Financial Report of Nursing Service Units' Forms, Office and Housek

Stock Unit Beg. DELIVERIES

January 2019 Unit
Level Cost Bal. 1st 2nd 3rd 4th 5th
CHART FORMS
TPR Graphic Sheet pc 1.5
Standing Order pc 1.5
Doctors' Order pc 1.5 500 150
Medication Sheet pc 1.5 600 500 300
Nurses Progress Notes pc 1.5 100 500 300 300
IVF Fluid Sheet pc 1.5
Intake/Output Chart pc 1.5 100
Transfusion of Bld. Comp. pc 1.5
Neurovital Sign Sheet pc 1.5
Partograph pc 1.5
Pre-Operative Checklist pc 1.5
Diabetic Flowsheet pc 1.5
Medico-Legal Form pc 1.5
Illustration of injuries pc 1.5
Physical Therapy Notes pc 1.5
Consultation Sheet pc 1.5
Vital Sign Monitoring Sheet pc 1.5 100
Serial Monitoring Sheet pc 1.5
Charge Nurse Worksheet #1 pc 1.5
Charge Nurse Worksheet #2 pc 1.5 50
Doctors list pc 0.75 200 200 200
Newsprint(for outsource medicine) pc 1.5
MICU/SICU Guidelines pc 1.5
Medical Certificate (OP) pc 0.75
CONSENT FORM:
Consent for Operation and Anes pc 1.5
Consent for Bld. Transfusion pc 1.5
Consent for Special Procedures pc 1.5
WAIVER:
Authorization of Release Body pc 1.5
HAMA Form pc 1.5
Refusal of Treatment pc 1.5

REQUEST:
Supply Requisition pc 0.75
Job Order Form pc 0.75
Central Service pc 0.5 100 300 200
Laboratory Request pink pc 0.75
Yellow pc 0.75
Green pc 0.75
pc 0.75
pc 0.75
Linen Request pc 0.5 100 400 300 500 500
Blue Stock Unit Beg. DELIVERIES
Unit
White Level Cost Bal. 1st 2nd 3rd 4th 5th
OR Schedule pc 0.5 200
Report on Gas Use pc 0.5 100
X-Ray Request pc 0.75 300
Returned Meds. Supplies pc 0.5 500 300 100
ECG Request pc 0.5 200
Medical Specialty Unit Rt. Form pc 0.75
Osteorized Feeding Request pc 0.5 200
In Patient Prescription pc 0.5
Out Patient Prescription pc 0.5 100 300 300 300 300
Prohibited/Regulated Drugs pc 0.5 100
Canteen Request pc 0.5
BLOOD TRANSFUSION FORMS:
Blood Request Form adult pc 1.5
Pedia pc 1.5
ROD's Report pc 0.75
NURSING UNIT FORMS:
Kardex pc 1.5 50 100
Assignment Sheet pc 1.5 50
Record on Gas Use pc 0.5 100
Discharge Checklist pc 1.5 150
Patients Room Checklist pc 0.75
Professional Fee pc 0.5 500 500 100
Diet List pc 1.5 200
Evaluation Form pc 0.75
Daily Work Sheet pc 0.75

TICKETS:
IVF Ticket pc 0.5 100 300 200 200
Blood Component Ticket pc 0.5
IV Meds. Ticket, long White pc 0.5 50 300 300
blue pc 0.5 200
orange pc 0.5 200
yellow pc 0.5 10
pink pc 0.5 200
green pc 0.5 200
Oral Meds. Ticket, short white pc 0.5 100 300 400 500
blue pc 0.5 200
yellow pc 0.5 200
pink pc 0.5 200
green pc 0.5 10 100 300
Orange Card Big (treatment) pc 0.5 240 180
White Card Big (OF) pc 0.5 180

Stock Unit Beg. DELIVERIES

January 2019 Unit
Level Cost Bal. 1st 2nd 3rd 4th 5th
OFFICE SUPPLIES
Pencil pc 6 2 2 2
Eraser pc 5 1 2 1
Pentelpen pc 40 2 2 2
Staple wire box 50 1
Paste pc 40
Masking tape pc 35 2 2 2 2
Scotch tape pc 25 2 2 2 2
Calculator pc 600
Scissor pc 120
Notebook pc 30
Battery: C+/ 9V pc 120 2 2
AA" pc 60 2 4
AAA pc 60 4 4 4
Clear Book(for Directory)

HOUSEKEEPING SUPPLIES:
Hand Soap (liquid, beautiful) liters 75
Powder/Detergent packs 3 41.6 1
Albatross pc 20.66 1 1 1
Scrubbing pad pc 22.65 1 1
Bottle Brush pc 33.65 1 1 1
Vinegar gallon 23.925
Alcohol ml 47 1 1 1

Approved By:

Sr. Rowena C. Rodil

Nursing Director
s, Office and Housekeeping Supplies
Total No. of Used Supplies End Balance Total Cost of Total Cost of
Supplies Used Supplies End Balance

650 650 975.00

1400 1000 400 1,500.00 600.00
1200 600 600 900.00 900.00

100 50 75.00

600

600 600 300.00

1800 1400 400 700.00 200.00

Total No. of Used Supplies End Balance Total Cost of Total Cost of
Supplies Used Supplies End Balance
200 200 100.00
100 40 60 20.00 30.00
 300 300 225.00
900
200

200 200 100.00

1300 1100 200 550.00 100.00

100 100 50.00

150
50
100
150 150 225.00

1100 700 400 350.00 200.00

200

800 400 400 200.00 200.00

650 600 50 300.00 25.00

200 200 100.00
200 200 100.00
10 10 5.00
200 200 100.00
200 200 100.00
1300
200 200 100.00
200 200 100.00
200 200 100.00
410 410 205.00
420
180

Total: 7,405.00 2,330.00

Total No. of Used Supplies End Balance Total Cost of Total Cost of
Supplies Used Supplies End Balance

6 4 2 24.00 12.00
4 4 20.00
6 6 240.00
1 1 50.00

8 6 2 210.00 70.00
8 3 75.00
 -1 1 -30.00 30.00
4 1 120.00
6 6 360.00
12 12 720.00

Total: 1,574.00 327.00

1 1 41.60
3 3 61.98
2 2 45.30
3 3 100.95

3 3 141.00

Total: 390.83

Total Cost of Total Cost of

Used Supplies End Balance

Grand Total: 9,369.83 2,657.00

 Financial Report of Nursing Service Units' Forms, Office and Housek
Stock Unit Beg. DELIVERIES
February 2018 Unit
Level Cost Bal. 1st 2nd 3rd 4th 5th
CHART FORMS
TPR Graphic Sheet pc 1.5
Standing Order pc 1.5
Doctors' Order pc 1.5 600 325
Medication Sheet pc 1.5 400
Nurses Progress Notes pc 1.5 600 75 500
IVF Fluid Sheet pc 1.5 75
Intake/Output Chart pc 1.5
Transfusion of Bld. Comp. pc 1.5
Neurovital Sign Sheet pc 1.5
Partograph pc 1.5
Pre-Operative Checklist pc 1.5
Diabetic Flowsheet pc 1.5
Medico-Legal Form pc 1.5
Illustration of injuries pc 1.5
Physical Therapy Notes pc 1.5
Consultation Sheet pc 1.5
Vital Sign Monitoring Sheet pc 1.5 50 325
Serial Monitoring Sheet pc 1.5
Charge Nurse Worksheet #1 pc 1.5
Charge Nurse Worksheet #2 pc 1.5
Doctors list pc 0.75
Newsprint(for outsource medicine) pc 1.5
MICU/SICU Guidelines pc 1.5
Medical Certificate (OP) pc 0.75
CONSENT FORM:
Consent for Operation and Anes pc 1.5 300
Consent for Bld. Transfusion pc 1.5
Consent for Special Procedures pc 1.5
WAIVER:
Authorization of Release Body pc 1.5
HAMA Form pc 1.5
Refusal of Treatment pc 1.5

REQUEST:
Supply Requisition pc 0.75
Job Order Form pc 0.75
Central Service pc 0.5 400 200
Laboratory Request pink pc 0.75
Yellow pc 0.75
Green pc 0.75
Blue pc 0.75
White pc 0.75
Linen Request pc 0.5 400 500 300
Stock Unit Beg. DELIVERIES
February 2018 Unit
Level Cost Bal. 1st
2nd
3rd 4th 5th
OR Schedule pc 0.5 100
Report on Gas Use pc 0.5 60
X-Ray Request pc 0.75
Returned Meds. Supplies pc 0.5 400 300
ECG Request pc 0.5
Medical Specialty Unit Rt. Form pc 0.75
Osteorized Feeding Request pc 0.5 100
In Patient Prescription pc 0.5 100
Out Patient Prescription pc 0.5 200 200 300
Prohibited/Regulated Drugs pc 0.5
Canteen Request pc 0.5
BLOOD TRANSFUSION FORMS:
Blood Request Form adult pc 1.5
Pedia pc 1.5 50
ROD's Report pc 0.75
NURSING UNIT FORMS:
Kardex pc 1.5 275 100
Assignment Sheet pc 1.5
Record on Gas Use pc 0.5 200
Discharge Checklist pc 1.5
Patients Room Checklist pc 0.75
Professional Fee pc 0.5 400 300 300
Diet List pc 1.5 125
Evaluation Form pc 0.75
Daily Work Sheet pc 0.75

