1 2 3 4 5 6

Asfaw Tekabe Meseret Henok Azeb Mekdes

Hamle 208 208 198 0 198 208
Nehase 198 194 198 196 198 196
meskerem 158 180 170 180 182 170
Tikimt 170 160 170 160 170 170
Hedar 170 172 170 172 158 158
Tahsas 172 168 172 168 180 180
Ter 208 198 206 0 208 200
Yekatit 170 170 170 170 170 170
Megabit 170 170 170 170 170 170
Miaziya 182 178 180 188 180 192
Ginbot 168 172 170 160 170 160
Sene
1974 1970 1974 1564 1984 1974
Essential steps of inventory
This method of inventories

1. Store inventory
I. “Before” inventory
1.1. De-junk the store being with team assigned by the hospital/ health center, WoHo, THA, or ZHD
1.2. Arrange all similar items in their names
1.3. Arrange each item with similar name with similar batch closer to one another possibly on the same bin
1.4. Copy paste the format into excel format
1.5. The store manager register in advance by filling DRUG CODE, DESCRIPTION, UNIT, BATCH #, EXPIRY DATE, UNIT COST for both LIVE DRUGS and EXPIRED ITEMs separa
1.6. The store keepr sign on the space provided for registered by
II. “During” inventory
1.7. Prepare at least two pairs of inventory team only come to fill the physical quantity without wasting time and energy in writing manually anything from “code” to “unit cost”.
(while same item counted by one group is counted again by another team to verify the actual quantity) while the store manager oversees the whole activity and records the tim
1.8. Then the format with filled quantity is printed and signed by all who were involved

1.9. The counter signs on the space provided for counted by

III. “After” inventory
1.8. The pharmacy head with facility accountant (at WoHo, THA or ZHD Pharmacy Logistics Officer withassigned committee member) uses the soft copy version to calculate tota
1.9. Then it is printed and signed by all who were involved in the inventory then the pharmacy head writes an official letter to communicate results of the inventory to all conc

When it is time for next inventory, the store keeper updates the soft copy of the “Before” inventory while deleting only parts of “during” and “after” inventories.
The group filling the physical quantity then fills the actual quantity for each invetory without wasting time for manually writing.

2. inventory in dispensary pharmacies

I. “Before” inventory
1.1. Arrange all similar items in their names
1.2. Arrange each item with similar name with similar batch closer to one another possibly on the same bin
1.3. Copy paste the format below into excel format
1.4. Dispensers register in advance by filling DRUG CODE, DESCRIPTION, RETAIL UNIT, BATCH #, EXPIRY DATE, RETAIL PRICE closer the end of month for both LIVE DRUGS a
 1.5. sign on the space provided for registering of products
II. “During” inventory
1.5. Once the “BEFORE PART” is completed by dispensers, at least two pairs of inventory team (or physical quantity counted twice) only come to fill the physical quantity w
1.6. Then the format with filled quantity is printed and signed by all who were involved

III. “After” inventory

1.7. The pharmacy head with facility acountant uses the excel format version to automatically convert RETAIL PRICE into UNIT COST.
1.8. The pharmacy accountant uses the soft copy version to calculate total cost and discrepancy
1.9. Then it is printed and signed by all who were involved in the inventory then the pharmacy head writes an official letter to communicate results of the inventory to all con
The dispensers updates the soft copy of the “Before” inventory while deleting only parts of “during” and “after” inventories. The group filling the physical quantity then fills the a

NB. You may need to implement a method that makes dispensers verify the inventories at the end of the month to prevent undue discrepancies where dispensaries do go to invento
Note: 1. Use the retail cost from model 22 or M19 or cost control sheet before rounded up
 ED ITEMs separately

e” to “unit cost”. it took for the physical inventory.

