Page No.

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Dispensary/Other Service Units Inventory Form(DIF)
Name of Health Facility: Ziquala Primary Hospital Unit (Section): OPD 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 Rema
Drug code Description(drug name unit Batch number date price quantity cost Total cost rk
Catg-87-1 Cat gut chromic 2 circle reverse cutting Pcs 170237 22-Feb 57.20 31 45.76 1418.56  
1
Catg-72-1 Cat gut chromic 3/0 circle reverse pcs 23
cutting 180227 21-Feb 57.20 45.76 1052.48  
2
Sali-14-1 Acetylsalicylic acid 300mg tablet tab 24866 22-Dec 0.20 2056 0.16 328.96  
3
Acyc-10 Acyclovir 200mg tablet tab D18001673 21-Jul 1.20 914 0.96 877.44  
4
Alma-10-1 Al(HO)3 + MG trisilcate (120mg + tab 2240
250mg) tablet-(chewable) 21838 21-Jan 0.20 0.16 358.4  
5
Alms-21-1 Al(HO)3 + MG(OH)2 + Simethicon - 200ml 15
(225 + 200mg + 50mg)/5ml suspension A52000164 22-Dec 118.75 95 1425  
6
Albe-20-1 Albendazole 100mg/5ml suspension 100ml GG040003 22-Dec 30.00 24 24 576  
7
Albe-11-1 Albendazole 400mg tablet tab GMD68 22-Mar 1.45 235 1.16 272.6 Free
8
Amit-11-1 Amitriptyline 25mg tablet tab 710
69604 21-Sep 2.55 2.04 1448.4  
9
Amcl-20-1 Amoxacillin + clavulanic acid bottle 12
(125mg+31.25mg) suspension ADA39007 22-Nov 172.75 138.2 1658.4  
10
 Amox-01-1 Amoxacillin 125mg dispersible tablet tab 880170 21-Jul 0.60 870 0.48 417.6 free
11
Amox-20-1 Amoxacillin 125mg/5ml suspension 100ml 30378 22-Dec 35.00 22 28 616  
12
Amox-01-1 Amoxacillin 250mg capsule cap 26930 23-Aug 0.70 851 0.56 476.56  
13
Amox-21-1 Amoxacillin 250mg/5ml suspension 100ml BD9212 22-Oct 67.20 22 53.76 1182.72  
14
Arte-30-1 Artisunate 60mg injection vial 1A181118 21-Oct 5.00 10 4 40 Free
15
Aten-11-1 Atenolol 50mg tablet tab IT129 21-Aug 0.40 460 0.32 147.2  
16
Besa-56-1 Benzoic acid + salicylic acid (6% + 20gm 7
3%)-topical ointment 30543 22-Nov 17.85 14.28 99.96  
17
Ceph-20-2 Cephalexin 125mg/5ml suspension 100ml C4560008 21-Dec 145.60 6 116.48 698.88  
18
Ceph-20-1 Cephalexin 125mg/5ml suspension 100ml LE0B0328 21-Feb 52.80 6 42.24 253.44  
19
Ceti-11-1 Cetirizine 10mg tablet tab DCL1801 21-Sep 1.25 627 1 627  
20
Quic-11-1 Chloroquine phosphate 250mg tablet tab 879
69802 21-Sep 2.50 2 1758 Free
21
Quic-20-1 Chloroquine phosphate 60mg/5ml syrup bottle 26953 21-Aug 14.60 28 11.68 327.04 Free
22
Cipr-11-1 Ciprofloxacillin 500mg tablet tab 299053 22-Oct 1.00 890 0.8 712  
23
Clar-11-1 Claritromycine 500mg tablet tab OO419100010 21-Sep 4.70 1317 3.76 4951.92  
24 
Clin-10-1 Clindamycine 150mg capsule cap O24 20-Dec 4.35 43 3.48 149.64  
25 
Clot-60-1 Clotrimazole 100mg vaginal tablet tab CVIH0007 21-May 17.60 54 14.08 760.32  
26
Dexa-50-1 Dexamethasone 0.25%- topical cream tube HS19002 21-Feb 62.50 12 50 600  
27
28 Dexa-30-1 Dexamethasone 4mg/ml injaection amp I19012 20-Dec 31.00 82 24.8 2033.6  
 Dext-22-1 Dextrometorphan 15mg/5ml syrup bottle 31665 22-May 82.50 5 66 330  