TICKETS:
IVF Ticket pc 0.5 400 200
Blood Component Ticket pc 0.5
IV Meds. Ticket, long White pc 0.5 50 500 200
blue pc 0.5 100 100
orange pc 0.5
yellow pc 0.5 200
pink pc 0.5 100 100
green pc 0.5
Oral Meds. Ticket, short white pc 0.5 500
blue pc 0.5 100
yellow pc 0.5 200
pink pc 0.5
green pc 0.5 300
Orange Card Big (treatment) pc 0.5 250
White Card Big (OF) pc 0.5

Stock Unit Beg. DELIVERIES

February 2018 Unit
Level Cost Bal. 1st 2nd 3rd 4th 5th
OFFICE SUPPLIES
Pencil pc 6 2 2 1
Eraser pc 5 4 1 1
Pentelpen pc 40 3 1
Staple wire box 50
Paste pc 40
Masking tape pc 35 2
Scotch tape pc 25 3
Calculator pc 600
Scissor pc 120
Notebook pc 30 1 1 1
Battery: C+/ 9V pc 120 1
AA" pc 60 1 2
AAA pc 60 4
Clear Book(for Directory)

HOUSEKEEPING SUPPLIES:
Hand Soap (liquid, beautiful) liters 75 1 1
Powder/Detergent packs 3 41.6
Albatross pc 20.66 1 1
Scrubbing pad pc 22.65 1
Bottle Brush pc 33.65 1
Vinegar gallon 23.925
Alcohol ml 47

Approved By:

Sr. Rowena C. Rodil

Nursing Director
s, Office and Housekeeping Supplies
Total No. of Used Supplies End Balance Total Cost of Total Cost of
Supplies Used Supplies End Balance

925 425 500 637.50 750.00

400 350 525.00
1175 575 600 862.50 900.00
75 75 112.50
-50 50 -75.00 75.00

500 750.00

375 325 50 487.50 75.00

300 300 450.00

600 600 300.00

50 37.50

1200 1000 200 500.00 100.00

Total No. of Used Supplies End Balance Total Cost of Total Cost of
Supplies Used Supplies End Balance
100 100 50.00
60
 50 37.50
700 700 350.00
150 75.00

100 100 50.00

100 100 50.00
700 450 250 225.00 125.00

50 50 75.00

375 225 150 337.50 225.00

200 200 100.00

1000 600 400 300.00 200.00

125 -175 300 -262.50 450.00
250 187.50

600 100 500 50.00 250.00

750 550 200 275.00 100.00

200 150 50 75.00 25.00

200 190 10 95.00 5.00

200 200 100.00

500 400 100 200.00 50.00

100 100 50.00
200 200 100.00

300 100 200 50.00 100.00

250 50 200 25.00 100.00
100 50.00

Total: 5,520.00 5,242.50

Total No. of Used Supplies End Balance Total Cost of Total Cost of
Supplies Used Supplies End Balance

5 1 4 6.00 24.00
6 3 3 15.00 15.00
4 3 1 120.00 40.00
1 50.00

2 3 105.00
3 2 50.00
3 3 90.00
1 1 120.00
3 2 1 120.00 60.00
4 4 240.00

Total: 591.00 464.00

2 2 150.00

2 2 41.32
1 1 22.65
1 1 33.65

Total: 247.62

Total Cost of Total Cost of

Used Supplies End Balance

Grand Total: 6,358.62 5,706.50

 MARCH

Financial Report of Nursing Service Units' Forms, Office and Housekeeping S

Stock Unit Beg. DELIVERIES Total No. of
March 2018 Unit
Level Cost Bal. 1 st
2nd
3rd 4th 5th Supplies
CHART FORMS
TPR Graphic Sheet pc 1.5
Standing Order pc 1.5 1050
Doctors' Order pc 1.5 500 150 400 700
Medication Sheet pc 1.5 350 150 200 1200
Nurses Progress Notes pc 1.5 600 200 400
IVF Fluid Sheet pc 1.5 50
Intake/Output Chart pc 1.5 50
Transfusion of Bld. Comp. pc 1.5 500
Neurovital Sign Sheet pc 1.5 500
Partograph pc 1.5
Pre-Operative Checklist pc 1.5
Diabetic Flowsheet pc 1.5
Medico-Legal Form pc 1.5
Illustration of injuries pc 1.5
Physical Therapy Notes pc 1.5
Consultation Sheet pc 1.5 50
Vital Sign Monitoring Sheet pc 1.5 50
Serial Monitoring Sheet pc 1.5
Charge Nurse Worksheet #1 pc 1.5
Charge Nurse Worksheet #2 pc 1.5
Doctors list pc 0.75
Newsprint(for outsource medicine) pc 1.5
CONSENT FORM:
Consent for Operation and Anes pc 1.5 300
Consent for Bld. Transfusion pc 1.5
Consent for Special Procedures pc 1.5
WAIVER:
Authorization of Release Body pc 1.5
HAMA Form pc 1.5
Refusal of Treatment pc 1.5

REQUEST:
Supply Requisition pc 0.75 200
Central Service pc 0.5 200
Laboratory Request pink pc 0.75
Yellow pc 0.75
Green pc 0.75 50
Blue pc 0.75 50
White pc 0.75 600
Linen Request pc 0.5 300 300
Stock Unit Beg. DELIVERIES Total No. of
March 2018 Unit
Level Cost Bal. 1 st
2nd
3rd 4th 5th Supplies
OR Schedule pc 0.5 200 200 400
Report on Gas Use pc 0.5 200 200
X-Ray Request pc 0.75
Returned Meds. Supplies pc 0.5 200 200
ECG Request pc 0.5

Page 1
 MARCH
Medical Specialty Unit Rt. Form pc 0.75 50 50
Osteorized Feeding Request pc 0.5
In Patient Prescription pc 0.5 150 150
Out Patient Prescription pc 0.5 300 300 600
Prohibited/Regulated Drugs pc 0.5 100 200 300
Canteen Request pc 0.5
BLOOD TRANSFUSION FORMS:
Blood Request Form adult pc 1.5 200 200
Pedia pc 1.5
NURSING UNIT FORMS:
Kardex pc 1.5 200 200
Assignment Sheet pc 1.5
Record on Gas Use pc 0.5
Discharge Checklist pc 1.5
Patients Room Checklist pc 0.75 150 150
Professional Fee pc 0.5 200 200
Diet List pc 1.5
Evaluation Form pc 0.75
Daily Work Sheet pc 0.75

TICKETS:
IVF Ticket pc 0.5 250 200 300 750
Blood Component Ticket pc 0.5
IV Meds. Ticket, long White pc 0.5 200 300 500
blue pc 0.5 200 200 400
orange pc 0.5 500 500
yellow pc 0.5
pink pc 0.5 200 200 400
green pc 0.5 50 50
Oral Meds. Ticket, short white pc 0.5 100 200 300 600
blue pc 0.5 10 200 210
yellow pc 0.5
pink pc 0.5 200 200
green pc 0.5 100 100
Orange Card Big (treatment) pc 0.5 240 180 420
White Card Big (OF) pc 0.5 240 60 300

Stock Unit Beg. DELIVERIES Total No. of

March 2018 Unit
Level Cost Bal. 1 st
2nd
3rd 4th 5th Supplies
OFFICE SUPPLIES
Pencil pc 6 2 1 3
Eraser pc 5
Pentelpen pc 40 2 2 4
Staple wire box 50
Paste pc 40 4 4
Masking tape pc 35 3 2 2 7
Scotch tape pc 25 1 2 1 4
Calculator pc 600 1 1
Scissor pc 120
Notebook pc 30 3 3
Battery: C+/ 9V pc 120 2 2 4
AA" pc 60

Page 2
 MARCH
AAA pc 60 8 8 16
Clear Book(for Directory)

HOUSEKEEPING SUPPLIES:
Hand Soap (liquid, beautiful) liters 75 1 1 2
Powder/Detergent packs 3 41.6 1 1
Albatross pc 20.66
Scrubbing pad pc 22.65 1 1 2
Bottle Brush pc 33.65
Vinegar gallon 23.925
Alcohol ml 47 1 1

Gra
Approved By:

Sr. Rowena C. Rodil

Nursing Director

Page 3
 MARCH

eeping Supplies
Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

850 200 1,275.00 300.00

700 1,050.00
1100 100 1,650.00 150.00
250 375.00
50 75.00

150 225.00

150 225.00

200 150.00

100 100 50.00 50.00

400 200 200.00 100.00

Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance
400 200.00

200 100.00

Page 4
 MARCH

100 500 50.00 250.00

300 150.00

200 300.00

200 300.00

50 25.00

150 50 75.00 25.00

100 75.00

350 400 175.00 200.00

50 25.00
350 150 175.00 75.00
400 200.00

400 200.00

500 100 250.00 50.00

180 30 90.00 15.00

200 100.00
50 25.00
220 200 110.00 100.00
100 200 50.00 100.00

Total: 6,525.00 2,840.00

Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

1 2 6.00 12.00
2 10.00
4 160.00

7 245.00
2 2 50.00 50.00

4 480.00
2 120.00

Page 5
 MARCH
14 2 840.00 120.00

Total: 1,781.00 312.00

2 150.00
1 41.60
1 20.66

Total: 191.60 20.66

Total Cost of Total Cost of

Used Supplies End Balance

Grand Total: 8,497.60 3,172.66

Page 6
 APRIL

Financial Report of Nursing Service Units' Forms, Office and Housekeeping S

Stock Unit Beg. DELIVERIES Total No. of
April 2018 Unit
Level Cost Bal. 1 st
2nd
3rd 4th 5th Supplies
CHART FORMS
TPR Graphic Sheet pc 1.5
Standing Order pc 1.5
Doctors' Order pc 1.5 200 300 200 700
Medication Sheet pc 1.5 200 200
Nurses Progress Notes pc 1.5 100 300 500 900
IVF Fluid Sheet pc 1.5 250 250
Intake/Output Chart pc 1.5
Transfusion of Bld. Comp. pc 1.5
Neurovital Sign Sheet pc 1.5 150 150
Partograph pc 1.5
Pre-Operative Checklist pc 1.5
Diabetic Flowsheet pc 1.5
Medico-Legal Form pc 1.5
Illustration of injuries pc 1.5
Physical Therapy Notes pc 1.5
Consultation Sheet pc 1.5
Vital Sign Monitoring Sheet pc 1.5 150 150
Serial Monitoring Sheet pc 1.5
Charge Nurse Worksheet #1 pc 1.5
Charge Nurse Worksheet #2 pc 1.5
Doctors list pc 0.75 200 200
Newsprint(for outsource medicine) pc 1.5
CONSENT FORM:
Consent for Operation and Anes pc 1.5
Consent for Bld. Transfusion pc 1.5
Consent for Special Procedures pc 1.5
WAIVER:
Authorization of Release Body pc 1.5
HAMA Form pc 1.5
Refusal of Treatment pc 1.5

