT PC 5
TAPE, TRANSPARENT 1 " ROLL 2
TAPE, PACKAGING 2" ROLL 2
PAPER, MULTI PURPOSE LEGAL
OPD CLINICAL RECORD FORM REAM 30

2018-01-076 NUTRITION AND DIETETICS SERTONER CART HP CE285A BLACK CART 1

FASTENER FOR PAPER BOX 2
TAPE, TRANSPARENT 1 " ROLL 2

2018-01-077 HEPO ENVELOPE DOCUMENTARY LEGAL PC 100

PAPER, COPY A4 REAM 1
PAPER, COPY LEGAL REAM 1
PEN, PERMANENT PC 1
TAPE, TRANSPARENT 1 " ROLL 1

2018-01-078 DELIVERY ROOM/OR TAPE, MASKING 1" ROLL 6

2018-01-079 CMPS PAPER, COPY A4 REAM 15

2018-01-080 CMPS TONER CART HP CE285A BLACK CART 3

2018-01-081 OPD TAPE, TRANSPARENT 1 " ROLL 3

PEN, PERMANENT PC 5
STAPLER PC 2
PAPER, MULTI PURPOSE A4
CONSENT FORM REAM 3
INFORMED CONSENT REAM 3
NURSES NOTES REAM 5
PAPER, MULTI PURPOSE LEGAL
LABORATORY REQUEST REAM 10
CONSULTATION CHECKLIST REAM 10

2018-01-082 NURSE VI OFFICE TONER CART HP CE285A BLACK CART 2

PAPER CLIP BIG BOX 3
FOLDER, EXPANDED PC 20
PEN, HIGHLIGHTER PC 2
TAPE, TRANSPARENT 1 " ROLL 5
FASTENER FOR PAPER BOX 3
DATA FILE BOX BOX 10
STAPLER PC 3

2018-01-083 OPD FOLDER, EXPANDED PC 50

2018-01-084 PHARMACY SECTION FOLDER/TAGBOARD A4 PC 30

GLUE BOT 6
PEN, PERMANENT PC 6
FASTENER FOR PAPER BOX 2

P-2018-01-001 PSYCHIATRY WARD BROOM, HARD PC 15

POWDER SOAP PACK 200
BROOM, SOFT PC 15

Recapitulation: Recapitulation:
UACS Object
Stock No. Item Unit Quantity Unit Cost Total Cost
Code
BENTO BOX SET 300
BROOM, HARD PC 15
BROOM, SOFT PC 15
CALCULATOR UNIT 2
CASE: DEVELOPMENT ROLLER ASSY. PC 2
CCF 2 PLY 280mm x 241mm BOX 5
CLEANING BLADE PC 4
 DATA FILE BOX BOX 108
DEVELOPER TYPE 28 BLACK PC 4
DRUM 1312/MP1500/MP2001 PC 4
DRUM UNIT FOR FUJI XEROX DOCUCENTRE s2011 UNIT 2
ENVELOPE DOCUMENTARY A4 PC 335
ENVELOPE DOCUMENTARY LEGAL PC 434
FASTENER FOR PAPER BOX 105
FOLDER, EXPANDED PC 250
FOLDER, LOOSELEAF PC 70
FOLDER/TAGBOARD A4 PC 750
FUSING UNIT FOR FUJI XEROX DOCUCENTRE s2011 UNIT 2
GEAR 13Z PC 4
GLUE BOT 37
HOT ROLLER PC 2
HOT ROLLER DIA. 30 PC 2
INK CARTRIDGE HP 704 BLACK CART 5
INK CARTRIDGE HP 704 COLORED CART 1
INK REFILL L210 BLACK BOT 1
INK REFILL L210 CYAN BOT 5
INK REFILL L210 MAGENTA BOT 5
INK REFILL L210 YELLOW BOT 5
LOWER DEVELOPMENT UNIT PC 2
PAPER CLIP BIG BOX 21
PAPER, COPY A4 REAM 297
PAPER, COPY LEGAL REAM 126
PAPER, MULTI PURPOSE A4 REAM 381
PAPER, MULTI PURPOSE LEGAL REAM 274
PEN, HIGHLIGHTER PC 2
PEN, PERMANENT PC 122
PEN, WHITEBOARD PC 2
POWDER SOAP PACK 200
PRESCRIPTION SLIPS, PRE NUMBERED WITH CVMC LOGO PAD 7000
PRESSURE ROLLER BRUSHING PC 8
RECORD BOOK 300PP BOOK 20
RECORD BOOK 500PP BOOK 149
SCISSOR PAIR 1
STAPLE WIRE NO. 35 BOX 6
STAPLER PC 27
STRIPPER PAWLS PC 7
STRIPPER PAWLS,SUB-ASSY PC 2
TAPE, MASKING 1" ROLL 47
TAPE, PACKAGING 2" ROLL 15
TAPE, TRANSPARENT 1 " ROLL 69
THERMISTOR PC 8
TOKEN: CALENDAR PC 120
TONER CART HP CE278A BLACK CART 14
TONER CART HP CE285A BLACK CART 47
TONER CART HP CE505A BLACK CART 4
TONER CART HP Q2612A BLACK CART 1
WHITEBOARD ERASER PC 4

I hereby certify to the correctness of the above information. Posted by:

ALADIN M. PASCUAL
Administrative Officer III - OIC Materials Management Section Signature over Printed Name of Designated Date
Accounting Staff
 Republic of the Philippines MM-007-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIALS MANAGEMENT SECTION

REPORT OF SUPPLIES AND MATERIALS ISSUED

Serial No. :
Fund Cluster: Date :

To be filled up by the Supply and/or Property Division/Unit To be filled up by the Accounting Division/Unit

Responsibility Center Quantity

RIS No. Stock No. Item Unit Unit Cost Amount
Code Issued
CLS-2017- Bloodbank HIV Ag/Ab, Chemilu, 100't kit 3
10-111

