Central Laboratory Warehouse Code 452-1203 Code X016 Posted

Name Central Laboratory Warehouse Name V & H Surgical (PTY) LTD ü

Number NRL-ORD/20-05-0001 Address P.O. Box 54 Date 5/27/2020
Date Mon 04 May 2020 Swaziland Address Shop 6, Catholic Church Centre Building
Authoriser: Mzizi, Nompumelelo( Data Admi
Cnr Sandlane & Villers Street
Account MOH/Gov 4-May-20
Ordered By Motsa, Ncamsile( Data Administrator ) Manzini
Pages 1 4-May-20 Swaziland Amount $48,914.94

No. ICN ECN Description Unit Ordered Ordered Pack Cost Est. Cost
1 60531A HEAMOGLOBIN POWDER . .; 500 g NA (500 g) 2 $1,587.90 $3,175.80
2 153541 HEAMOPHILUS ANTISERA TYPE a,b,c,d,f . .; 1 mL NA (1 mL) 3 $1,934.00 $5,802.00
3 137480 SALMONELLA POLY H . .; 3 mL NA (3 mL) 2 $2,225.66 $4,451.32
4 935C72 SALMONELLA POLY O . .; 3 mL NA (3 mL) 2 $1,112.83 $2,225.66
5 134286 SALMONELLA VI . .; 3 mL NA (3 mL) 2 $1,391.04 $2,782.08
6 919A89 VIBRIO CHOLERAE ANTISERUM INABA . .; 3 mL NA (3 mL) 3 $3,197.27 $9,591.81
7 660786 VIBRIO CHOLERAE ANTISERUM OGAWA . .; 3 mL NA (3 mL) 3 $2,503.87 $7,511.61
8 12F68C VIBRIO CHOLERAE ANTISERUM POLY (1 & O) . .; 3 mL NA (3 mL) 3 $4,458.22 $13,374.66

From Central Laboratory Warehouse To V & H Surgical (PTY) LTD 16-Mar-23 Number NRL-ORD/20-05-0001 Authoriser sign:___________ Date:___________ Page 1 of 1