REQUEST:
Supply Requisition pc 0.75
Central Service pc 0.5 100 100
Laboratory Request pink pc 0.75
Yellow pc 0.75
Green pc 0.75
Blue pc 0.75
White pc 0.75
Linen Request pc 0.5 200 300 500 1000

April 2018 Unit Stock Unit Beg. Total No. of

Level Cost Bal. 1st 2nd 3rd 4th 5th Supplies
OR Schedule pc 0.5
Report on Gas Use pc 0.5 300 200 500
X-Ray Request pc 0.75
Returned Meds. Supplies pc 0.5 300 300 600
ECG Request pc 0.5

Page 7
 APRIL
Medical Specialty Unit Rt. Form pc 0.75
Osteorized Feeding Request pc 0.5
In Patient Prescription pc 0.5
Out Patient Prescription pc 0.5 500 400 500 1400
Prohibited/Regulated Drugs pc 0.5 200 200
Canteen Request pc 0.5
BLOOD TRANSFUSION FORMS:
Blood Request Form adult pc 1.5
Pedia pc 1.5
NURSING UNIT FORMS:
Kardex pc 1.5 200 200 400
Assignment Sheet pc 1.5
Record on Gas Use pc 0.5 50 100 150
Discharge Checklist pc 1.5
Patients Room Checklist pc 0.75
Professional Fee pc 0.5 50 400 500 950
Diet List pc 1.5
Evaluation Form pc 0.75 100 100
Daily Work Sheet pc 0.75

TICKETS:
IVF Ticket pc 0.5 400 300 700
Blood Component Ticket pc 0.5 50 50
IV Meds. Ticket, long White pc 0.5 150 200 350
blue pc 0.5
orange pc 0.5
yellow pc 0.5
pink pc 0.5
green pc 0.5
Oral Meds. Ticket, short white pc 0.5 100 300 300 700
blue pc 0.5 30 30
yellow pc 0.5
pink pc 0.5
green pc 0.5 50 50
Orange Card Big (treatment) pc 0.5 200 60 260
White Card Big (OF) pc 0.5 200 200

Stock Unit Beg. DELIVERIES Total No. of

April 2018 Unit
Level Cost Bal. 1 st
2nd
3rd 4th 5th Supplies
OFFICE SUPPLIES
Pencil pc 6 2 2 1 5
Eraser pc 5 2 2
Pentelpen pc 40 2 2 4
Staple wire box 50
Paste pc 40
Masking tape pc 35 2 2 4
Scotch tape pc 25 2 2
Calculator pc 600
Scissor pc 120
Notebook pc 30
Battery: C+/ 9V pc 120 2 2
AA" pc 60 2 2

Page 8
 APRIL
AAA pc 60 2 3 8 13
Clear Book(for Directory)

HOUSEKEEPING SUPPLIES:
Hand Soap (liquid, beautiful) liters 75
Powder/Detergent packs 3 41.6
Albatross pc 20.66 1 1 1 3
Scrubbing pad pc 22.65 1 1 2
Bottle Brush pc 33.65
Vinegar gallon 23.925
Alcohol ml 47 1 1 2

Gra
Approved By:

Sr. Rowena C. Rodil

Nursing Director

Page 9
 APRIL

eeping Supplies
Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

150 225.00
75 112.50
600 100 900.00 150.00
180 20 270.00 30.00
700 200 1,050.00 300.00
100 150.00

200 150.00

100 150.00
100 150.00
100 150.00

80 120.00

300 150.00
100 75.00
100 75.00

1000 500.00
Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance
50 25.00
400 100 200.00 50.00

500 100 250.00 50.00

Page 10
 APRIL
200 150.00
50 25.00
200 100.00
400 200.00
200 100.00

150 225.00

100 300 150.00 450.00

50 100 25.00 50.00

850 100 425.00 50.00

300 450.00
150 112.50

100 600 50.00 300.00

100 50.00
150 200 75.00 100.00
50 25.00
200 100.00
300 150.00
100 50.00

700 350.00

100 50.00

160 100 80.00 50.00

100 50.00

Total: 4,625.00 4,650.00

Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

5 30.00

4 160.00
1 50.00

2 2 70.00 70.00
1 25.00

2 240.00

Page 11
 APRIL
13 780.00

Total: 1,280.00 145.00

3 61.98
1 1 22.65 22.65

2 94.00

Total: 178.63 22.65

Total Cost of Total Cost of

Used Supplies End Balance

Grand Total: 6,083.63 4,817.65

Page 12
 MAY

Financial Report of Nursing Service Units' Forms, Office and Housekeeping S

Stock Unit Beg. DELIVERIES Total No. of
May 2018 Unit
Level Cost Bal. st
1 2nd
3rd 4th 5th Supplies
CHART FORMS
TPR Graphic Sheet pc 1.5 150 150
Standing Order pc 1.5 75 75
Doctors' Order pc 1.5 100 100
Medication Sheet pc 1.5 20 20
Nurses Progress Notes pc 1.5 200 300 500
IVF Fluid Sheet pc 1.5 100 100
Intake/Output Chart pc 1.5
Transfusion of Bld. Comp. pc 1.5
Neurovital Sign Sheet pc 1.5
Partograph pc 1.5
Pre-Operative Checklist pc 1.5
Diabetic Flowsheet pc 1.5
Medico-Legal Form pc 1.5
Illustration of injuries pc 1.5
Physical Therapy Notes pc 1.5
Consultation Sheet pc 1.5 150 150
Vital Sign Monitoring Sheet pc 1.5
Serial Monitoring Sheet pc 1.5
Charge Nurse Worksheet #1 pc 1.5
Charge Nurse Worksheet #2 pc 1.5
Doctors list pc 0.75 200 200
Newsprint(for outsource medicine) pc 1.5
CONSENT FORM:
Consent for Operation and Anes pc 1.5 100 100
Consent for Bld. Transfusion pc 1.5 100 100
Consent for Special Procedures pc 1.5 100 100
WAIVER:
Authorization of Release Body pc 1.5
HAMA Form pc 1.5 80 80
Refusal of Treatment pc 1.5

REQUEST:
Supply Requisition pc 0.75
Central Service pc 0.5 300 300 200 800
Laboratory Request pink pc 0.75 100 100
Yellow pc 0.75 100 100
Green pc 0.75
Blue pc 0.75
White pc 0.75
Linen Request pc 0.5 500 200 700
Stock Unit Beg. DELIVERIES Total No. of
May 2018 Unit
Level Cost Bal. st
1 2nd
3rd 4th 5th Supplies
OR Schedule pc 0.5 50 50
Report on Gas Use pc 0.5 100 300 200 600
X-Ray Request pc 0.75
Returned Meds. Supplies pc 0.5 100 300 200 600
ECG Request pc 0.5

Page 13
 MAY
Medical Specialty Unit Rt. Form pc 0.75 200 200
Osteorized Feeding Request pc 0.5 50 300 300 650
In Patient Prescription pc 0.5 200 200
Out Patient Prescription pc 0.5 600 200 800
Prohibited/Regulated Drugs pc 0.5
Canteen Request pc 0.5
BLOOD TRANSFUSION FORMS:
Blood Request Form adult pc 1.5 150 150
Pedia pc 1.5
NURSING UNIT FORMS:
Kardex pc 1.5 300 200 500
Assignment Sheet pc 1.5
Record on Gas Use pc 0.5 100 100
Discharge Checklist pc 1.5
Patients Room Checklist pc 0.75
Professional Fee pc 0.5 100 300 400
Diet List pc 1.5 300 300
Evaluation Form pc 0.75 150 150
Daily Work Sheet pc 0.75 200 200

TICKETS:
IVF Ticket pc 0.5 600 300 300 1200
Blood Component Ticket pc 0.5 100 100
IV Meds. Ticket, long White pc 0.5 200 200 400
blue pc 0.5 50 200 250
orange pc 0.5 200 200
yellow pc 0.5 300 300
pink pc 0.5 100 100
green pc 0.5
Oral Meds. Ticket, short white pc 0.5 200 200
blue pc 0.5 200 200
yellow pc 0.5 100 100
pink pc 0.5 200 200
green pc 0.5
Orange Card Big (treatment) pc 0.5 100 180 280
White Card Big (OF) pc 0.5 100 100 200