29
Dicp-11-1 Diclofenac potassium 50mg tablet Tab FCAPJ902 22-Aug 0.60 240 0.48 115.2  
30
Dics-30-1 Diclofenac sodium 75mg/3ml injection Amp 181211 21-Dec 1.85 6 1.48 8.88  
31
Digo-01-1 Digoxin 0.25mg tablet tab 6046/1 24-May 1.75 329 1.4 460.6  
32
Dime-11-1 Dimenhydrinate 50mg tablet tab OO15 22-Jan 1.70 264 1.36 359.04  
33
Diph-20-1 Diphenhydramine hydrochloride 125ml 4
12.5mg/5ml Elixir NL9243 22-Nov 82.50 66 264  
34
Diph-20-2 Diphenhydramine hydrochloride 125ml 3
12.5mg/5ml Elixir D1900221005 22-Apr 12.50 10 30  
35
Doxy-01-1 Doxycycline 100mg capsule Cap 27553 22-Nov 0.55 732 0.44 322.08  
36 
Enal-11-1 Enalapril 5mg tablet tab D19005BX52 21-Aug 0.55 468 0.44 205.92  
37
Eryt-10-1 Erythromycine streate 250mg tablet tab D18038BX62 21-May 1.25 218 1 218  
38
Ferg-10-1 Ferrous gluconate 300mg tablet tab G171201 20-Nov 0.65 1510 0.52 785.2  
39
Fers-20-1 Ferrous sulfate 125mg/5ml syrup 200ml SE26-J7 21-Jun 100 10 80 800  
40
Fluo-01-1 Fluoxetine 20mg tablet tab 21807 21-Jan 1.35 129 1.08 139.32  
41
Foli-11-1 Folic acid 5mg tablet tab OO27 21-Dec 1.65 590 1.32 778.8  
42
Frus-10-1 Frusemide 40mg tablet tab 10190301 21-Mar 0.60 719 0.48 345.12  
43
Gent-40-1 Gentamycine 0.3% eye/ear drop 10ml O80A001 21-Dec 12.9 3 10.32 30.96  
44
45 Glib-10-1 Glibenclamide 5mg tablet tab 183121041 21-Mar 0.65 190 0.52 98.8  
 Halo-11-1 Haloperidole 1.5mg tablet tab 762385 23-Apr 2.20 400 1.76 704  
46
Halo-13-1 Haloperidole 5mg tablet tab B801A 21-Jan 0.80 170 0.64 108.8  
47
Heam-20-1 Heam up syrup 200ml D2005BX70 22-Dec 95.00 11 76 836  
48
Thia-10-1 Hydrochlorothiazide 25mg tablet tab OO719040020 21-Mar 0.35 1450 0.28 406  
49
Hyos-11-1 Hyoscine butyl hydrobromide 10mg tab 76
tablet 128 21-Apr 3.95 3.16 240.16  
50
Hyos-11-2 Hyoscine butyl hydrobromide 10mg tab 230
tablet 128 21-Dec 0.55 0.44 101.2  
 51
Imip-11-1 Imipramine 25mg tablet tab 78601 23-Oct 0.65 100 0.52 52  
 52
Ivca-74-1 Intravenous cannula No. 22G pcs 3056819B 24-Jan 4.30 85 3.44 292.4  
53
Lora-10-1 Lorantidine 10mg tablet tab C1004 21-Sep 1.10 583 0.88 513.04  
54
Mebe-10-1 Mebendazole 100mg tablet tab D19014BX80 22-Dec 0.55 960 0.44 422.4  
55
Mebe-20-1 Mebendazole 100mg/5ml suspension bottle L2828 20-Dec 17.65 29 14.12 409.48  
56 
Meto-11-1 Metoclorpramide 10mg tablet tab T2237 20-Aug 0.25 575 0.2 115  
57
Metr-20-1 Metronidazole 125mg/5ml suspension 100ml 30229 22-Nov 14.00 2 11.2 22.4  
58
Morp-14-1 Morphine sulphate 30mg tablet tab GV1269 21-Sep 5.20 35 4.16 145.6  
59
Muvi-10-1 Multivitamin with minerals tablet tab D19025B30C 21-Jul 1.50 240 1.2 288  
60
Muvi-10-1 Multivitamin with minerals tablet tab 1807113 21-Jul 1.50 160 1.2 192  
61
62 Nife-12-1 Nifedipine 20mg tablet tab OO119050030 21-Apr 0.40 176 0.32 56.32  
 Fura-56-1 Nitrofurazone-0.2% - soluble ointment 30gm IE19006 22-Jan 13.85 7 11.08 77.56  
63
Norf-10-1 Norfloxacillin 400mg tablet tab ID121 21-Mar 1.10 573 0.88 504.24  