nd records the time

n to calculate total cost and discrepancy

entory to all concerned

oth LIVE DRUGS and EXPIRED ITEMs separately

hysical quantity without wasting time and energy in writing manually. (while same item counted by one group is counted again by another team(or if the same tea to verify the actual quanti

ventory to all concerned

tity then fills the actual quantity for each quarter without wasting time for manually writing.

do go to inventory at the end of the month with pre-information/data on hand of amount from beginning inventory, issued to them from store in the month and amount dispensed in the m
the actual quantity) while the store manager oversees the whole activity and records the time it took for the physical inventory.

spensed in the month and try to reconcile this with the physical inventory at the end of the month. By the same token, each dispenser need to sum up the daily sales from cash sales pad and
ash sales pad and compare that with the sum on daily summary before signing on the daily summary.
 Uunkaa Qorichaa kuusaa qorichaa ittiin lakka'amu
Medicines and supplies Stores Inventory Form
Name of Health Facility_____________________ Store __________________________ Page number ­(Date INV started ________AND Date INV ended ________ )

To be Filled During
To be Filled Before the Physical Inventory To be Filled After Physical Inventory
Inventory

Bin/
የመድኃኒት ኮድ Description (Drug name, dosage form, Unit Physica Stock
Unit Batch No Expiry date Total cost Discrepancy AMC MOS
Drug Code strength and brand if any) Cost l QTY card
Balance

1 Amox 02-1 Amoxacillin 500mg 500 463553 09-Jun 375 67 89 25125 -8250 4 16.75
2 28 0 0 7 4
3 0 0 #DIV/0!
4 0 0 #DIV/0!
5 0 0 #DIV/0!
6 0 0 #DIV/0!
7 0 0 #DIV/0!
8 0 0 #DIV/0!
9 0 0 #DIV/0!
10 0 0 #DIV/0!
11 0 0 #DIV/0!
12 0 0 #DIV/0!
13 0 0 #DIV/0!
14 0 0 #DIV/0!
15 0 0 #DIV/0!
16 0 0 #DIV/0!
17 0 0 #DIV/0!
 Uunkaa Qorichaa kuusaa qorichaa ittiin lakka'amu
Medicines and supplies Stores Inventory Form
Name of Health Facility_____________________ Store __________________________ Page number ­(Date INV started ________AND Date INV ended ________ )

To be Filled During
To be Filled Before the Physical Inventory To be Filled After Physical Inventory
Inventory

Bin/
የመድኃኒት ኮድ Description (Drug name, dosage form, Unit Physica Stock
Unit Batch No Expiry date Total cost Discrepancy AMC MOS
Drug Code strength and brand if any) Cost l QTY card
Balance

18 0 0 #DIV/0!
19 0 0 #DIV/0!
20 0 0 #DIV/0!
21 0 0 #DIV/0!
22 0 0 #DIV/0!
23 0 0 #DIV/0!
24 0 0 #DIV/0!
25 0 0 #DIV/0!
26 0 0 #DIV/0!
27 0 0 #DIV/0!
28 0 0 #DIV/0!
29 0 0 #DIV/0!
30 0 0 #DIV/0!
31 0 0 #DIV/0!
32 0 0 #DIV/0!
33 0 0 #DIV/0!
34 0 0 #DIV/0!
 Uunkaa Qorichaa kuusaa qorichaa ittiin lakka'amu
Medicines and supplies Stores Inventory Form
Name of Health Facility_____________________ Store __________________________ Page number ­(Date INV started ________AND Date INV ended ________ )

To be Filled During
To be Filled Before the Physical Inventory To be Filled After Physical Inventory
Inventory

Bin/
የመድኃኒት ኮድ Description (Drug name, dosage form, Unit Physica Stock
Unit Batch No Expiry date Total cost Discrepancy AMC MOS
Drug Code strength and brand if any) Cost l QTY card
Balance