Stock Unit Beg. DELIVERIES Total No. of

May 2018 Unit
Level Cost Bal. st
1 2nd
3rd 4th 5th Supplies
OFFICE SUPPLIES
Pencil pc 6 2 1 3
Eraser pc 5
Pentelpen pc 40 2 2
Staple wire box 50 1 1
Paste pc 40
Masking tape pc 35 2 2 2 6
Scotch tape pc 25 1 1 2
Calculator pc 600
Scissor pc 120 1 1
Notebook pc 30 1 1
Battery: C+/ 9V pc 120
AA" pc 60 2 2

Page 14
 MAY
AAA pc 60 4 4
Clear Book(for Directory)

HOUSEKEEPING SUPPLIES:
Hand Soap (liquid, beautiful) liters 75
Powder/Detergent packs 41.6
Albatross pc 20.66 1 1 2
Scrubbing pad pc 22.65 1 1 1 3
Bottle Brush pc 33.65 1 1 2
Vinegar gallon 23.925
Alcohol ml 47
Carbon Paper pc 2

Gra
Approved By:

Sr. Rowena C. Rodil

Nursing Director

Page 15
 MAY

eeping Supplies
Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

140 210.00
75 112.50
200 300.00

350 150 525.00 225.00

100 150.00

40 60.00

50 75.00

150 225.00
100 150.00
90 135.00

300 225.00

80 120.00
75 112.50
70 105.00

70 105.00

700 100 350.00 50.00

70 52.50
80 60.00

600 100 300.00 50.00

Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance
40 20.00
540 60 270.00 30.00

400 200 200.00 100.00

Page 16
 MAY
100 100 75.00 75.00
625 25 312.50 12.50
250 125.00
700 100 350.00 50.00

50 100 75.00 150.00

300 200 450.00 300.00

40 20.00

100 300 50.00 150.00

300 450.00
60 45.00
200 150.00

900 300 450.00 150.00

25 12.50
300 100 150.00 50.00
190 60 95.00 30.00
300 150.00
290 145.00
50 25.00

100 100 50.00 50.00

100 100 50.00 50.00
60 30.00
200 100.00

230 50 115.00 25.00

160 40 80.00 20.00

Total: 4,422.50 4,562.50

Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

2 1 12.00 6.00
1 5.00
1 1 40.00 40.00
1 50.00

6 210.00
2 50.00

1 120.00
1 30.00

2 120.00

Page 17
 MAY
4 240.00

Total: 822.00 101.00

2 41.32
3 67.95
2 67.30

Total: 176.57

Total Cost of Total Cost of

Used Supplies End Balance

Grand Total: 5,421.07 4,663.50

Page 18
 JUNE

Financial Report of Nursing Service Units' Forms, Office and Housekeeping S

Stock Unit Beg. DELIVERIES Total No. of
June 2018 Unit
Level Cost Bal. 1 st
2nd
3rd 4th 5th Supplies
CHART FORMS
TPR Graphic Sheet pc 1.5 140 140
Standing Order pc 1.5 75 75
Doctors' Order pc 1.5 200 100 100 400
Medication Sheet pc 1.5 100 100 200
Nurses Progress Notes pc 1.5 150 150 300 300 900
IVF Fluid Sheet pc 1.5 100 100
Intake/Output Chart pc 1.5
Transfusion of Bld. Comp. pc 1.5
Neurovital Sign Sheet pc 1.5
Partograph pc 1.5
Pre-Operative Checklist pc 1.5 40 40
Diabetic Flowsheet pc 1.5
Medico-Legal Form pc 1.5 50 50
Illustration of injuries pc 1.5
Physical Therapy Notes pc 1.5
Consultation Sheet pc 1.5
Vital Sign Monitoring Sheet pc 1.5 100 150 250
Serial Monitoring Sheet pc 1.5 90 90
Charge Nurse Worksheet #1 pc 1.5
Charge Nurse Worksheet #2 pc 1.5
Doctors list pc 0.75 300 300
Newsprint(for outsource medicine) pc 1.5
CONSENT FORM:
Consent for Operation and Anes pc 1.5 80 80
Consent for Bld. Transfusion pc 1.5 75 75
Consent for Special Procedures pc 1.5 70 70
WAIVER:
Authorization of Release Body pc 1.5
HAMA Form pc 1.5 70 70
Refusal of Treatment pc 1.5

REQUEST:
Supply Requisition pc 0.75
Central Service pc 0.5 100 300 400
Laboratory Request pink pc 0.75 70 70
Yellow pc 0.75 80 80
Green pc 0.75
Blue pc 0.75
White pc 0.75
Linen Request pc 0.5 100 300 100 600 1100
Stock Unit Beg. DELIVERIES Total No. of
June 2018 Unit
Level Cost Bal. 1 st
2nd
3rd 4th 5th Supplies
OR Schedule pc 0.5 40 200 240
Report on Gas Use pc 0.5 60 60
X-Ray Request pc 0.75
Returned Meds. Supplies pc 0.5 200 300 300 300 1100
ECG Request pc 0.5 100 100

Page 19
 JUNE
Medical Specialty Unit Rt. Form pc 0.75 100 100
Osteorized Feeding Request pc 0.5 25 300 325
In Patient Prescription pc 0.5 250 200 450
Out Patient Prescription pc 0.5 100 300 600 1000
Prohibited/Regulated Drugs pc 0.5
Canteen Request pc 0.5
BLOOD TRANSFUSION FORMS:
Blood Request Form adult pc 1.5 100 100
Pedia pc 1.5
NURSING UNIT FORMS:
Kardex pc 1.5 200 200 200 100 700
Assignment Sheet pc 1.5
Record on Gas Use pc 0.5 40 40
Discharge Checklist pc 1.5
Patients Room Checklist pc 0.75
Professional Fee pc 0.5 300 300 100 700
Diet List pc 1.5 300 300
Evaluation Form pc 0.75 60 100 160
Daily Work Sheet pc 0.75

TICKETS:
IVF Ticket pc 0.5 300 100 200 200 800
Blood Component Ticket pc 0.5 25 25
IV Meds. Ticket, long White pc 0.5 100 300 200 200 800
blue pc 0.5 60 100 160
orange pc 0.5 300 100 400
yellow pc 0.5 290 290
pink pc 0.5 50 100 150
green pc 0.5
Oral Meds. Ticket, short white pc 0.5 100 500 200 300 1100
blue pc 0.5 100 200 300
yellow pc 0.5 60 60
pink pc 0.5 200 200
green pc 0.5
Orange Card Big (treatment) pc 0.5 50 300 350
White Card Big (OF) pc 0.5 40 300 340

Stock Unit Beg. DELIVERIES Total No. of

June 2018 Unit
Level Cost Bal. 1 st
2nd
3rd 4th 5th Supplies
OFFICE SUPPLIES
Pencil pc 6 1 2 2 2 7
Eraser pc 5 1 1 1 3
Pentelpen pc 40 1 2 2 5
Staple wire box 50 1 1 2
Paste pc 40
Masking tape pc 35 2 2 2 6
Scotch tape pc 25 2 2 2 6
Calculator pc 600 1 1
Scissor pc 120 1 1
Notebook pc 30 1 1
Battery: C+/ 9V pc 120
AA" pc 60 2 2

Page 20
 JUNE
AAA pc 60 4 1 5
Clear Book(for Directory)

HOUSEKEEPING SUPPLIES:
Hand Soap (liquid, beautiful) liters 75
Powder/Detergent packs 3 41.6
Albatross pc 20.66 1 1
Scrubbing pad pc 22.65 1 1 1 3
Bottle Brush pc 33.65 1 1
Vinegar gallon 23.925
Alcohol ml 47 2 2

Gra
Approved By:

Sr. Rowena C. Rodil

Nursing Director

Page 21
 JUNE

eeping Supplies
Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

100 150.00
50 75.00
100 100 150.00 150.00
200 300.00
800 100 1,200.00 150.00

30 45.00

5 45 7.50 67.50

200 50 300.00 75.00

80 120.00

150 112.50

70 105.00
60 90.00
60 90.00

60 90.00

350 50 175.00 25.00

70 50 52.50 37.50
50 37.50

1060 40 530.00 20.00

Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance
210 30 105.00 15.00
20 10.00

1000 100 500.00 50.00

100 50.00

Page 22
 JUNE
50 37.50
225 100 112.50 50.00
300 150 150.00 75.00
800 200 400.00 100.00

45 67.50

680 20 1,020.00 30.00

20 10.00

250 450 125.00 225.00

600 900.00
120 40 90.00 30.00

750 50 375.00 25.00

20 5 10.00 2.50
600 200 300.00 100.00
130 30 65.00 15.00
250 150 125.00 75.00
100 190 50.00 95.00
125 25 62.50 12.50