CLS-2017- Clin. Lab. Activated Partial Thromboplastin Time reagent, (Siron SL) vial 20
10-112 Blood Collecting Tube, Gold Top with Gel Separator, 3.5ml box 18
Bun reagent, wet method, Siemens Dimension kit 2
Calcium Chloride (Thrombolyzer) bot 10
Control reagent for Coagulation Assay (Technoclot control) vial 40
Creatinine reagent, wet method, Siemens Dimension kit 2
Cuvette for coagulation assay, (Thrombolyzer) box 2
Cuvettes (FAS) box 1
Electrolyte reagent (N, K, CL), wet method, Cybertech kit 3
Evacuated blue top 1.8ml, 3.2% preferably plastic box 20
Evacuated lavander top 3ml, 100's box 24
Glucose reagent, wet method, Siemens Dimension kit 1
Hemoglobin A1C reagent (Humanex A1C) kit 1
Multisampler needle g.21 disposable box 40
Occult blood reagent box 3
Oral Glucose Tolerance Test beverage 75 gms (OGTT) bot 120
Petri dish, large, disposable pc 400
Petri dish, disposable with no compartment, small pc 500
 Plastic tips, blue, disposable, 250/bag bag 4
Prothrombin time reagent (Technoclot PT Plus) vial 40
QC reagent, bi-level for automated urinalysis box 1

CLS-2017- Clin. Lab. Absolute alcohol, AR, 2.5l bot 20

10-113 Acetone, AR, 1 Lit bot 11
Anti-Hbc (Chemilu), Siemens kit 2
AST/SGOT reagent, wet method, Dimension kit 2
Anti-Hbe (Chemilu), Siemens kit 2
Anti-HbeAg (Chemilu), Siemens kit 2
Anti-Hbs (Chemilu), Siemens kit 1
AST, Siemens box 3
Blood Collecting Tube, Gold Top with Gel Separator, 3.5ml box 36
Blood lancet 200's box 10
Ca-125, Siemens kit 1
Ca-19, Siemens kit 1
Diluent reagent for 5 part hematology analyzer (M-68 D5 Diluent) box 6
Ethyl alcohol, 95%, AR, 2.5l bot 5
Evacuated lavander top 3ml, 100's box 24
Evacuated red top, 5ml, glass, 100's box 36
Formalin, bot, buffered 10% 2.5lit bot 16
Formalin2.5lit/botAR bot 20
FT4, Siemens kit 5
Glucose reagent, dry method, 60's kit 5
Lyse reagent for Basophils for 5 part analyzer, (LB Lyse) bot 5
Nalidixic acid 30 mg, disc cart 20
Pre-trigger solution-Siemens Advia Centaur box 6
Pregnancy test reagent-Serum/ urine box 10
Sample cups with lid for chemistry analyzer (v) pack 5
Sample cups 1000's-Siemens Advia Centaur pack 1
Sheath/diluent reagent for automated urinalysis box 3
Stain reagent for WBC diff. ct. fully automated hematology,Fluorocell box 2
Test for urine Methamphetamine/cannabinoides box 40
Triglyceride reagent, dry method, 60's, vitros kit 10
Triglyceride reagent, wet method (Dimension) kit 1
Troponin I test, qualitative, 30's kit 3
 TSH Chemilu-Siemens Advia Centaur kit 1
Universal wash buffer-Siemens Advia Centaur box 6
Urine strip, 10 parameter box 10

CLS-2017- Bloodbank HIV Ag/Ab, Chemilu, 100't kit 2

10-114

CLS-2017- Clin. Lab. Albumin reagent, wet method kit 2

10-115 Alkaline Phosphatase reagent, dry method, 60's kit 5
Amylase reagent, dry method, 60's kit 5
Bilirubin reagent for pedia, dry method, 60's kit 5
CA 19-9 kit 1
CK MB reagent, dry method, 60's kit 5
Creatinine reagent, wet method, Dimension kit 2
Diluent reagent for 5 part hematology analyzer (Cell pack) box 6
Diluent reagent for bacteria for automated urinalysis box 1
Diluent reagent for sediment for automated urinalysis box 1
Evacuated blue top 1.8ml, 3.2% preferably plastic box 10
Evacuated lavander top 3ml, 100's box 36
Glass slides, frosted ends box 100
HDL cholesterol reagent, wet method, Dimension kit 1
Lyse reagent for basophils for 5 part analyzer, Lysercell WDF box 1
Lyse reagent for Hemoglobin/RBC for 5 part analyzer, (LH Lyse) bot 5
Lyse reagent for Hemoglobin/RBC for 5 part analyzer, SULFOLYSER box 1
Lyse reagent for WBC differential for 5 part analyzer, (LH Lyse) bot 5
Lyse reagent for WBC differential for 5 part analyzer, LYSERCELL box 1
Mounting medium, 1000ml, Germany/US bot 2
Multisampler needle g.21 disposable box 40
Oral Glucose Tolerance Test beverage 75 gms (OGTT) bot 60
Petri dish, large, disposable pc 200
Sheath/diluent reagent for automated urinalysis box 6
Stain reagent for bacteria for automated urinalysis box 1
Stain reagent for NRBC, fully automated hematology, Fluorocell WNR box 1
Stain reagent for sediments for automated urinalysis box 1
Triglyceride reagent, wet method, Dimension kit 1
Uric Acid reagent, dry method, 60's kit 5
CLS-2017- Clin. Lab. HBsAg, (ABBOTT), 100't (Reagent, Calib, Ctl) kit 1
10-116 Syphilis, (ABBOTT), 100't (Reagent, Calib, Ctl) kit 1
Syphilis, (rapid), 50't box 8
TSH, (ABBOTT), 100't (Reagent, Calib, Ctl) kit 3
Dengue NS1 rapid test 25's box 1

CLS-2017- Clin. Lab. Activated Partial Thromboplastin Time reagent, CP 2000 vial 10
10-117 Calcium Chloride for coagulation analyzer, CP 2000 vial 10
Control reagent for Coagulation Assay, CP 2000 vial 20
Cuvette for coagulation assay, CP 2000 box 1
Prothrombin time reagent CP 2000 vial 20

CLS-2017- Bloodbank Blood collecting bag, single, 450ml, CPDA-1 pc 1500

10-118 Blood collecting bag, triple, 450ml, CPDA-1 pc 1000
Hemoglobin Strip/ Hemocue, 50't tube 60
Typing Sera, Anti A, 10ml vial 150
Typing Sera, Anti B, 10ml vial 150
Typing Sera, Anti D, 10ml vial 150
HBsAG, Chemilu, 100't kit 5
HCV Ab, Chemilu, 100't kit 5
HIV Ag/Ab, Chemilu, 100't kit 5
Syphilis/TPAb, Chemilu, 100't kit 5