35 0 0 #DIV/0!
36 0 0 #DIV/0!
37 0 0 #DIV/0!
38 0 0 #DIV/0!
39 0 0 #DIV/0!
40 0 0 #DIV/0!
41 0 0 #DIV/0!
42 0 0 #DIV/0!
43 0 0 #DIV/0!
44 0 0 #DIV/0!
45 0 0 #DIV/0!
46 0 0 #DIV/0!
47 0 0 #DIV/0!
48 0 0 #DIV/0!
49 0 0 #DIV/0!
50 0 0 #DIV/0!
51 0 0 #DIV/0!
 Uunkaa Qorichaa kuusaa qorichaa ittiin lakka'amu
Medicines and supplies Stores Inventory Form
Name of Health Facility_____________________ Store __________________________ Page number ­(Date INV started ________AND Date INV ended ________ )

To be Filled During
To be Filled Before the Physical Inventory To be Filled After Physical Inventory
Inventory

Bin/
የመድኃኒት ኮድ Description (Drug name, dosage form, Unit Physica Stock
Unit Batch No Expiry date Total cost Discrepancy AMC MOS
Drug Code strength and brand if any) Cost l QTY card
Balance

52 0 0 #DIV/0!
53 0 0 #DIV/0!
54 0 0 #DIV/0!
55 0 0 #DIV/0!
56 0 0 #DIV/0!
57 0 0 #DIV/0!
58 0 0 #DIV/0!
59 0 0 #DIV/0!
60 0 0 #DIV/0!
61 0 0 #DIV/0!
62 0 0 #DIV/0!
63 0 0 #DIV/0!
64 0 0 #DIV/0!
65 0 0 #DIV/0!
66 0 0 #DIV/0!
67 0 0 #DIV/0!
68 0 0 #DIV/0!
 Uunkaa Qorichaa kuusaa qorichaa ittiin lakka'amu
Medicines and supplies Stores Inventory Form
Name of Health Facility_____________________ Store __________________________ Page number ­(Date INV started ________AND Date INV ended ________ )

To be Filled During
To be Filled Before the Physical Inventory To be Filled After Physical Inventory
Inventory

Bin/
የመድኃኒት ኮድ Description (Drug name, dosage form, Unit Physica Stock
Unit Batch No Expiry date Total cost Discrepancy AMC MOS
Drug Code strength and brand if any) Cost l QTY card
Balance

69 0 0 #DIV/0!
70 0 0 #DIV/0!
71 0 0 #DIV/0!
72 0 0 #DIV/0!
73 0 0 #DIV/0!
74 0 0 #DIV/0!
75 0 0 #DIV/0!
76 0 0 #DIV/0!
77 0 0 #DIV/0!
78 0 0 #DIV/0!
79 0 0 #DIV/0!
80 0 0 #DIV/0!
81 0 0 #DIV/0!
82 0 0 #DIV/0!
83 0 0 #DIV/0!
84 0 0 #DIV/0!
85 0 0 #DIV/0!
 Uunkaa Qorichaa kuusaa qorichaa ittiin lakka'amu
Medicines and supplies Stores Inventory Form
Name of Health Facility_____________________ Store __________________________ Page number ­(Date INV started ________AND Date INV ended ________ )

To be Filled During
To be Filled Before the Physical Inventory To be Filled After Physical Inventory
Inventory

Bin/
የመድኃኒት ኮድ Description (Drug name, dosage form, Unit Physica Stock
Unit Batch No Expiry date Total cost Discrepancy AMC MOS
Drug Code strength and brand if any) Cost l QTY card
Balance

86 0 0 #DIV/0!
87 0 0 #DIV/0!
88 0 0 #DIV/0!
89 0 0 #DIV/0!
90 0 0 #DIV/0!
91 0 0 #DIV/0!
92 0 0 #DIV/0!
93 0 0 #DIV/0!
94 0 0 #DIV/0!
95 0 0 #DIV/0!
96 0 0 #DIV/0!
97 0 0 #DIV/0!
98 0 0 #DIV/0!
99 0 0 #DIV/0!
100 0 0 #DIV/0!
101 0 0 #DIV/0!
102 0 0 #DIV/0!
 Uunkaa Qorichaa kuusaa qorichaa ittiin lakka'amu
Medicines and supplies Stores Inventory Form
Name of Health Facility_____________________ Store __________________________ Page number ­(Date INV started ________AND Date INV ended ________ )