950 150 475.00 75.00

250 50 125.00 25.00
60 30.00
200 100.00

330 20 165.00 10.00

320 20 160.00 10.00

Total: 7,230.00 3,565.00

Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

6 1 36.00 6.00
1 2 5.00 10.00
4 1 160.00 40.00
1 1 50.00 50.00

3 3 105.00 105.00
5 1 125.00 25.00
1 600.00
1 120.00
1 30.00

2 120.00

Page 23
 JUNE
5 300.00

1,651.00 236.00

1 20.66
3 67.95
1 33.65

2 94.00

Total: 182.61 33.65

Total Cost of Total Cost of

Used Supplies End Balance

Grand Total: 9,063.61 3,834.65

Page 24
 JULY

Financial Report of Nursing Service Units' Forms, Office and Housekeeping S

Stock Unit Beg. DELIVERIES Total No. of
July 2018 Unit
Level Cost Bal. st
1 2nd
3rd 4th 5th Supplies
CHART FORMS
TPR Graphic Sheet pc 1.5 100 100
Standing Order pc 1.5 50 50
Doctors' Order pc 1.5 100 100 200
Medication Sheet pc 1.5
Nurses Progress Notes pc 1.5 100 300 100 500
IVF Fluid Sheet pc 1.5
Intake/Output Chart pc 1.5
Transfusion of Bld. Comp. pc 1.5
Neurovital Sign Sheet pc 1.5
Partograph pc 1.5
Pre-Operative Checklist pc 1.5 30 150 180
Diabetic Flowsheet pc 1.5
Medico-Legal Form pc 1.5 45 45
Illustration of injuries pc 1.5
Physical Therapy Notes pc 1.5
Consultation Sheet pc 1.5
Vital Sign Monitoring Sheet pc 1.5 50 50
Serial Monitoring Sheet pc 1.5 80 80
Charge Nurse Worksheet #1 pc 1.5
Charge Nurse Worksheet #2 pc 1.5
Doctors list pc 0.75 150 150 300
Newsprint(for outsource medicine) pc 1.5
CONSENT FORM:
Consent for Operation and Anes pc 1.5 70 100 170
Consent for Bld. Transfusion pc 1.5 60 60
Consent for Special Procedures pc 1.5 60 60
WAIVER:
Authorization of Release Body pc 1.5 100 100
HAMA Form pc 1.5 60 60
Refusal of Treatment pc 1.5 100 100

REQUEST:
Supply Requisition pc 0.75
Central Service pc 0.5 50 400 200 650
Laboratory Request pink pc 0.75 50 50
Yellow pc 0.75 50 50
Green pc 0.75
Blue pc 0.75
White pc 0.75
Linen Request pc 0.5 40 100 500 640
Stock Unit Beg. DELIVERIES Total No. of
July 2018 Unit
Level Cost Bal. st
1 2nd
3rd 4th 5th Supplies
OR Schedule pc 0.5 30 30
Report on Gas Use pc 0.5 20 20
X-Ray Request pc 0.75
Returned Meds. Supplies pc 0.5 100 200 100 400
ECG Request pc 0.5 100 100

Page 25
 JULY
Medical Specialty Unit Rt. Form pc 0.75 50 50
Osteorized Feeding Request pc 0.5 100 200 200 500
In Patient Prescription pc 0.5 150 300 300 750
Out Patient Prescription pc 0.5 200 400 600 1200
Prohibited/Regulated Drugs pc 0.5 100 100
Canteen Request pc 0.5
BLOOD TRANSFUSION FORMS:
Blood Request Form adult pc 1.5 45 45
Pedia pc 1.5
NURSING UNIT FORMS:
Kardex pc 1.5 20 100 120
Assignment Sheet pc 1.5
Record on Gas Use pc 0.5 20 20
Discharge Checklist pc 1.5
Patients Room Checklist pc 0.75
Professional Fee pc 0.5 450 500 300 1250
Diet List pc 1.5 600 600
Evaluation Form pc 0.75 40 40
Daily Work Sheet pc 0.75

TICKETS:
IVF Ticket pc 0.5 50 200 300 550
Blood Component Ticket pc 0.5 5 200 205
IV Meds. Ticket, long White pc 0.5 200 200 200 600
blue pc 0.5 30 30
orange pc 0.5 150 150
yellow pc 0.5 190 190
pink pc 0.5 25 25
green pc 0.5
Oral Meds. Ticket, short white pc 0.5 150 200 200 550
blue pc 0.5 50 50
yellow pc 0.5 60 60
pink pc 0.5 200 200
green pc 0.5
Orange Card Big (treatment) pc 0.5 20 180 200
White Card Big (OF) pc 0.5 20 20

Stock Unit Beg. DELIVERIES Total No. of

July 2018 Unit
Level Cost Bal. st
1 2nd
3rd 4th 5th Supplies
OFFICE SUPPLIES
Pencil pc 6 1 2 2 5
Eraser pc 5 2 1 3
Pentelpen pc 40 1 2 2 5
Staple wire box 50 1 1
Paste pc 40
Masking tape pc 35 3 2 2 7
Scotch tape pc 25 1 2 3
Calculator pc 600
Scissor pc 120
Notebook pc 30
Battery: C+/ 9V pc 120
AA" pc 60

Page 26
 JULY
AAA pc 60 4 4 8
Clear Book(for Directory)

HOUSEKEEPING SUPPLIES:
Hand Soap (liquid, beautiful) liters 75
Powder/Detergent packs 3 41.6
Albatross pc 20.66 1 1
Scrubbing pad pc 22.65 1 1
Bottle Brush pc 33.65 1 1
Vinegar gallon 23.925
Alcohol ml 47

Gra
Approved By:

Sr. Rowena C. Rodil

Nursing Director

Page 27
 JULY

eeping Supplies
Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

50 75.00
20 30.00
100 100 150.00 150.00

400 100 600.00 150.00

100 150.00

170 10 255.00 15.00

35 52.50

15 22.50
150 225.00

150 150 112.50 112.50

120 50 180.00 75.00

30 45.00
20 30.00

100 150.00
50 75.00
100 150.00

600 50 300.00 25.00

25 18.75
20 15.00

100 150 50.00 75.00

Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance
10 5.00
15 7.50

300 100 150.00 50.00

100 50.00

Page 28
 JULY
20 15.00
495 5 247.50 2.50
600 150 300.00 75.00
1150 50 575.00 25.00

15 22.50

70 50 105.00 75.00

80 40.00

450 200 225.00 100.00

400 150 600.00 225.00
10 7.50

400 150 200.00 75.00

200 5 100.00 2.50
560 40 280.00 20.00
30 15.00
150 75.00
90 100 45.00 50.00
10 15 5.00 7.50

300 150 150.00 75.00

50 25.00
30 30 15.00 15.00
200 100.00

150 100 75.00 50.00

5 15 2.50 7.50

Total: 5,147.50 2,433.75

Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

1 4 6.00 24.00
1 2 5.00 10.00
3 2 120.00 80.00
1 50.00
3 120.00
6 1 210.00 35.00
2 1 50.00 25.00

1 120.00

Page 29
 JULY
8 480.00

871.00 464.00

1 75.00

1 20.66
1 22.65
1 33.65

Total: 22.65 129.31

Total Cost of Total Cost of

Used Supplies End Balance

Grand Total: 6,041.15 3,027.06

Page 30
 AUGUST

Financial Report of Nursing Service Units' Forms, Office and Housekeeping S

Stock Unit Beg. DELIVERIES Total No. of
August 2018 Unit
Level Cost Bal. 1st
2nd
3rd 4th 5th Supplies
CHART FORMS
TPR Graphic Sheet pc 1.5 50 50
Standing Order pc 1.5 20 20
Doctors' Order pc 1.5 100 300 400
Medication Sheet pc 1.5
Nurses Progress Notes pc 1.5 100 200 300 600
IVF Fluid Sheet pc 1.5
Intake/Output Chart pc 1.5 100 100
Transfusion of Bld. Comp. pc 1.5
Neurovital Sign Sheet pc 1.5
Partograph pc 1.5
Pre-Operative Checklist pc 1.5 10 10
Diabetic Flowsheet pc 1.5
Medico-Legal Form pc 1.5 35 35
Illustration of injuries pc 1.5
Physical Therapy Notes pc 1.5
Consultation Sheet pc 1.5
Vital Sign Monitoring Sheet pc 1.5 15 15
Serial Monitoring Sheet pc 1.5 150 150
Charge Nurse Worksheet #1 pc 1.5
Charge Nurse Worksheet #2 pc 1.5
Doctors list pc 0.75 150 150
Newsprint(for outsource medicine) pc 1.5
CONSENT FORM:
Consent for Operation and Anes pc 1.5 50 50
Consent for Bld. Transfusion pc 1.5 30 30
Consent for Special Procedures pc 1.5 20 20
WAIVER:
Authorization of Release Body pc 1.5
HAMA Form pc 1.5 50 50
Refusal of Treatment pc 1.5

REQUEST:
Supply Requisition pc 0.75
Central Service pc 0.5 50 200 250
Laboratory Request pink pc 0.75 25 100 125
Yellow pc 0.75 20 100 120
Green pc 0.75 100 100
Blue pc 0.75 100 100
White pc 0.75 100 100
Linen Request pc 0.5 150 600 400 1150
Stock Unit Beg. DELIVERIES Total No. of
August 2018 Unit
Level Cost Bal. 1st
2nd
3rd 4th 5th Supplies
OR Schedule pc 0.5 10 100 110
Report on Gas Use pc 0.5 15 15
X-Ray Request pc 0.75 100 100
Returned Meds. Supplies pc 0.5 100 300 300 700
ECG Request pc 0.5 100 100

Page 31
 AUGUST
Medical Specialty Unit Rt. Form pc 0.75 20 20
Osteorized Feeding Request pc 0.5 5 300 305
In Patient Prescription pc 0.5 150 150
Out Patient Prescription pc 0.5 50 500 600 1150
Prohibited/Regulated Drugs pc 0.5
Canteen Request pc 0.5
BLOOD TRANSFUSION FORMS:
Blood Request Form adult pc 1.5 15 15
Pedia pc 1.5
NURSING UNIT FORMS:
Kardex pc 1.5 50 100 150
Assignment Sheet pc 1.5
Record on Gas Use pc 0.5 80 80
Discharge Checklist pc 1.5
Patients Room Checklist pc 0.75
Professional Fee pc 0.5 200 300 200 700
Diet List pc 1.5 150 150
Evaluation Form pc 0.75 10 200 210
Daily Work Sheet pc 0.75