CLS-2017- Clin. Lab. Albumin reagent, dry method, 50's kit 5

11-119 Calibrator for chem II, wet method, Siemens kit 1
Calibrator for chem I, wet method, Siemens kit 1
CK MB reagent, dry method, 60's kit 5
Control for Chemistry, wet method 1 and 2, 5 vials/kit kit 2
Cuvettes for Chemistry, wet method box 2
Diluent reagent for 5 part hematology analyzer, Cellpack box 3
Diluent reagent for 5 part hematology analyzer, M-68 box 5
Electrolyte reagent (N, K, CL), wet method, Cybertec set 2
Evacuated lavander top 3ml, 100's box 36
Evacuated red top top, 5ml, glass, 100's box 30
Giemsa Stain Kit kit 4
 HDL calibrator, wet method, Siemens kit 1
Lactic Dehydrogenase reagent, wet method, Siemens kit 1
Lyse bio rgt, ABX Pentra bot 1
Lyse reagent for WBC differential for 5 part analyzer, (LD Lyse) bot 5
Mino Clair rgt, ABX Pentra bot 1
Pregnancy test reagent-Serum/urine box 10
SGPT/ALT reagent, wet method (Siemens) kit 2
Sheath /diluent reagent for automated urinalysis box 3
Test for Phosphorous, dry method, 60's kit 5
Total protein reagent, dry method, 50's kit 5
Total protein reagent, wet method, Siemens kit 1
Troponin I test, qualitative, 30's box 3
Uric acid reagent, wet method, Siemens kit 1
Urine strip, 10 parameter box 10
Versa tips for chemistry analyzer 1000's box 3

CLS-2017- Bloodbank HBsAg, EIA, 480't kit 1

11-120 HCV Ag/Ab, EIA, 480't kit 1
Syphilis/Trepsure, EIA, 480't kit 1
Malaria Ag, Rapid Test, 30't kit 195
Multisampler Needle, G21, 100's box 20
Pipette tip, disposable, yellow, 1000's pack 10

CLS-2017- Bloodbank HBsAg, EIA, 480't kit 1

11-121 HCV Ag/Ab, EIA, 480't kit 1
Syphilis/Trepsure, EIA, 480't kit 1
HIV Ag/Ab, EIA, 480't kit 3

CLS-2017- Clin. Lab. Albumin reagent, dry method, 50's kit 10

11-122 Alkaline Phosphatase reagent, dry method, 60's kit 15
Bld. Culture media for both pedia and adult, aerobic, plastic bot 1500
Blood Collecting Tube, Gold Top with Gel Separator, 3.5ml box 36
Blood lancet 200's box 20
CK MB reagent, dry method, 60's kit 15
Cover glass 24 X 56/100's box 100
CSF protein reagent, dry method, 18's kit 10
 Cytocolor reagent, Germany/US box 2
Diluent reagent for bacteria for automated urinalysis box 1
Diluent reagent for sediments for automated urinalysis box 1
Electrolyte reagent (CI), dry method, 50's kit 15
Electrolyte reagent (N, K, CL), wet method, Audicom set 9
Eosin solution 500 ml/bot bot 8
Plastic tips, blue, disposable, 250/bag bag 8
Evacuated lavander top 3ml, 100's box 24
Glass slides, frosted ends box 50
Glass slides, plain, 72's box 150
Hematoxylin solution, 500ml/bot bot 4
Hemoglobin A1C reagent, Drew kit 2
Isoenzyme performance verifier 1 for chemistry set 16
Isoenzyme performance verifier 2 for chemistry set 19
Lactic dehydrogenase reagent, dry method kit 5
Microtips for chemistry analyzer box 2
Multisampler needle g.21 disposable box 40
Oral Glucose Tolerance Test beverage 75 gms (OGTT) bot 70
Petri dish, large disposable pc 400
Petri dish, disposable with no compartment, small pc 500
Reagent for Epitone Retrieval pH6 for IHC bot 1
Reagent for Epitone Retrieval pH9 for IHC bot 1
Reagent for Polymer Detection Kit for IHC kit 4
Reagent for Estrogen Receptor Assay, IHC kit 1
Reagent for Progesteron Receptor Assay, IHC kit 1
Reference Fluid 250 for chemistry, 30's/box box 4
Shrink-banded vessels with sodium thiosulfate; 120m/200's box 1
Snap pack for rapid E. coli determination for 100ml water, 200's/apck box 1
Stain for Blood Smear (Hemaquick) box 10
Test for Phosphorous, dry method, 60's kit 5
Test for Troponin-T (qualitative) box 54
Total protein reagent, dry method, 50's kit 5
Urine strip, 10 parameter box 50