To be Filled During
To be Filled Before the Physical Inventory To be Filled After Physical Inventory
Inventory

Bin/
የመድኃኒት ኮድ Description (Drug name, dosage form, Unit Physica Stock
Unit Batch No Expiry date Total cost Discrepancy AMC MOS
Drug Code strength and brand if any) Cost l QTY card
Balance

103 0 0 #DIV/0!
104 0 0 #DIV/0!
105 0 0 #DIV/0!
106 0 0 #DIV/0!
107 0 0 #DIV/0!
108 0 0 #DIV/0!
109 0 0 #DIV/0!
110 0 0 #DIV/0!
111 0 0 #DIV/0!
112 0 0 #DIV/0!
113 0 0 #DIV/0!
114 0 0 #DIV/0!
115 0 0 #DIV/0!
116 0 0 #DIV/0!
117 0 0 #DIV/0!
118 0 0 #DIV/0!
119 0 0 #DIV/0!
 Uunkaa Qorichaa kuusaa qorichaa ittiin lakka'amu
Medicines and supplies Stores Inventory Form
Name of Health Facility_____________________ Store __________________________ Page number ­(Date INV started ________AND Date INV ended ________ )

To be Filled During
To be Filled Before the Physical Inventory To be Filled After Physical Inventory
Inventory

Bin/
የመድኃኒት ኮድ Description (Drug name, dosage form, Unit Physica Stock
Unit Batch No Expiry date Total cost Discrepancy AMC MOS
Drug Code strength and brand if any) Cost l QTY card
Balance

120 0 0 #DIV/0!
121 0 0 #DIV/0!
122 0 0 #DIV/0!
123 0 0 #DIV/0!
124 0 0 #DIV/0!
125 0 0 #DIV/0!
126 0 0 #DIV/0!
127 0 0 #DIV/0!
128 0 0 #DIV/0!
129 0 0 #DIV/0!
130 0 0 #DIV/0!
131 0 0 #DIV/0!
132 0 0 #DIV/0!
133 0 0 #DIV/0!
134 0 0 #DIV/0!
135 0 0 #DIV/0!
136 0 0 #DIV/0!
 Uunkaa Qorichaa kuusaa qorichaa ittiin lakka'amu
Medicines and supplies Stores Inventory Form
Name of Health Facility_____________________ Store __________________________ Page number ­(Date INV started ________AND Date INV ended ________ )

To be Filled During
To be Filled Before the Physical Inventory To be Filled After Physical Inventory
Inventory

Bin/
የመድኃኒት ኮድ Description (Drug name, dosage form, Unit Physica Stock
Unit Batch No Expiry date Total cost Discrepancy AMC MOS
Drug Code strength and brand if any) Cost l QTY card
Balance

137 0 0 #DIV/0!
138 0 0 #DIV/0!
139 0 0 #DIV/0!
140 0 0 #DIV/0!
141 0 0 #DIV/0!
142 0 0 #DIV/0!
143 0 0 #DIV/0!
144 0 0 #DIV/0!
145 0 0 #DIV/0!
146 0 0 #DIV/0!
147 0 0 #DIV/0!
148 0 0 #DIV/0!
149 0 0 #DIV/0!
150 0 0 #DIV/0!
151 0 0 #DIV/0!
152 0 0 #DIV/0!
153 0 0 #DIV/0!
 Uunkaa Qorichaa kuusaa qorichaa ittiin lakka'amu
Medicines and supplies Stores Inventory Form
Name of Health Facility_____________________ Store __________________________ Page number ­(Date INV started ________AND Date INV ended ________ )

