Appendix 66

REPORT ON THE PHYSICAL COUNT OF INVENTORIES

CLINIC INVENTORY REPORT
(Type of Inventory Item)

As at DECEMBER 31, 2021

Fund Cluster : ________________________________

For which ___(ALFREDO E. DE LEON)_________, _ (PRINCIPAL IV)___, __________(TAPULAO ELEMENTARY SCHOOL)______________ is accountable, having assumed such accountability on ___(DECEMBER 31, 2020

Balance Per On Hand Per Shortage/Overage

Stock Unit of Unit
Article Description Card Count Remarks
Number Measure Value
(Quantity) (Quantity) Quantity Value
1 Thermal Scanner pc 2,800 2 2 0 In good condition
2 Pulse Oximeter unit 1,850.00 6 6 0 In good condition
3 Icer Water Bag pc 118 4 4 0 In good condition
4 Hot Water Bag pc 199 1 1 0 In good condition
5 Infrared Thermometer set 1 1 0 In good condition
Mounted Soap Dispenser unit 2 2 0 In good condition
163

Nebulizer unit 1 1 0 In good condition

6 Blood Pressure Monitor unit 1 1 0 In good condition
7 One touch Ultra Plus (Sugar Monitor) pc 1 1 0 In good condition
8 Clinical Thermometer, digital pc 8 8 0 In good condition
9 Atomizer unit 1 1 0 In good condition
10 Fog Machine unit 2 2 0 In good condition
11 Bed with foam set 1 1 0 In good condition
12 Thermal Scanner with Stand set 1 1 0 In good condition
13 Detecto unit 1 1 0 In good condition
14 Face Shield unit 17 17 0 In good condition
15 Cotton set 3 3 0 In good condition
16 Biogesic pc 140 140 0 In good condition
17 Vitamins C box 12 12 0 In good condition
18 Sanitary Napkin pack 1 1 0 In good condition
19 Foot Disinfectant set 3 3 0 In good condition
Certified Correct by: Approved by: Verified by:

LOURDES II D. GOROSPE ALFREDO E. DE LEON _______________________________

Signature over Printed Name of Signature over Printed Name of Head of Signature over Printed Name of COA
Inventory Committee Chair and Agency/Entity or Authorized Representative Representative
Members