Recapitulation: Recapitulation:
UACS Object
Stock No. Item Unit Quantity Unit Cost Total Cost
Code
 UACS Object
Stock No. Item Unit Quantity Unit Cost Total Cost
Code
Absolute alcohol, AR, 2.5l bot 20
Acetone, AR, 1 Lit bot 11
Activated Partial Thromboplastin Time reagent, (Siron SL) vial 20
Activated Partial Thromboplastin Time reagent, CP 2000 vial 10
Albumin reagent, dry method, 50's kit 5
Albumin reagent, wet method kit 2
Alkaline Phosphatase reagent, dry method, 60's kit 5
Amylase reagent, dry method, 60's kit 5
Anti-Hbc (Chemilu), Siemens kit 2
Anti-Hbe (Chemilu), Siemens kit 2
Anti-HbsAg (Chemilu), Siemens kit 2
Anti-Hbs (Chemilu), Siemens kit 1
AST, Siemens box 3
AST/SGOT reagent, wet method, Dimension kit 2
Bilirubin reagent for pedia, dry method, 60's kit 5
Bld. Culture media for both pedia and adult, aerobic, plastic bot 1500
Blood collecting bag, single, 450ml, CPDA-1 pc 1500
Blood collecting bag, triple, 450ml, CPDA-1 pc 1000
Blood Collecting Tube, Gold Top with Gel Separator, 3.5ml box 18
Blood lancet 200's box 10
Bun reagent, wet method, Siemens Dimension kit 2
CA 19-9 kit 1
Ca-125, Siemens kit 1
Ca-19, Siemens kit 1
Calcium Chloride (Thrombolyzer) bot 10
Calcium Chloride for coagulation analyzer, CP 2000 vial 10
Calibrator for chem I, wet method, Siemens kit 1
Calibrator for chem II, wet method, Siemens kit 1
CK MB reagent, dry method, 60's kit 5
Control for Chemistry, wet method 1 and 2, 5 vials/kit kit 2
Control reagent for Coagulation Assay (Technoclot control) vial 40
Control reagent for Coagulation Assay, CP 2000 vial 20
Cover glass 24 X 56/100's box 100
Creatinine reagent, wet method, Dimension kit 2
Creatinine reagent, wet method, Siemens Dimension kit 2
CSF protein reagent, dry method, 18's kit 10
Cuvette for coagulation assay, (Thrombolyzer) box 2
Cuvette for coagulation assay, CP 2000 box 1
Cuvettes (FAS) box 1
Cuvettes for Chemistry, wet method box 2
Cytocolor reagent, Germany/US box 2
Dengue NS1 rapid test 25's box 1
Diluent reagent for 5 part hematology analyzer (Cell pack) box 6
Diluent reagent for 5 part hematology analyzer (M-68 D5 Diluent) box 6
Diluent reagent for 5 part hematology analyzer, Cellpack box 3
Diluent reagent for 5 part hematology analyzer, M-68 box 5
Diluent reagent for bacteria for automated urinalysis box 1
Diluent reagent for sediment for automated urinalysis box 1
Electrolyte reagent (CI), dry method, 50's kit 15
Electrolyte reagent (N, K, CL), wet method, Audicom set 9
Electrolyte reagent (N, K, CL), wet method, Cybertec set 2
Eosin solution 500 ml/bot bot 8
Ethyl alcohol, 95%, AR, 2.5l bot 5
Evacuated blue top 1.8ml, 3.2% preferably plastic box 20
Evacuated lavander top 3ml, 100's box 24
Evacuated red top , 5ml, glass, 100's box 30
Formalin, bot, buffered 10% 2.5lit bot 16
Formalin2.5lit/botAR bot 20
FT4, Siemens kit 5
Giemsa Stain Kit kit 4
Glass slides, frosted ends box 100
Glass slides, plain, 72's box 150
Glucose reagent, dry method, 60's kit 5
Glucose reagent, wet method, Siemens Dimension kit 1
HBsAg, (ABBOTT), 100't (Reagent, Calib, Ctl) kit 1
HBsAG, Chemilu, 100't kit 5
HBsAg, EIA, 480't kit 1
HCV Ab, Chemilu, 100't kit 5
HCV Ag/Ab, EIA, 480't kit 1
HDL calibrator, wet method, Siemens kit 1
HDL cholesterol reagent, wet method, Dimension kit 1
Hematoxylin solution, 500ml/bot bot 4
Hemoglobin A1C reagent (Humanex A1C) kit 1
Hemoglobin A1C reagent, Drew kit 2
Hemoglobin Strip/ Hemocue, 50't tube 60
HIV Ag/Ab, Chemilu, 100't kit 3
HIV Ag/Ab, EIA, 480't kit 3
Isoenzyme performance verifier 1 for chemistry set 16
Isoenzyme performance verifier 2 for chemistry set 19
Lactic dehydrogenase reagent, dry method kit 5
Lactic Dehydrogenase reagent, wet method, Siemens kit 1
Lyse bio rgt, ABX Pentra bot 1
Lyse reagent for Basophils for 5 part analyzer, (LB Lyse) bot 5
Lyse reagent for basophils for 5 part analyzer, Lysercell WDF box 1
Lyse reagent for Hemoglobin/RBC for 5 part analyzer, (LH Lyse) bot 5
Lyse reagent for Hemoglobin/RBC for 5 part analyzer, SULFOLYSER box 1
Lyse reagent for WBC differential for 5 part analyzer, (LD Lyse) bot 5
Lyse reagent for WBC differential for 5 part analyzer, LYSERCELL box 1
Malaria Ag, Rapid Test, 30't kit 195
Microtips for chemistry analyzer box 2
Mino Clair rgt, ABX Pentra bot 1
Mounting medium, 1000ml, Germany/US bot 2
Multisampler needle g.21 disposable box 40
Multisampler Needle, G21, 100's box 20
Nalidixic acid 30 mg, disc cart 20
Occult blood reagent box 3
Oral Glucose Tolerance Test beverage 75 gms (OGTT) bot 120
Petri dish, disposable with no compartment, small pc 500
Petri dish, large disposable pc 400
Pipette tip, disposable, yellow, 1000's pack 10
Plastic tips, blue, disposable, 250/bag bag 4
Pregnancy test reagent-Serum/ urine box 10
Pre-trigger solution-Siemens Advia Centaur box 6
Prothrombin time reagent (Technoclot PT Plus) vial 40
Prothrombin time reagent CP 2000 vial 20
QC reagent, bi-level for automated urinalysis box 1
Reagent for Epitone Retrieval pH6 for IHC bot 1
Reagent for Epitone Retrieval pH9 for IHC bot 1
Reagent for Estrogen Receptor Assay, IHC kit 1
Reagent for Polymer Detection Kit for IHC kit 4
Reagent for Progesteron Receptor Assay, IHC kit 1
Reference Fluid 250 for chemistry, 30's/box box 4
Sample cups 1000's-Siemens Advia Centaur pack 1
Sample cups with lid for chemistry analyzer (v) pack 5
SGPT/ALT reagent, wet method (Siemens) kit 2
Sheath /diluent reagent for automated urinalysis box 3
Shrink-banded vessels with sodium thiosulfate; 120m/200's box 1
Snap pack for rapid E. coli determination for 100ml water, 200's/apck box 1
Stain for Blood Smear (Hemaquick) box 10
Stain reagent for bacteria for automated urinalysis box 1
Stain reagent for NRBC, fully automated hematology, Fluorocell WNR box 1
Stain reagent for sediments for automated urinalysis box 1
Stain reagent for WBC diff. ct. fully automated hematology,Fluorocell box 2
Syphilis, (ABBOTT), 100't (Reagent, Calib, Ctl) kit 1
Syphilis, (rapid), 50't box 8
Syphilis/TPAb, Chemilu, 100't kit 5
Syphilis/Trepsure, EIA, 480't kit 1
Test for Phosphorous, dry method, 60's kit 5
Test for Troponin-T (qualitative) box 54
Test for urine Methamphetamine/cannabinoides box 40
Total protein reagent, dry method, 50's kit 5
Total protein reagent, wet method, Siemens kit 1
Triglyceride reagent, dry method, 60's, vitros kit 10
Triglyceride reagent, wet method (Dimension) kit 1
Troponin I test, qualitative, 30's kit 3
TSH Chemilu-Siemens Advia Centaur kit 1
TSH, (ABBOTT), 100't (Reagent, Calib, Ctl) kit 3
Typing Sera, Anti A, 10ml vial 150
Typing Sera, Anti B, 10ml vial 150
Typing Sera, Anti D, 10ml vial 150
Universal wash buffer-Siemens Advia Centaur box 6
Uric Acid reagent, dry method, 60's kit 5
Uric acid reagent, wet method, Siemens kit 1
 Urine strip, 10 parameter box 10
Versa tips for chemistry analyzer 1000's box 3