TICKETS:
IVF Ticket pc 0.5 150 300 450
Blood Component Ticket pc 0.5 5 300 305
IV Meds. Ticket, long White pc 0.5 40 200 300 540
blue pc 0.5 30 100 130
orange pc 0.5 150 150
yellow pc 0.5 100 100
pink pc 0.5 15 100 115
green pc 0.5
Oral Meds. Ticket, short white pc 0.5 150 500 300 950
blue pc 0.5
yellow pc 0.5 30 30
pink pc 0.5 300 300
green pc 0.5
Orange Card Big (treatment) pc 0.5 100 180 60 340
White Card Big (OF) pc 0.5 15 15

Stock Unit Beg. DELIVERIES Total No. of

August 2018 Unit
Level Cost Bal. 1st
2nd
3rd 4th 5th Supplies
OFFICE SUPPLIES
Pencil pc 6 4 2 2 8
Eraser pc 5 2 2 4
Pentelpen pc 40 2 2 2 6
Staple wire box 50 1 1 2
Paste pc 40
Masking tape pc 35 3 2 2 7
Scotch tape pc 25 1 1 2
Calculator pc 600
Scissor pc 120
Notebook pc 30
Battery: C+/ 9V pc 120 1 1
AA" pc 60

Page 32
 AUGUST
AAA pc 60 2 4 6
Clear Book(for Directory)

HOUSEKEEPING SUPPLIES:
Hand Soap (liquid, beautiful) liters 75 1 1
Powder/Detergent packs 3 41.6
Albatross pc 20.66 1 1 1 3
Scrubbing pad pc 22.65 1 1 2
Bottle Brush pc 33.65 1 1 2
Vinegar gallon 23.925
Alcohol ml 47

Gra
Approved By:

Sr. Rowena C. Rodil

Nursing Director
]

Page 33
 AUGUST

eeping Supplies
Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

50 75.00
5 7.50
200 200 300.00 300.00
150 225.00
400 200 600.00 300.00

350 525.00
75 112.50

35 52.50

200 300.00

100 75.00

50 75.00
10 15.00
10 15.00

40 60.00

150 100 75.00 50.00

115 10 86.25 7.50
105 15 78.75 11.25
100 75.00
100 75.00
100 75.00
900 250 450.00 125.00
Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance
60 50 30.00 25.00
70 35.00
100 75.00
600 100 300.00 50.00

Page 34
 AUGUST
10 7.50
105 200 52.50 100.00
150 75.00
1000 150 500.00 75.00

80 120.00
50 75.00

50 100 75.00 150.00

50 25.00

500 200 250.00 100.00

150 225.00
200 10 150.00 7.50

600 300.00
155 150 77.50 75.00
40 500 20.00 250.00
200 100.00
100 50.00
100 50.00
300 150.00

550 400 275.00 200.00

200 100.00
10 5.00
350 175.00

100 240 50.00 120.00

5 10 2.50 5.00

Total: 3,672.50 4,981.25

Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

4 4 24.00 24.00
1 3 5.00 15.00
3 3 120.00 120.00
2 100.00

4 3 140.00 105.00
2 50.00

1 120.00

Page 35
 AUGUST
6 360.00

869.00 314.00

1 75.00

1 2 20.66 41.32
1 1 22.65 22.65
1 1 33.65 33.65

Total: 151.96 97.62

Total Cost of Total Cost of

Used Supplies End Balance

Grand Total: 4,693.46 5,392.87

Page 36
 SEPTEMBER

Financial Report of Nursing Service Units' Forms, Office and Housekeeping S

Stock Unit Beg. DELIVERIES Total No. of
September 2018 Unit
Level Cost Bal. 1st nd
2 3rd 4th 5th Supplies
CHART FORMS
TPR Graphic Sheet pc 1.5 50 50
Standing Order pc 1.5 5 5
Doctors' Order pc 1.5 200 200
Medication Sheet pc 1.5 150 150
Nurses Progress Notes pc 1.5 200 200
IVF Fluid Sheet pc 1.5
Intake/Output Chart pc 1.5 350 350
Transfusion of Bld. Comp. pc 1.5 75 75
Neurovital Sign Sheet pc 1.5
Partograph pc 1.5
Pre-Operative Checklist pc 1.5
Diabetic Flowsheet pc 1.5
Medico-Legal Form pc 1.5 35 35
Illustration of injuries pc 1.5
Physical Therapy Notes pc 1.5
Consultation Sheet pc 1.5
Vital Sign Monitoring Sheet pc 1.5 200 200
Serial Monitoring Sheet pc 1.5
Charge Nurse Worksheet #1 pc 1.5
Charge Nurse Worksheet #2 pc 1.5
Doctors list pc 0.75 100 100
Newsprint(for outsource medicine) pc 1.5
CONSENT FORM:
Consent for Operation and Anes pc 1.5 50 50
Consent for Bld. Transfusion pc 1.5 10 10
Consent for Special Procedures pc 1.5 10 10
WAIVER:
Authorization of Release Body pc 1.5
HAMA Form pc 1.5 40 40
Refusal of Treatment pc 1.5

REQUEST:
Supply Requisition pc 0.75
Central Service pc 0.5 100 100
Laboratory Request pink pc 0.75 10 10
Yellow pc 0.75 15 15
Green pc 0.75
Blue pc 0.75
White pc 0.75
Linen Request pc 0.5 250 250
Stock Unit Beg. DELIVERIES Total No. of
September 2018 Unit
Level Cost Bal. 1st nd
2 3rd 4th 5th Supplies
OR Schedule pc 0.5 50 50
Report on Gas Use pc 0.5 70 70
X-Ray Request pc 0.75
Returned Meds. Supplies pc 0.5 100 100
ECG Request pc 0.5

Page 37
 SEPTEMBER
Medical Specialty Unit Rt. Form pc 0.75 10 10
Osteorized Feeding Request pc 0.5 200 200
In Patient Prescription pc 0.5 150 150
Out Patient Prescription pc 0.5 150 150
Prohibited/Regulated Drugs pc 0.5
Canteen Request pc 0.5
BLOOD TRANSFUSION FORMS:
Blood Request Form adult pc 1.5 80 80
Pedia pc 1.5 50 50
NURSING UNIT FORMS:
Kardex pc 1.5 100 100
Assignment Sheet pc 1.5
Record on Gas Use pc 0.5 50 50
Discharge Checklist pc 1.5
Patients Room Checklist pc 0.75
Professional Fee pc 0.5 200 200
Diet List pc 1.5 150 150
Evaluation Form pc 0.75 10 10
Daily Work Sheet pc 0.75

TICKETS:
IVF Ticket pc 0.5 600 600
Blood Component Ticket pc 0.5 150 150
IV Meds. Ticket, long pc 0.5 500 500
blue pc 0.5 200 200
orange pc 0.5 100 100
yellow pc 0.5 100 100
pink pc 0.5 300 300
green pc 0.5
Oral Meds. Ticket, short white pc 0.5 400 400
blue pc 0.5 200 200
yellow pc 0.5 10 10
pink pc 0.5 350 350
green pc 0.5
Orange Card Big (treatment) pc 0.5 240 240
White Card Big (OF) pc 0.5 10 10

Stock Unit Beg. DELIVERIES Total No. of

September 2018 Unit
Level Cost Bal. 1st nd
2 3rd 4th 5th Supplies
OFFICE SUPPLIES
Pencil pc 6 4 4
Eraser pc 5 3 3
Pentelpen pc 40 3 3
Staple wire box 50
Paste pc 40
Masking tape pc 35 3 3
Scotch tape pc 25 2 2
Calculator pc 600
Scissor pc 120
Notebook pc 30
Battery: C+/ 9V pc 120
AA" pc 60

Page 38
 SEPTEMBER
AAA pc 60
Clear Book(for Directory)

HOUSEKEEPING SUPPLIES:
Hand Soap (liquid, beautiful) liters 75
Powder/Detergent packs 3 41.6
Albatross pc 20.66 2 2
Scrubbing pad pc 22.65 1 1
Bottle Brush pc 33.65 1 1
Vinegar gallon 23.925
Alcohol ml 47

Gra
Prepared By: Approved By:

Sr. Rowena C. Rodil

Acting Head Nurse Nursing Director

Page 39
 SEPTEMBER

eeping Supplies
Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

50 75.00
5 7.50
-50 250 -75.00 375.00
100 50 150.00 75.00
450 150 225.00

100 250 150.00 375.00

-45 120 -67.50 180.00
-25 25 -37.50 37.50

35 52.50

100 100 150.00 150.00

100 75.00

-100 150 -150.00 225.00

-20 30 -30.00 45.00
10 15.00

40 60.00

40 60 20.00 30.00
10 7.50
15 11.25

-40 40 -30.00 30.00

100 150 50.00 75.00

Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance
50 25.00
20 50 10.00 25.00
-100 100 -75.00 75.00
55 45 27.50 22.50

Page 40
 SEPTEMBER
10 7.50
200 100.00
150 75.00
-200 350 -100.00 175.00
50 25.00

80 120.00
50 75.00

50 50 75.00 75.00

50 25.00

200 100.00
150 225.00
-70 80 -52.50 60.00
-70 70 -52.50 52.50

350 250 175.00 125.00

150 75.00
300 200 150.00 100.00
200 100.00
100 50.00
100 50.00
290 10 145.00 5.00