64
Omep-10-1 Omeprazole 20mg tablet tab COC19032E 21-Sep 2.40 102 1.92 195.84  
65
Orsp-26-1 Oral rehydration salt 20.7g Sachet O39A021 20-Dec 2.60 286 2.08 594.88 Free
66
Para-20-1 Paracetamole 120mg/5ml syrup 60ml L2339 22-Oct 35.00 17 28 476  
67
Para-13-1 Paracetamole 500mg tablet tab 30925 24-Feb 1.00 1000 0.8 800  
68
Para-11-1 Paracetamole 500mg tablet tab 31166 24-Mar 0.20 2368 0.16 378.88  
69
Para-61-2 Paracetamole125mg suppository supp 1193 23-Aug 2.10 300 1.68 504  
70
Para-61-1 Paracetamole125mg suppository supp (10)H2ACJ048 21-Oct 1.20 300 0.96 288  
71
Penb-37-1 Pencillin G, benzanthine 2.4MIU vial 711192 21-Feb 10.65 86 8.52 732.72  
72
Toin-11-1 Phenytoin 100mg tablet tab HPS903A 21-Mar 2.80 620 2.24 1388.8  
73
Toin-10-1 Phenytoin 50mg tablet tab NT80324 21-Apr 1.25 1600 1 1600  
74
Pota-12-1 Potassium chloride 600mg tablet tab O6190201 21-Feb 0.60 240 0.48 115.2  
75
Praz-10-1 Praziquantel 600mg tablet tab A1B134 22-Feb 4.85 213 3.88 826.44  
76
Pred-13-1 Prednisolone 5mg tab tab OO40083 23-Apr 2.10 250 1.68 420  
77
Prim-10-1 Primaquine phosphate 7.5mg tablet tab 80283 21-Feb 2.00 1200 1.6 1920 Free
78
Prom-10-1 Prometazine HCL 25mg tablet tab 8120273 21-Dec 0.20 965 0.16 154.4  
79
80 Prop-12-1 Propnolol 40mg tablet tab 79126 23-Nov 0.25 540 0.2 108  
 Quin-10-1 Quinine sulfate 300mg tablet tab 9F117 22-May 1.65 358 1.32 472.56 Free
81
Risp-11-1 Risperidone 2mg tablet tab 73747 20-Sep 1.40 140 1.12 156.8  
82
Salb-45-1 Salbutamol -0.1mg/dos- Aerosole (Oral 200M 44
inhalation) D KF4326 21-Aug 108.00 86.4 3801.6  
83
Salb-45-1 Salbutamol -0.1mg/dos- Aerosole (Oral 200M 4
inhalation) D 902005 22-Jun 169.00 135.2 540.8  
84
Spir-10-1 Spiranolactone 25mg tablet tab 1903801 21-Apr 0.40 590 0.32 188.8  
85
Sutr-20-1 Sulfametoxazole + Trimethoprim bottle 2
240mg/5ml suspension 31137 23-Mar 14.00 11.2 22.4  
86
Glov-72-1 Surgical glove 7.5cm pair SH18246-4 24-Feb 6.80 32 5.44 174.08  
87
Blad-75-1 Surgical scalpel blade-No. 15 Pcs 6396/BS 21-Sep 0.75 82 0.6 49.2  
88
Syri-80-1 Syringe (Disposable) 10ml with needl pcs 190506 24-May 2.00 135 1.6 216  
89
Syri-77-1 Syringe (Disposable) 3ml with needle pcs 170405-03 22-Apr 1.50 300 1.2 360  
90
Syri-78-1 Syringe (Disposable) 5ml with needle pcs O640 21-Aug 1.50 253 1.2 303.6  
91
Syri-77-1 Syringe(Disposable) 3ml with needle pcs 20170606 22-Jun 1.50 200 1.2 240  
92
Tetr-45-1 Tetracycline 1% eye ointment 4.5gm AF19034 22-May 5.20 51 4.16 212.16  
93
Tini-11-1 Tinidazole 500mg tablet tab 9050072 22-May 0.50 116 0.4 46.4  
94
Tram-30-1 Tramadole HCL 100mg/2ml injection amp BA1908025A 21-Jul 24.75 94 19.8 1861.2  
95
Tram-01-1 Tramadole HCL 50mg capsule cap TMCE19035E 22-Nov 2.65 120 2.12 254.4  
96
 Vita-03-1 Vitamin A 100,000IU capsule Cap AS176 21-Mar 1.00 17 0.8 13.6 Free
97
Wate-31-1 Water for injection 10ml-injection vial 34190750 21-Jul 1.20 56 0.64 35.84
98
55,499.25  
Total cost