I hereby certify to the correctness of the above information. Posted by:

ALADIN M. PASCUAL
Administrative Officer III - OIC Materials Management Section Signature over Printed Name of Designated Date
Accounting Staff
MM-007-1
BENTO BOX SET 300
BROOM, HARD PC 15
BROOM, SOFT PC 15
CALCULATOR UNIT 2
CASE: DEVELOPMENT ROLLER ASSY. PC 2
CCF 2 PLY 280mm x 241mm BOX 5
CLEANING BLADE PC 4
DATA FILE BOX BOX 108
DEVELOPER TYPE 28 BLACK PC 4
DRUM 1312/MP1500/MP2001 PC 4
DRUM UNIT FOR FUJI XEROX DOCUCENTRE UNIT 2
ENVELOPE DOCUMENTARY A4 PC 335
ENVELOPE DOCUMENTARY LEGAL PC 434
FASTENER FOR PAPER BOX 105
FOLDER, EXPANDED PC 250
FOLDER, LOOSELEAF PC 70
FOLDER/TAGBOARD A4 PC 750
FUSING UNIT FOR FUJI XEROX DOCUCENTRE
UNIT 2
GEAR 13Z PC 4
GLUE BOT 37
HOT ROLLER PC 2
HOT ROLLER DIA. 30 PC 2
INK CARTRIDGE HP 704 BLACK CART 5
INK CARTRIDGE HP 704 COLORED CART 1
INK REFILL L210 BLACK BOT 1
INK REFILL L210 CYAN BOT 5
INK REFILL L210 MAGENTA BOT 5
INK REFILL L210 YELLOW BOT 5
LOWER DEVELOPMENT UNIT PC 2
PAPER CLIP BIG BOX 21
PAPER, COPY A4 REAM 297
PAPER, COPY LEGAL REAM 126
PAPER, MULTI PURPOSE A4 REAM 381
PAPER, MULTI PURPOSE LEGAL REAM 274
PEN, HIGHLIGHTER PC 2
PEN, PERMANENT PC 122
PEN, WHITEBOARD PC 2
POWDER SOAP PACK 200
PRESCRIPTION SLIPS, PRE NUMBERED WIT PAD 7000
PRESSURE ROLLER BRUSHING PC 8
RECORD BOOK 300PP BOOK 20
RECORD BOOK 500PP BOOK 149
SCISSOR PAIR 1
STAPLE WIRE NO. 35 BOX 6
STAPLER PC 27
STRIPPER PAWLS PC 7
STRIPPER PAWLS,SUB-ASSY PC 2
TAPE, MASKING 1" ROLL 47
TAPE, PACKAGING 2" ROLL 15
TAPE, TRANSPARENT 1 " ROLL 69
THERMISTOR PC 8
TOKEN: CALENDAR PC 120
TONER CART HP CE278A BLACK CART 14
TONER CART HP CE285A BLACK CART 47
TONER CART HP CE505A BLACK CART 4
TONER CART HP Q2612A BLACK CART 1
WHITEBOARD ERASER PC 4
Absorbent Gauze with X- Ray detector, unsterile, mesh 36 x100 yards bolt 48
Absorbent Gauze, unsterile, mesh, 36 x100 yards bolt 36
Adhesive cloth tape, 1/2'' box 50
Airway oral no.3 (oropharyngeal) yellow 90mm pc 100
Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 352
Anesthesia breathing circuit, Adult pc. 40
Asepto syringe pc. 600
Bed Pan pc. 1,210
Blade, surgical #22,100's, Sharp (Stainless) (Box) box 40
Blood glucose strip box 100
Bouffant caps, 100's (Box) pack 40
Cautery pencil pc. 900
Chlorhexidine cleanser, 5liters (Gal) gal 30
Cold sterilan/cidex gal 20
Colostomy Bag, Adult pc. 200
Cord Clamp pc. 800
Cotton absorbent, 400 grms. Unsterile roll 251
Decontamination mat pc. 5
Dialyzer, High Flux pc. 300
Dialyzer, Low Flux pc. 300
ECG leads adult pack 40
ECG tracing paper for 1 channels roll 80
EEG TEN20 PASTE jar 3
Elastic bandage S – 4 inches (Stretchable) roll 213
Endotracheal Tube 3.0 mm cuffed pc. 50
Endotracheal Tube 3.5 mm cuffed pc. 50
Endotracheal Tube 4.5 mm cuffed pc. 50
Endotracheal Tube 7.0 mm cuffed pc. 150
Epidural set G. 18 pc. 40
Foley Catheter, 2-way, siliconized, latex Fr.10, pc 800
Gloves, sterile s-6 ½, 50's box 91
Gloves, sterile s-7 ½, 50's box 40
Gloves, sterile s-7.0, 50's box 91
Gloves, sterile s-7.5, 50's box 140
Gloves, surgical, sterile long cuff s-7, 50's box 30
Gloves, surgical, sterile long cuff s-7.5, 50's box 90
Hemodialysis Supplies and Consumables set 600
Heparinized Syringe box 20
Jackson rees pc. 40
Lubricating Gel, Sterile 3 gms 100/Box box 20
Mask, N-95 pc. 120
Mask, surgical disposable,50's box 450
Mediscrub brush pc. 400
Nasal Cannula, adult pc. 1,000
Nasal Cannula, pedia pc. 400
Nasal Cannula, neonate pc. 300
Nasogastric Tube fr .16, 125cm long pc. 200
Nebulizer kit pc. 700
Needle disposable g.18,100's box 30
Needle disposable g.24,100's box 30
Needle disposable g.26,100's box 30
Newborn screening kit pc. 1,500
Plaster, Surgical Hypoallergenic, Adhesive 1/2”, 24's box 50
Povidone Iodine antiseptic 10%, Betadine gal 52
Povidone Iodine antiseptic 7.5%, Betadine gal 12
Sodalime pail 1
Soluset set 1,000
Spinal needle G. 25 pc. 500
Stop cock,50's pc 100
Suction tip fr.10,50's pc 200
Suction tip fr.12,50's pc 500
Suction Tip fr.14 50cm pc. 500
Suction Tip fr.16 55cm pc. 500
Suction Tip fr.18 55cm pc. 500
Suction tip fr.5,50's pc. 500
Surgical Suture, Chromic 2.0 double arm (round) doz 5
Surgical Suture, Chromic 2.0 w/ needles DA doz 60
Surgical Suture, Chromic 2.0 w/ needles SA doz 40
Surgical Suture, Chromic 3.0 w/ needles doz 20
Surgical Suture, Chromic 4.0 w/ needles doz 7
Surgical Suture, Plain 2.0 round needle doz 20
Surgical Suture, Silk 2.0 (w/ round needles) doz 20
Surgical Suture, Silk 2.0 strands - w/o needle doz 35
Surgical Suture, Silk 3.0 (w/ round needles) doz 30
Surgical Suture, Silk 3.0 strands - w/o needle doz 35
Surgical tape,1/2 inch,24's box 10
Synthetic absorbable monofilament dyed (polyglycolic acid/polyglactin/glyconate coated 0-round
doz 20
needle 37mm taper 21/2 circle,12's, NOVOSYN
Synthetic absorbable monofilament dyed (polyglycolic acid/polyglactin/glyconate coated 2.0,12's,
doz 21
(MH)
Synthetic absorbable monofilament dyed coated 2.0 round needle,12's doz 16
Synthetic absorbable monofilament dyed coated w/ antibacterial 3.0 w/ needle, RB-1 doz 38
Synthetic absorbable monofilamentdyed coated (polyglyyolic acid/polyglactin/glyconate 2.0,12's,
doz 20
SH
Synthetic absorbable multifilament braided dyed coated w/ antibacterial - 4.0 w/cutting needle
doz 13
12's
Synthetic absorbable multifilament braided dyed coated w/ antibacterial 1 round needle box 12
Synthetic absorbable multifilament braided dyed coated w/ antibacterial 4.0 cutting needle doz 27