150 250 75.00 125.00

200 100.00
10 5.00
350 175.00

190 50 95.00 25.00

10 5.00

Total: 1,550.00 3,381.25

Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

-1 5 -6.00 30.00
2 1 10.00 5.00
1 2 40.00 80.00

3 105.00
1 1 25.00 25.00

Page 41
 SEPTEMBER

69.00 245.00

-1 1 -75.00 75.00
-1 1 -41.60 41.60
1 1 20.66 20.66
1 22.65
1 33.65

Total: -62.29 159.91

Total Cost of Total Cost of

Used Supplies End Balance

Grand Total: 1,556.71 3,786.16

Page 42
 OCTOBER

Financial Report of Nursing Service Units' Forms, Office and Housekeeping S

Stock Unit Beg. DELIVERIES Total No. of
October 2018 Unit
Level Cost Bal. 1st nd
2 3rd 4th 5th Supplies
CHART FORMS
TPR Graphic Sheet pc 1.5 50 50
Standing Order pc 1.5
Doctors' Order pc 1.5 250 250
Medication Sheet pc 1.5 50 50
Nurses Progress Notes pc 1.5 150 150
IVF Fluid Sheet pc 1.5
Intake/Output Chart pc 1.5 250 250
Transfusion of Bld. Comp. pc 1.5 120 120
Neurovital Sign Sheet pc 1.5 25 25
Partograph pc 1.5
Pre-Operative Checklist pc 1.5
Diabetic Flowsheet pc 1.5
Medico-Legal Form pc 1.5
Illustration of injuries pc 1.5
Physical Therapy Notes pc 1.5
Consultation Sheet pc 1.5
Vital Sign Monitoring Sheet pc 1.5 100 100
Serial Monitoring Sheet pc 1.5
Charge Nurse Worksheet #1 pc 1.5
Charge Nurse Worksheet #2 pc 1.5
Doctors list pc 0.75 100 100
Newsprint(for outsource medicine) pc 1.5
CONSENT FORM:
Consent for Operation and Anes pc 1.5 150 150
Consent for Bld. Transfusion pc 1.5 30 30
Consent for Special Procedures pc 1.5
WAIVER:
Authorization of Release Body pc 1.5
HAMA Form pc 1.5
Refusal of Treatment pc 1.5

REQUEST:
Supply Requisition pc 0.75
Central Service pc 0.5 60 60
Laboratory Request pink pc 0.75 10 10
Yellow pc 0.75 15 15
Green pc 0.75
Blue pc 0.75 40 40
White pc 0.75
Linen Request pc 0.5 150 150
Stock Unit Beg. DELIVERIES Total No. of
October 2018 Unit
Level Cost Bal. 1st nd
2 3rd 4th 5th Supplies
OR Schedule pc 0.5
Report on Gas Use pc 0.5 50 50
X-Ray Request pc 0.75 100 100
Returned Meds. Supplies pc 0.5 45 45
ECG Request pc 0.5

Page 43
 OCTOBER
Medical Specialty Unit Rt. Form pc 0.75
Osteorized Feeding Request pc 0.5 200 200
In Patient Prescription pc 0.5 150 150
Out Patient Prescription pc 0.5 350 350
Prohibited/Regulated Drugs pc 0.5 50 50
Canteen Request pc 0.5
BLOOD TRANSFUSION FORMS:
Blood Request Form adult pc 1.5
Pedia pc 1.5
NURSING UNIT FORMS:
Kardex pc 1.5 50 50
Assignment Sheet pc 1.5
Record on Gas Use pc 0.5
Discharge Checklist pc 1.5
Patients Room Checklist pc 0.75
Professional Fee pc 0.5 300 300
Diet List pc 1.5 150 150
Evaluation Form pc 0.75 80 80
Daily Work Sheet pc 0.75 70 70

TICKETS:
IVF Ticket pc 0.5 250 250
Blood Component Ticket pc 0.5
IV Meds. Ticket, long White pc 0.5 200 200
blue pc 0.5
orange pc 0.5
yellow pc 0.5
pink pc 0.5 10 10
green pc 0.5
Oral Meds. Ticket, short white pc 0.5 250 250
blue pc 0.5
yellow pc 0.5
pink pc 0.5
green pc 0.5
Orange Card Big (treatment) pc 0.5 50 50
White Card Big (OF) pc 0.5

Stock Unit Beg. DELIVERIES Total No. of

October 2018 Unit
Level Cost Bal. 1st nd
2 3rd 4th 5th Supplies
OFFICE SUPPLIES
Pencil pc 6 5 5
Eraser pc 5 1 1
Pentelpen pc 40 2 2
Staple wire box 50
Paste pc 40
Masking tape pc 35 3 3
Scotch tape pc 25 1 1
Calculator pc 600
Scissor pc 120
Notebook pc 30
Battery: C+/ 9V pc 120
AA" pc 60

Page 44
 OCTOBER
AAA pc 60
Clear Book(for Directory)

HOUSEKEEPING SUPPLIES:
Hand Soap (liquid, beautiful) liters 75 1 1
Powder/Detergent packs 3 41.6 1 1
Albatross pc 20.66 1 1
Scrubbing pad pc 22.65 1 1
Bottle Brush pc 33.65
Vinegar gallon 23.925
Alcohol ml 47

Gra
Prepared By: Approved By:

Sr. Rowena C. Rodil

NSO Secretary Nursing Director

Page 45
 OCTOBER

eeping Supplies
Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

50 75.00

150 100 225.00 150.00

30 20 45.00 30.00
30 120 180.00
-50 50 -75.00 75.00
100 150 150.00 225.00
120 180.00
-75 100 -112.50 150.00

-75 75 -112.50 112.50

100 150.00
-180 180 -270.00 270.00

50 50 37.50 37.50

-10 160 -15.00 240.00

-90 120 -135.00 180.00

25 35 12.50 17.50
-40 50 -30.00 37.50
15 11.25

40 30.00

150 75.00
Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

-25 75 -12.50 37.50

25 75 18.75 56.25
-5 50 -2.50 25.00

Page 46
 OCTOBER

150 50 75.00 25.00

50 100 25.00 50.00
100 250 50.00 125.00
50 25.00

-50 100 -75.00 150.00

-30 30 -15.00 15.00

100 200 50.00 100.00

150 225.00
80 60.00
70 52.50

-50 300 -25.00 150.00

200 100.00
-50 50 -25.00 25.00

-40 50 -20.00 25.00

250 125.00

-30 80 -15.00 40.00

-50 50 -25.00 25.00

Total: -13.75 3,400.00

Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

1 4 6.00 24.00
1 5.00
-1 3 -40.00 120.00

1 2 35.00 70.00
-1 2 -25.00 50.00

Page 47
 OCTOBER
-2 2 -120.00 120.00

-144.00 389.00

1 75.00
1 41.60
-1 2 -20.66 41.32
-1 2 -22.65 45.30
-1 1 -33.65 33.65

-1 1 -47.00 47.00

Total: -82.36 242.27

Total Cost of Total Cost of

Used Supplies End Balance

Grand Total: -240.11 4,031.27

Page 48
 NOVEMBER

Financial Report of Nursing Service Units' Forms, Office and Housekeeping S

Stock Unit Beg. DELIVERIES Total No. of
November 2018 Unit
Level Cost Bal. 1st nd
2 3rd 4th 5th Supplies
CHART FORMS
TPR Graphic Sheet pc 1.5 50 50
Standing Order pc 1.5
Doctors' Order pc 1.5 100 100
Medication Sheet pc 1.5 20 20
Nurses Progress Notes pc 1.5 120 120
IVF Fluid Sheet pc 1.5 50 50
Intake/Output Chart pc 1.5 150 150
Transfusion of Bld. Comp. pc 1.5
Neurovital Sign Sheet pc 1.5 100 100
Partograph pc 1.5
Pre-Operative Checklist pc 1.5
Diabetic Flowsheet pc 1.5 75 75
Medico-Legal Form pc 1.5
Illustration of injuries pc 1.5
Physical Therapy Notes pc 1.5
Consultation Sheet pc 1.5
Vital Sign Monitoring Sheet pc 1.5 100 100
Serial Monitoring Sheet pc 1.5 180 180
Charge Nurse Worksheet #1 pc 1.5
Charge Nurse Worksheet #2 pc 1.5
Doctors list pc 0.75 50 50
Newsprint(for outsource medicine) pc 1.5
CONSENT FORM:
Consent for Operation and Anes pc 1.5 160 160
Consent for Bld. Transfusion pc 1.5 120 120
Consent for Special Procedures pc 1.5
WAIVER:
Authorization of Release Body pc 1.5
HAMA Form pc 1.5
Refusal of Treatment pc 1.5

REQUEST:
Supply Requisition pc 0.75
Central Service pc 0.5 35 35
Laboratory Request pink pc 0.75 50 50
Yellow pc 0.75 15 15
Green pc 0.75
Blue pc 0.75
White pc 0.75
Linen Request pc 0.5 150 150
Stock Unit Beg. DELIVERIES Total No. of
November 2018 Unit
Level Cost Bal. 1st nd
2 3rd 4th 5th Supplies
OR Schedule pc 0.5
Report on Gas Use pc 0.5 75 75
X-Ray Request pc 0.75 75 75
Returned Meds. Supplies pc 0.5 50 50
ECG Request pc 0.5

