Page No.

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Dispensary/Other Service Units Inventory Form(DIF)
Name of Health Facility: Ziquala Primary Hospital Unit (Section): EOPD Pharmacy Date: 24/12/12E.C
To be filled
during
 S.No To be filled before physical inventory inventory To be filled after inventory
. Retail Expiry Retail Physical Unit Remar
Drug code Description(drug name unit Batch number date price quantity cost Total cost k
Catg-79-1 Cat gut chromic 2/0 circle cround Pcs A19046S 23-Dec 22.86 36 18.29 658  
1
Catg-71-1 Cat gut chromic 4/0 circle cround pcs L18060Q 23-Nov 19.20 14 15.36 215  
2
Catg-71-1 Cat gut chromic 4/0 circle cround pcs A19035Q 23-Dec 23.65 32 18.9 604.8  
3
Penb-37-1 Pencillin G, Benzantine 2.4MIU vial 1.83E+09 21-Feb 12.00 41 9.6 394  
4
Acyc-10-1 Acyclovir 200mg tablet tab D18001673 21-Jul 1.20 426 0.96 409  
5
Acyc-50-1 Acyclovir 5% topical cream tube 79839 22-Jan 50.40 27 40.32 1089  
6
Alma-10-1 Al(HO)3 + MG trisilcate (120mg + tab 740
250mg) tablet-(chewable) 27864 26-Sep 0.13 0.104 77  
7
Allo-10-1 Allopurinole 100mg tablet tab 73608 22-Sep 1.25 100 1 100  
8
Amit-11-1 Amitriptyline 25mg tablet tab 69356 21-Aug 2.55 400 2.04 816  
9
Amox-01-1 Amoxacillin 250mg capsule cap 26930 23-Aug 0.70 1000 0.56 560  
10
Amox-02-1 Amoxicillin 500mg capsule Cap 31148 25-Mar 1.00 32200 0.8 25760  
11
Arte-30-1 Artisunate 60mg injection vial 2A1181103 21-Feb 5.00 9 4 36  
12
 Arlu-13-1 Arthemeter + lumefanthrine (20mg+ tab 618
120mg) – tablet(6x4) EAD3904A 5/12 2.15 1.72 1062.96 Free
13
Atro-30-1 Atropine sulphate 1mg/ml injection amp 183221015 21-Apr 3.30 2880 2.64 7603  
14
Ceft-31-1 Ceftazidime 1gm injection vial 183051148 21-Nov 21.95 13 17.56 228  
15
Ceft-32-1 Ceftriaxone 1gm injection Vial 2TJ40078 23-Jun 19.00 167 15.2 2538  
16
Ceti-11-1 Cetirizine 10mg tablet tab DCL1804 21-Sep 0.98 1220 0.784 956  
17
Quic-11-1 Chloroquine phosphate 250mg tablet tab 69802 21-Sep 2.50 745 2 1490 Free
18
Cipr-11-1 Ciprofloxacillin 500mg tablet tab 29953 22-Oct 0.15 1066 0.12 128  
19
Clar-11-1 Claritromycine 500mg tablet tab 419100010 21-Sep 3.70 674 2.96 1995  
20
Clin-10-1 Clindamycine 150mg capsule cap O24 20-Dec 4.30 180 3.44 619  
21
Dexa-50-1 Dexamethasone 0.25%- topical cream tube HS19002 21-Feb 63.00 13 50.4 655  
22
Dexa-30-1 Dexamethasone 4mg/ml injaection amp I19012 20-Dec 31.00 64 24.8 1587  
23
Dext-22-1 Dextrometorphan 15mg/5ml syrup 125ml 31665 22-May 44.00 2 35.2 70  
24 
Dnsa-31-1 Dextrose 5% in normal saline with 1000ml 10
giving set o2519060730 21-Jun 33.55 26.84 268  
25 
Dw5p-31-1 Dextrose 5% in water 1000ml infusion bag 2.619E+09 21-May 33.30 2 26.64 53  
26
Diaz-30-1 Diazepam 5mg/2ml injection amp FH803X 20-Dec 4.45 127 3.56 452  
27
Dicp-11-1 Diclofenac potassium 50mg Tab fcp5023 23-Feb 0.60 465 0.48 223  
28
Dics-30-1 Diclofenac sodium 75mg/3ml injection Amp 181116 21-Oct 1.50 114 1.2 137  
29
30 Diph-20-1 Diphenhydramine hydrochloride bottle NL9243 22-Nov 44.00 5 35.2 176  
 12.5mg/5ml Elixir

Doxy-01-1 Doxycycline 100mg capsule Cap 26803 22-Aug 0.50 540 0.4 216  
31
Enal-11-1 Enalapril 5mg tablet tab D19005BX52 21-Aug 0.60 260 0.48 125  
32
Iron-10-1 Ferrous gluconate 300mg tab tab G171201 20-Nov 0.65 980 0.52 510  
33
 Catf-83-1 Folley catheter three way size 16 pcs 1.812E+09 23-Nov 16.00 3 12.8 38  
34
Frus-10-1 Frusemide 40mg tablet tab 10190512 21-Mar 0.41 440 0.328 144  
35
Gent-30-1 Gentamycin 10mg/ml injection amp NK903 21-Dec 2.91 48 2.328 112  
36 