Synthetic absorbable multifilament braided dyed coated w/ antibacterial 4.0 round needle, RB-1 doz 12

Synthetic absorbable multifilament braided dyed 0 round needle (1/2 circle) 40mm (PDS II-O) doz 30

Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box 300

Syringe w/ Needle (Luer Lock) 1cc, Disposable (100's) box 268
Syringe w/ Needle (Luer Lock) 2.5cc, Disposable (100's) box 125
Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box 242
Syringe w/ Needle (Luer Lock) 50cc, Disposable (100's) box 64
Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 246
Syringe, Disposable, 5ml, terumo box 24
Thermal Paper, Ultrasound roll 20
Thermometer, digital pc 600
Tongue depressor 100's box 105
Tracheostomy Tube, F. 6.0 pc 5
Tracheostomy Tube, F. 7.0 pc 5
Tracheostomy Tube, F. 8.0 pc 5
Urinal plastic pc. 200
Urine Bag, w/ Non-Return Valve, w/ hanger, 1L, calibrated 1000-1200 ml pc. 1,250
Urine Collector, with adhesive, calibrated pedia pc. 500
Wound Drainage 150cc capacity pc. 50
Yankuer Suction Connecting Tube, Double packing with pool drain suction (Universal
pc. 300
Connecting tube 210-250cm)
Surgical Suture, Chromic 2.0 double arm (round-cutting) doz 5
Surgical Suture, Chromic 2.0 double arm w/ needles DA doz 30
Surgical Suture, Chromic 2.0 double arm w/ needles DA doz 30
Surgical Suture, Chromic 2.0 double arm w/ needles SA doz 20
Surgical Suture, Chromic 2.0 double arm w/ needles SA doz 20
Surgical Suture, Chromic 3.0 double arm w/ needles doz 20
Surgical Suture, Chromic 4.0 double arm w/ needles doz 7
Surgical Suture, Plain 2.0 round needle doz 20
Surgical Suture, Silk 2.0 (w/ round needles) doz 20
Surgical Suture, Silk 2.0 strands doz 5
Surgical Suture, Silk 2.0 strands doz 18
Surgical Suture, Silk 2.0 w/o needle doz 18
Surgical Suture, Silk 3.0 (w/ round needles) doz 20
Surgical Suture, Silk 3.0 (w/ round needles) doz 10
Surgical Suture, Silk 3.0 strands doz 5
Surgical Suture, Silk 3.0 strands doz 18
Surgical Suture, Silk 3.0 w/o needle doz 18
Surgical tape,1/2 inch,24's box 10

Synthetic absorbable multifilament braided dyed coated w/ antibacterial 1 round needle box 12

Synthetic absorbable multifilament braided dyed coated w/ antibacterial 3.0 w/needle doz 20
Synthetic absorbable multifilament braided dyed coated w/ antibacterial 4 round needle,
doz 12
RB-1
Synthetic absorbable multifilament braided dyed coated w/ antibacterial -4.0 w/cutting
doz 20
needle 12's
Synthetic absorbable multifilament braided dyed 0 round needle (1/2 circle) 40mm (PDS
doz 20
II-O)
Synthetic absorbable multifilament braided dyed 1 round needle (1/2 circle) 40mm
doz 16
(Monocryl 1)
Synthetic absorbable multifilament braided dyed coated (polyglyyolic
doz 20
acid/polyglactin/glyconate 2.0,12's, SH
Synthetic absorbable multifilament braided dyed coated w/ antibacterial 0 cutting edge doz 12