Page 49
 NOVEMBER
Medical Specialty Unit Rt. Form pc 0.75
Osteorized Feeding Request pc 0.5 50 50
In Patient Prescription pc 0.5 100 100
Out Patient Prescription pc 0.5 250 250
Prohibited/Regulated Drugs pc 0.5 50 50
Canteen Request pc 0.5
BLOOD TRANSFUSION FORMS:
Blood Request Form adult pc 1.5
Pedia pc 1.5
NURSING UNIT FORMS:
Kardex pc 1.5 100 100
Assignment Sheet pc 1.5
Record on Gas Use pc 0.5 30 30
Discharge Checklist pc 1.5
Patients Room Checklist pc 0.75
Professional Fee pc 0.5 200 200
Diet List pc 1.5 150 150
Evaluation Form pc 0.75 80 80
Daily Work Sheet pc 0.75

TICKETS:
IVF Ticket pc 0.5 300 300
Blood Component Ticket pc 0.5
IV Meds. Ticket, long White pc 0.5 200 200
blue pc 0.5 50 50
orange pc 0.5
yellow pc 0.5
pink pc 0.5 50 50
green pc 0.5
Oral Meds. Ticket, short white pc 0.5 250 250
blue pc 0.5
yellow pc 0.5
pink pc 0.5
green pc 0.5
Orange Card Big (treatment) pc 0.5 80 80
White Card Big (OF) pc 0.5 50 50

Stock Unit Beg. DELIVERIES Total No. of

November 2018 Unit
Level Cost Bal. 1st nd
2 3rd 4th 5th Supplies
OFFICE SUPPLIES
Pencil pc 6 4 4
Eraser pc 5 1 1
Pentelpen pc 40 3 3
Staple wire box 50
Paste pc 40
Masking tape pc 35 2 2
Scotch tape pc 25 2 2
Calculator pc 600
Scissor pc 120
Notebook pc 30
Notebook pc 120
AA" pc 60

Page 50
 NOVEMBER
AAA pc 60 2 2
Clear Book(for Directory)

HOUSEKEEPING SUPPLIES:
Hand Soap (liquid, beautiful) liters 75 1 1
Powder/Detergent packs 3 41.6
Albatross pc 20.66 2 2
Scrubbing pad pc 22.65 2 2
Bottle Brush pc 33.65 1 1
Vinegar gallon 23.925
Alcohol ml 47 1 1

Gra
Prepared By: Approved By:

Sr. Rowena C. Rodil

Nursing Director

Page 51
 NOVEMBER

eeping Supplies
Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

50 75.00

100 150.00
-30 50 -45.00 75.00
120 180.00
50 75.00
150 225.00

100 150.00

-5 80 -7.50 120.00

100 150.00
180 270.00

-70 120 -52.50 90.00

160 240.00
120 180.00

-15 50 -7.50 25.00

50 37.50
14 1 10.50 0.75

100 50 50.00 25.00

Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

25 50 12.50 25.00
25 50 18.75 37.50
-50 100 -25.00 50.00

Page 52
 NOVEMBER

50 25.00
100 50.00
225 25 112.50 12.50
50 25.00

100 150.00

30 15.00

80 120 40.00 60.00

30 120 45.00 180.00
65 15 48.75 11.25

100 200 50.00 100.00

-50 50 -25.00 25.00
200 100.00
30 20 15.00 10.00

50 25.00

100 150 50.00 75.00

80 40.00
50 25.00

Total: 1,873.00 1,527.00

Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

2 2 12.00 12.00
1 5.00
3 120.00

2 70.00
1 1 25.00 25.00

Page 53
 NOVEMBER
2 120.00

157.00 232.00

1 75.00
-11 11 -457.60 457.60
2 41.32
2 45.30
1 33.65

1 47.00

Total: -290.33 532.60

Total Cost of Total Cost of

Used Supplies End Balance

Grand Total: 1,739.67 2,291.60

Page 54
 DECEMBER

Financial Report of Nursing Service Units' Forms, Office and Housekeeping S

Stock Unit Beg. DELIVERIES Total No. of
December 2018 Unit
Level Cost Bal. 1st nd
2 3rd 4th 5th Supplies
CHART FORMS
TPR Graphic Sheet pc 1.5 50 50
Standing Order pc 1.5
Doctors' Order pc 1.5 100 100
Medication Sheet pc 1.5 50 50
Nurses Progress Notes pc 1.5 120 120
IVF Fluid Sheet pc 1.5
Intake/Output Chart pc 1.5
Transfusion of Bld. Comp. pc 1.5
Neurovital Sign Sheet pc 1.5
Partograph pc 1.5
Pre-Operative Checklist pc 1.5
Diabetic Flowsheet pc 1.5 80 80
Medico-Legal Form pc 1.5
Illustration of injuries pc 1.5
Physical Therapy Notes pc 1.5
Consultation Sheet pc 1.5
Vital Sign Monitoring Sheet pc 1.5
Serial Monitoring Sheet pc 1.5
Charge Nurse Worksheet #1 pc 1.5
Charge Nurse Worksheet #2 pc 1.5
Doctors list pc 0.75 120 120
Newsprint(for outsource medicine) pc 1.5
CONSENT FORM:
Consent for Operation and Anes pc 1.5
Consent for Bld. Transfusion pc 1.5
Consent for Special Procedures pc 1.5
WAIVER:
Authorization of Release Body pc 1.5
HAMA Form pc 1.5
Refusal of Treatment pc 1.5

REQUEST:
Supply Requisition pc 0.75
Central Service pc 0.5 50 50
Laboratory Request pink pc 0.75
Yellow pc 0.75 1 1
Green pc 0.75
Blue pc 0.75
White pc 0.75
Linen Request pc 0.5 50 50
Stock Unit Beg. DELIVERIES Total No. of
December 2018 Unit
Level Cost Bal. 1st nd
2 3rd 4th 5th Supplies
OR Schedule pc 0.5
Report on Gas Use pc 0.5 50 50
X-Ray Request pc 0.75 50 50
Returned Meds. Supplies pc 0.5 100 100
ECG Request pc 0.5

Page 55
 DECEMBER
Medical Specialty Unit Rt. Form pc 0.75
Osteorized Feeding Request pc 0.5 50 50
In Patient Prescription pc 0.5
Out Patient Prescription pc 0.5 25 25
Prohibited/Regulated Drugs pc 0.5 50 50
Canteen Request pc 0.5
BLOOD TRANSFUSION FORMS:
Blood Request Form adult pc 1.5
Pedia pc 1.5
NURSING UNIT FORMS:
Kardex pc 1.5 100 100
Assignment Sheet pc 1.5
Record on Gas Use pc 0.5
Discharge Checklist pc 1.5
Patients Room Checklist pc 0.75
Professional Fee pc 0.5 120 120
Diet List pc 1.5 120 120
Evaluation Form pc 0.75 15 15
Daily Work Sheet pc 0.75

TICKETS:
IVF Ticket pc 0.5 200 200
Blood Component Ticket pc 0.5 50 50
IV Meds. Ticket, long White pc 0.5
blue pc 0.5 20 20
orange pc 0.5
yellow pc 0.5
pink pc 0.5
green pc 0.5
Oral Meds. Ticket, short white pc 0.5 150 150
blue pc 0.5
yellow pc 0.5
pink pc 0.5
green pc 0.5
Orange Card Big (treatment) pc 0.5
White Card Big (OF) pc 0.5

Stock Unit Beg. DELIVERIES Total No. of

December 2018 Unit
Level Cost Bal. 1st nd
2 3rd 4th 5th Supplies
OFFICE SUPPLIES
Pencil pc 6 2 2
Eraser pc 5 1 1
Pentelpen pc 40
Staple wire box 50
Paste pc 40
Masking tape pc 35 2 2
Scotch tape pc 25 1 1
Calculator pc 600
Scissor pc 120
Notebook pc 30
Battery: C+/ 9V pc 120
AA" pc 60

Page 56
 DECEMBER
AAA pc 60 2 2
Clear Book(for Directory)

HOUSEKEEPING SUPPLIES:
Hand Soap (liquid, beautiful) liters 75 1 1
Powder/Detergent packs 3 41.6 11 11
Albatross pc 20.66
Scrubbing pad pc 22.65
Bottle Brush pc 33.65
Vinegar gallon 23.925
Alcohol ml 47

Gra
Prepared By: Approved By:

Sr. Rowena C. Rodil

Nursing Director

Page 57
 DECEMBER

eeping Supplies
Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

50 75.00

100 150.00
-50 100 -75.00 150.00
-180 300 450.00

80 120.00

-100 100 -150.00 150.00

120 90.00

50 25.00

1 0.75

-100 150 -50.00 75.00

Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance
-50 50 -25.00 25.00
50 25.00
50 37.50
-50 150 -25.00 75.00

Page 58
 DECEMBER

50 25.00

-125 150 -62.50 75.00

50 25.00

75 25 112.50 37.50

20 100 10.00 50.00

120 180.00
15 11.25

-50 250 -25.00 125.00

50 25.00
-300 300 -150.00 150.00
10 10 5.00 5.00

-150 300 -75.00 150.00

-200 200 -100.00 100.00

Total: -158.75 1,955.75

Used Supplies End Balance Total Cost of Total Cost of
Used Supplies End Balance

1 6.00
-2 2 -10.00 10.00
1 2 40.00 80.00

2 80.00
1 35.00

-2 4 -120.00 240.00

Page 59
 DECEMBER
1 2 60.00 120.00

91.00 450.00

1 75.00
11 457.60

-3 3 -67.95 67.95
-3 3 -100.95 100.95

-1 1 -47.00 47.00

Total: 316.70 215.90

Total Cost of Total Cost of

Used Supplies End Balance

Grand Total: 248.95 2,621.65

Page 60