To be Filled During
To be Filled Before the Physical Inventory To be Filled After Physical Inventory
Inventory

Bin/
የመድኃኒት ኮድ Description (Drug name, dosage form, Unit Physica Stock
Unit Batch No Expiry date Total cost Discrepancy AMC MOS
Drug Code strength and brand if any) Cost l QTY card
Balance

154 0 0 #DIV/0!
155 0 0 #DIV/0!
156 0 0 #DIV/0!
157 0 0 #DIV/0!
158 0 0 #DIV/0!
159 0 0 #DIV/0!
160 0 0 #DIV/0!
161 0 0 #DIV/0!
162 0 0 #DIV/0!
163 0 0 #DIV/0!
164 0 0 #DIV/0!
165 0 0 #DIV/0!
166 0 0 #DIV/0!
167 0 0 #DIV/0!
168 0 0 #DIV/0!
169 0 0 #DIV/0!
170 0 0 #DIV/0!
 Uunkaa Qorichaa kuusaa qorichaa ittiin lakka'amu
Medicines and supplies Stores Inventory Form
Name of Health Facility_____________________ Store __________________________ Page number ­(Date INV started ________AND Date INV ended ________ )

To be Filled During
To be Filled Before the Physical Inventory To be Filled After Physical Inventory
Inventory

Bin/
የመድኃኒት ኮድ Description (Drug name, dosage form, Unit Physica Stock
Unit Batch No Expiry date Total cost Discrepancy AMC MOS
Drug Code strength and brand if any) Cost l QTY card
Balance

171 0 0 #DIV/0!
172 0 0 #DIV/0!
173 0 0 #DIV/0!
174 0 0 #DIV/0!
175 0 0 #DIV/0!
176 0 0 #DIV/0!
177 0 0 #DIV/0!
178 0 0 #DIV/0!
179 0 0 #DIV/0!
180 0 0 #DIV/0!
181 0 0 #DIV/0!
182 0 0 #DIV/0!
183 0 0 #DIV/0!
184 0 0 #DIV/0!
185 0 0 #DIV/0!
186 0 0 #DIV/0!
187 0 0 #DIV/0!
 Uunkaa Qorichaa kuusaa qorichaa ittiin lakka'amu
Medicines and supplies Stores Inventory Form
Name of Health Facility_____________________ Store __________________________ Page number ­(Date INV started ________AND Date INV ended ________ )

To be Filled During
To be Filled Before the Physical Inventory To be Filled After Physical Inventory
Inventory

Bin/
የመድኃኒት ኮድ Description (Drug name, dosage form, Unit Physica Stock
Unit Batch No Expiry date Total cost Discrepancy AMC MOS
Drug Code strength and brand if any) Cost l QTY card
Balance

188 0 0 #DIV/0!
189 0 0 #DIV/0!
190 0 0 #DIV/0!
191 0 0 #DIV/0!
192 0 0 #DIV/0!
193 0 0 #DIV/0!
194 0 0 #DIV/0!
195 0 0 #DIV/0!
196 0 0 #DIV/0!
197 0 0 #DIV/0!
197 0 0 #DIV/0!
SUM Total 25,125.00 -8250
Inventory Registered by Name ____________________________Counted by Name ______________________ Recounted by Name __________________________________
Signature_______________________________ , Signature _____________________ Signature ___________________________________________
Responsible Persons Name________________________________,_______________________________,_________________________________________________________________________
Signature’s __________________________________,________________________,________________________________________________________________________
 Uunkaa Qorichaa kutaaleen Raabsa qorichaa ittiin lakka'amu
Dispensary/Other Service Delivery Units Inventory Form
Name of Health Facility____________________ Section (Unit) ____________ Page Number ­__(Date INV started _____ AND Date INV ended ____ )
To be Filled
To be Filled Before the Physical Inventory During
Inventory