Synthetic absorbable multifilament braided dyed coated w/ antibacterial 1 cutting edge doz 10
Synthetic absorbable multifilament braided dyed coated w/ antibacterial 3.0 w/ needle,
doz 18
RB-1
Synthetic absorbable multifilament braided dyed coated w/ antibacterial 4.0 cutting edge box
15
Synthetic absorbable multifilament dyed (polyglycolic acid/polyglactin/glyconate coated
doz 20
2.0,12's,(MH) -coated 2.0 (CT)
Synthetic absorbable multifilament dyed -coated 2.0 (CT) round needle 12's doz 20
Synthetic absorbable multifilament dyed(polyglycolic acid/polyglactin/glyconate coated 0-
doz 20
round needle 37mm taper 21/2 circle,12's,Novosyn
Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box 60
Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box 60
Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box 60
Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box 60
Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box 60
Syringe w/ Needle (Luer Lock) 1cc, Disposable (100's) box 144
Syringe w/ Needle (Luer Lock) 1cc, Disposable (100's) box 40
Syringe w/ Needle (Luer Lock) 1cc, Disposable (100's) box 72
Syringe w/ Needle (Luer Lock) 2.5cc, Disposable (100's) box 50
Syringe w/ Needle (Luer Lock) 2.5cc, Disposable (100's) box 75
Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box 60
Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box 75
Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box 75
Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box 32
Syringe w/ Needle (Luer Lock) 50cc, Disposable (100's) box 32
Syringe w/ Needle (Luer Lock) 50cc, Disposable (100's) box 32
Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 60
Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 60
Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 60
Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 3
Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 60
Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 3
Syringe, Disposable, 1ml box 12
Syringe, Disposable, 5ml, terumo box 24
Thermal Paper, Ultrasound roll 20
Thermometer pc 300
Thermometer, Digital pc. 300
Tissue pack 5
Tongue depressor 100's box 100
Tracheostomy Tube, F. 6.0 pc 5
Tracheostomy Tube, F. 7.0 pc 5
Tracheostomy Tube, F. 8.0 pc 5
Urinal plastic pc. 200
Urine Bag, w/ Non-Return Valve, w/ hanger, 1L, calibrated 1000-1200 ml pc. 250
Urine Bag, w/ Non-Return Valve, w/ hanger, 1L, calibrated 1000-1200 ml pc. 500
Urine Bag, w/ Non-Return Valve, w/ hanger, 1L, calibrated 1000-1200 ml pc. 500
Urine Collector, with adhesive, calibrated pedia pc. 500
Wound Drainage 150cc capacity pc. 50
Yankuer Suction Connecting Tube, Double packing with pool drain suction (Universal
pc.
Connecting tube 210-250cm) 300
Acetylcisteine 200mg sachet sachet 1200
Amiodarone 200mg tablet (as HCl) tab 300
Amlodipine 5mg tablet (as Besylate or Camsylate) tab 3000
Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) vial (IM,IV) (as Sodium salt) vial 120
Atorvastatin 40mg tablet tab 3000
Atorvastatin 80mg tablet tab 2500
Azithromycin 500mg tablet (as base/as dihydrate) tab 500
Biperiden 2mg/tablet (as Hcl) tab 10000
Budesonide + Formoterol 160/4.5mcg/ unit dose canister 10
Budesonide Nebule 250mcg/ml, 2ml (unit dose) neb 170
Bumetamide 1mg tablet tab 100
Candesartan 8mg tab 140
Carboplatin 450mg vial vial 300
Cefepime 1g vial (IM,IV) (as Hcl) vial 500
Cefixime 200mg capsule cap 650
Ceftriaxone 1g vial (as Disodium/ Sodium salt) vial 6000
Cefuroxime 750mg vial (IM,IV) (as Sodium salt) vial 1700
Celecoxib 400mg capsule cap 1020
Clarithromycin 125mg/5ml, 70ml granules/powder for suspension bot 50
Clozapine 100mg tablet vial 5000
Co-Amoxiclav 156.25mg/5ml powder for suspension bot 6
Co-Amoxiclav 250mg/62.5mg/5ml,60ml granules/powder for suspension bot 110
Co-Amoxiclav 400mg/57mg/5ml,70ml granules/powder for suspension bot 100
Co-Amoxiclav 625mg tablet (as Trihydrtate) tab 500
Dextrose 5% 0.9 NaCl 1L bot 120
Dextrose 5% in Lactated Ringers 1000ml set 120
Dextrose 50% in Water 50ml set 460
Digoxin 250mcg/ml, 2ml ampule (IM,IV) tab 2000
Dobutamine 2mg/ml, 250ml D5W (pre-mixed) (IV) (as Hcl) vial 18
Docetaxel 20mg/0.5ml, 0.5ml vial 100
Docetaxel 40mg/ml, 2ml vial 100
Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) vial 100
Doxorubicin powder 50mg vial (IV) (as HCl) vial 100
Filgrastin 300mcg vial vial 50
Fluconazole 150mg tablet tab 300
Fluconazole 200mg capsule cap 140
Fluorouracil 50mg/ml, 10ml amp/vial (IV, IV Infusion) amp 523
Folic Acid 5mg tablet tab 2000
Gemcitabine 1g vial vial 100
Gemcitabine 200mg vial vial 100
Hydrocortisone 125mg/ml, 2ml vial (IV) (as Sodium Succinate) act o vial vial 2000
Hydrocortisone 50mg/ml, 2ml vial (IV) (as Sodium Succinate) act o vial vial 4000
Hydroxyethyl starh 6% solution 500ml bottle (IV infusion) bot 170
Hydroxyzine 50mg/ml, 1ml (IM,IV) amp 500
Isoflurane bot 24
Isosorbide dinitrate 1mg/ml, 10ml amp (IV) amp 100
Lactulose 3.3g/5ml (66% syrup), 120ml bottle bot 500
Levofloxacin 750mg tablet tab 500
Lidocaine 2%, 5ml polyamp (as HCl) polyamp 2000
Loratadine 10mg tablet tab 300
Losartan + Hydrochlorothiazide 100mg +25mg tablet tab 1000
Losartan + Hydrochlorothiazide 50mg +12.5mg tablet tab 1000
Losartan 100mg tablet (as Potassium salt) tab 1000
Losartan 50mg tablet (as Potassium salt) tab 980
Mannitol 20%, 500ml bot 1200
Mefenamic Acid 500mg cap/tab tab 10000
Methyldopa 250mg tablet tab 1000
Metronidazole 5mg/ml, 100ml vial IV infusion vial 1000
Midazolam 5mg/ml, 3ml amp (IM,IV) amp 2000
Nicardipine 1mg/ml, 10ml amp (IV) (as HCl) amp 100
Omeprazole 40mg + 10ml solvent amp/vial (IV) amp 3100
Paracetamol 500mg tablet tab 2000
Plain Lactated Ringers Solution 1000ml bot 1800