Glib-10-1 Glibenclamide 5mg tablet tab 183121041 21-Mar 2.40 400 1.92 768  
37
Hydr-35-1 Hydralazine hydrochloride 20mg/1ml vial 9
amp inje 420394 21-Nov 12.25 9.8 88  
38
Thia-11-1 Hydrochlorothiazide 25mg tablet tab oo719040020 21-Mar 0.32 530 0.256 136  
39
Cort-50-1 Hydrocortosone 1% topical cream 15gm 200101 23-Jan 111.00 6 88.8 533  
40
Hyos-32-1 Hyoscine hydrobromide 20mg/2ml amp 90
amp injection 1801850 21-Jan 7.25 5.8 522  
41
Ivca-74-1 Intra voneous cannula size 22G pcs o01806 22-Aug 5.60 374 4.48 1676  
42
Liad-31-1 Lidocaine HCL + adrenaline 2% 20ml 10
injection I18296 20-Dec 24.00 19.2 192  
43
Lora-10-1 Lorantidine 10mg tablet tab C1004 21-Sep 0.98 365 0.784 286  
44
Mebe-10-1 Mebendazole 100mg tablet tab 27680 21-Nov 0.20 189 0.16 30  
45
Meto-11-1 Metoclorpramide 10mg tablet tab T2207 20-Aug 0.25 770 0.2 154  
46
 Pram-30-1 Metoclorpramide 5mg/ml injection amp 181007 21-Sep 6.95 23 5.584 128  
47
Metr-10-1 Metronidazole 125mg/5ml suspension 100ml 29739 21-Sep 14.00 5 11.2 56  
48
Metr-01-1 Metronidazole 250mg capsule 500 906029N 21-Sep 0.70 892 0.56 500  
49
Morp-14-1 Morphine sulphate 30mg tablet tab GV1269 21-Sep 5.20 203 4.16 844  
50
Muvi-11-1 Multivitamin with minerals tab tab D19125304 21-Jul 1.65 104 1.32 137  
 51
Norf-10-1 Norfloxacillin 400mg tablet tab 1D121 21-Mar 1.20 883 0.96 848  
 52
Para-20-1 Paracetamole 120mg/5ml syrup 60ml L2339 22-Oct 35.00 4 28 112  
53
Para-60-1 Paracetamole 125mg suppository supp 1193 23-Aug 2.10 200 1.68 336  
54
Para-60-1 Paracetamole 125mg suppository supp K2ACJ035 23-Jan 2.10 290 1.68 487  
55
Para-11-1 Paracetamole 500mg tablet tab 31166 24-Feb 0.80 2583 0.64 1653  
56 
Penb-36-1 Pencillin G, Benzantine 1.2MIU vial 711192 21-Oct 10.00 24 8 192  
57
Toin-10-1 Phenytoin 50mg tablet tab NT80322 21-Apr 1.25 193 1 193  
58
Plpa-71-1 Plaster of paris(P.O.P) 10cmx3m roll JA190520X 24-May 13.50 42 10.8 454  
59
Pota-12-1 Potassium chloride 600mg tablet tab 6190201 21-Feb 0.60 148 0.48 71  
60
Praz-10-1 Praziquantel 600mg tablet tab A1G113 22-Jul 4.45 97 3.56 345  
61
Prim-10-1 Primaquine phosphate 7.5mg tablet tab 80283 21-Feb 4.45 688 3.56 2449  
62
Prom-10-1 Prometazine HCL 25mg tablet tab 8120273 21-Dec 0.20 955 0.16 153  
63
Quin-10-1 Quinine sulfate 300mg tablet tab 9F117 22-May 1.00 576 0.8 461  
64
65 Spir-10-1 Spiranolactone 25mg tablet tab 1866001 21-Oct 1.45 500 1.16 580  
 Sutr-20-1 Sulfametoxazole + Trimetoprim bottle 201
240mg/5ml suspension F3026F01 20-Sep 23.50 18.8 3779  
66
Blad-79-1 Surgical blade size 22 Pcs E3784 23-Aug 1.60 104 1.28 133  
67
Syri-78-1 Syringe (Disposable ) 5ml with needle pcs 190504 24-May 2.00 221 1.6 354  
68
Syri-78-1 Syringe (Disposable) 5ml with needle pcs o641 21-Aug 1.20 100 0.96 96  
69
Tram-31-1 Tramadole HCL 100mg/2ml injection amp BA08025a 21-Jul 19.50 44 15.6 686  
70
Teta-30-1 Ttetanus antioxide 1500IU amp 10398A037 20-Sep 81.15 200 64.92 12984  
71
Vanc-30-1 Vancomycine 500mg injection vial NP0046A 22-Jan 60.30 9 48.24 434  
72
Vitb-30-1 Vitamin B complex injection tab 183211268 21-Aug 1.20 295 0.96 283  
73
Vitb-30-2 Vitamin B complex injection amp 1801851 21-Jan 1.95 69 1.56 108  
74
Vitk-30-1 Vitamin k1 10mg/ml injection amp 1801853 21-Jan 6.70 3 5.36 16  
75
Wate-30-1 Water for injection 5ml-injection vial 2F549006 22-Apr 0.95 150 0.76 114  
76
Wate-31-1 Water for injection 10ml-injection vial 34190750 21-Jul 1.20 327 1.28 419  
77
Zinc-11-1 Zinc sulfate 20mg tablet tab N05 21-Jun 2.00 812 1.6 1299 Free
78
87,196.30  
Total cost