Plain NSS 1000ml set 460
Risperidone 2mg tablet tab 29000
Sevoflurane 250ml bottle bot 36
Simvastatin 40mg tablet tab 2000
Sodium Bicarbonate 1mEq/ml, 50ml amp/vial (IV infusion) amp 210
Tetanus Toxoid 0.5ml ampule (IM) amp 240
Vitamin B Complex tab 2000
Activated Partial Thromboplastin Time reagent, (Siron SL) vial 10
AFP reagent (FAS/Siemens) kit 1
Amikacin 30 mg Disc/Cart cart 30
Amoxicillin & Clavulanic acid, disc 20/10 ug cart 16
Ampicillin disc, 10 mg cart 20
Amylase reagent, dry method, 60's kit 5
Anti HBS reagent (FAS/Siemens) kit 1
Anti-Hbs Control (Abbott) kit 1
Anti-Hbs2 Control (FAS/Siemens) kit 1
ASO, (Latex Agglutination), 100't kit 5
Automated Biochemical test for Entero Bacterial ID (Vitek GN) box 9
Automated Biochemical test for Streph ID, 25's, (Vitek GP) box 10
Automated Sensitivity test (gram-), (Vitek 2 AST) box 14
Automated Sensitivity test (gram+), (Vitek GP AST) box 7
BHCG Control (Abbott) kit 1
Bld. Culture media for both pedia and adult, anaerobic bot 900
Blood collecting bag, DOUBLE, 450ml pc 380
Blood Collecting Tube, Lavender Top, 5ml pack 100
Bun reagent, dry method, 60's, Vitros kit 10
C3 reagent, plate plate 10
CA 125 reagent (FAS/Siemens) kit 1
CEA reagent (FAS/Siemens) kit 1
Ceftriaxone disc, 30 ug cart 30
Cholesterol Reagent, total, Dry method, 60's, Vitros kit 5
Clean solution for Coagulation analyzer 500ml (Thrombolyzer) bot 1
Cleanse Reagent/Rinse for Hematology (5 diff part), Probe Cleanser bot 2
Compatibility Testing, Gel tech. (complete) kit 4
Compatibility Testing, Gel tech., AHG/Coombs kit 4
Compatibility Testing, Gel tech., Diluent kit 5
Compatibility Testing, Gel tech., Neutral kit 4
Control Normal (ABX Pentra) vial 5
Control Pathologic (ABX Pentra) vial 5
Control reagent for Coagulation Assay (Siron Technoclot) vial 40
Control reagent for Coagulation Assay, CP 2000 vial 10
C-reactive Protein (Latex Agglutination), 100't kit 15
Creatinine reagent, wet method, Dimension kit 3
Creatinine reagent, wet method, Siemens kit 4
Cuvette cartridge, wet method, siemens kit 4
Cuvette for coagulation assay, (CP 2000, Almighty) box 2
Cuvettes for Chemistry, wet method, Dimension cart 2
Dengue IgG/IgM (Allied) box 8
Diluent reagent for 5 part hematology analyzer (Cell pack) box 10
Diluent reagent for 5 part hematology analyzer (M-68 D5 Diluent) box 6
Diluent reagent for bacteria for automated urinalysis box 2
Diluent reagent for sediment for automated urinalysis box 2
Electrolyte reagent (N, K, CL), wet method, AUDICOM kit 5
Erlenmeyer flask 250ml pc 20
Erlenmeyer flask 500ml pc 10
Ethyl alcohol, 95%, AR, 2.5l bot 24
Evacuated tube black top 2ml, 100's box 12
Evacuated blue top 1.8ml, 3.2% preferably plastic box 30
Evacuated lavander top 3ml, 100's box 96
Evacuated red top , 5ml, glass, 100's box 13
FT3, Siemens kit 2
Gamma Glutamyl Tranferase kit 1
Gentamycin, 10 mg, disc cart 40
Glass slides, frosted ends box 100
HAV IgM, Siemens kit 1
HBct Control (FAS/Siemens) kit 1
HBsAg Control (FAS/Siemens) kit 1
HBsAg Dual II Control (Abbott) kit 1
HbsAG rapid (Allied) box 3
HbsAg reagent (Abbott) kit 1
HbsAg reagent (FAS/Siemens) kit 1
HBsAg, Chemilu, 100't - HISCL kit 5
HBsAg, EIA, 480't kit 3
HCV Ag/Ab, Chemilu, 100't - HISCL kit 5
HDL reagent, dry method, 60's kit 10
HIV Ag/Ab, Chemilu, 100't - HISCL kit 5
HIV Ag/Ab, EIA, 480't kit 3
Inoculating Loop, disp. pc 4000
Iron (Fe) kit 1
Isovitalex 5's, 10ml box 1
Lactic Dehydrogenase reagent, dry method, Vitros kit 5
Lactic Dehydrogenase reagent, wet method, Dimension kit 1
Linezolid disc cart 15
Lyse reagent for basophils for 5 part analyzer, Lysercell WDF box 1
Lyse reagent for Hemoglobin/RBC for 5 part analyzer, (LH Lyse) bot 10
Lyse reagent for Hemoglobin/RBC for 5 part analyzer, SULFOLYSER box 2
Lyse reagent for WBC differential for 5 part analyzer, (LD Lyse) bot 3
Lyse reagent for WBC differential for 5 part analyzer, LYSERCELL WNR box 1
Malaria Ag, Rapid, 25't kit 100
Meropenem, Disc 10ug cart 20
Mounting medium, 1000ml, Germany/US bot 2
Multi-Calibrator (ABX Pentra) vial 2
Multisampler needle g.21 disposable box 90
Optochin disc - (TACO P) cart 13
Paraffin embedding medium, pellets, 1k kilo 20
Pediatric Collecting Tube (minicollect 0.5ml), EDTA 50's box 40
Pipette tip, disposable, yellow, 1000's pack 20
Plastic tips, blue, disposable, 250/bag bag 3
Pregnancy test reagent - Serum/ urine box 10
Prothrombin time reagent (PT Plus/Thrombolyzer) vial 30
Prothrombin time reagent CP 2000 vial 20
PSA chemilu, Siemens kit 1
PW3 (Siemens) kit 1
QC reagent, bi-level for automated urinalysis box 2
Reticulocyte Reagent 500ml/Bottle, (M-68 DR Diluent) bot 1
Salmonella typhi, IgG/IgM (Northeast medical) box 4
Sample cups with lid for chemistry analyzer(v) bag 5
Screw capped test tubes, 13 x 100 pc 100
SGOT / AST reagent, dry method, 60's, Vitros kit 5
SGOT / AST reagent, wet method, Siemens kit 4
SGPT / ALT reagent, wet method, Siemens kit 2
SGPT/ALT reagent, dry method , 50's, Vitros kit 5
Sheath /diluent reagent for automated urinalysis box 6
Stain reagent for bacteria for automated urinalysis box 1
Stain reagent for NRBC, fully automated hematology, Fluorocell WNR box 2
Stain reagent for sediments for automated urinalysis box 1
Stain reagent for WBC diff. ct. fully automated hematology,Fluorocell box 3
Syphillis / TP, Chemilu, 100't - HISCL kit 5
Syphillis rapid (Almighty) box 10
Syphillis/Trepsure, EIA, 960't kit 1
Test for serum magnessium, dry method, 60's, Vitros kit 7
Triglyceride reagent, dry method, 60's, vitros kit 10
Troponin I test, qualitative, 30's box 5
TSH3-UL, Siemens kit 2
Tubex kit 2
Tubex, (Almighty) box 4
Urine strip, 10 parameter box 20
Xylene / Xylol, AR, 2.5/bot bot 20