Converte
Retail price Retail price
d unit
from price from cost
የመድኃኒት Description (Drug name, cost from
Retail Batch control control Physical Total Cost (from origional
SN ኮድ dosage form, strength and Expiry date rounded
Unit No sheet sheet (not QTY data)
Drug Code brand if any) up price
(rounded up) rounded up)
control
sheet
1 8 765 6.4 4896
2 0 0
3 0 0
4 0 0
5 0 0
6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
15 0 0
16 0 0
17 0 0
 Uunkaa Qorichaa kutaaleen Raabsa qorichaa ittiin lakka'amu
Dispensary/Other Service Delivery Units Inventory Form
Name of Health Facility____________________ Section (Unit) ____________ Page Number ­__(Date INV started _____ AND Date INV ended ____ )
To be Filled
To be Filled Before the Physical Inventory During
Inventory

Converte
Retail price Retail price
d unit
from price from cost
የመድኃኒት Description (Drug name, cost from
Retail Batch control control Physical Total Cost (from origional
SN ኮድ dosage form, strength and Expiry date rounded
Unit No sheet sheet (not QTY data)
Drug Code brand if any) up price
(rounded up) rounded up)
control
sheet
18 0 0
19 0 0
20 0 0
21 0 0
22 0 0
23 0 0
24 0 0
25 0 0
26 0 0
27 0 0
28 0 0
29 0 0
30 0 0
31 0 0
32 0 0
33 0 0
34 0 0
 Uunkaa Qorichaa kutaaleen Raabsa qorichaa ittiin lakka'amu
Dispensary/Other Service Delivery Units Inventory Form
Name of Health Facility____________________ Section (Unit) ____________ Page Number ­__(Date INV started _____ AND Date INV ended ____ )
To be Filled
To be Filled Before the Physical Inventory During
Inventory

Converte
Retail price Retail price
d unit
from price from cost
የመድኃኒት Description (Drug name, cost from
Retail Batch control control Physical Total Cost (from origional
SN ኮድ dosage form, strength and Expiry date rounded
Unit No sheet sheet (not QTY data)
Drug Code brand if any) up price
(rounded up) rounded up)
control
sheet
35 0 0
36 0 0
37 0 0
38 0 0
39 0 0
40 0 0
41 0 0
42 0 0
43 0 0
44 0 0
45 0 0
46 0 0
47 0 0
48 0 0
49 0 0
50 0 0
51 0 0
 Uunkaa Qorichaa kutaaleen Raabsa qorichaa ittiin lakka'amu
Dispensary/Other Service Delivery Units Inventory Form
Name of Health Facility____________________ Section (Unit) ____________ Page Number ­__(Date INV started _____ AND Date INV ended ____ )
To be Filled
To be Filled Before the Physical Inventory During
Inventory

Converte
Retail price Retail price
d unit
from price from cost
የመድኃኒት Description (Drug name, cost from
Retail Batch control control Physical Total Cost (from origional
SN ኮድ dosage form, strength and Expiry date rounded
Unit No sheet sheet (not QTY data)
Drug Code brand if any) up price
(rounded up) rounded up)
control
sheet
52 0 0
53 0 0
54 0 0
55 0 0
56 0 0
57 0 0
58 0 0
59 0 0
60 0 0
61 0 0
62 0 0
63 0 0
64 0 0
65 0 0
66 0 0
67 0 0
68 0 0
 Uunkaa Qorichaa kutaaleen Raabsa qorichaa ittiin lakka'amu
Dispensary/Other Service Delivery Units Inventory Form
Name of Health Facility____________________ Section (Unit) ____________ Page Number ­__(Date INV started _____ AND Date INV ended ____ )
To be Filled
To be Filled Before the Physical Inventory During
Inventory

Converte
Retail price Retail price
d unit
from price from cost
የመድኃኒት Description (Drug name, cost from
Retail Batch control control Physical Total Cost (from origional
SN ኮድ dosage form, strength and Expiry date rounded
Unit No sheet sheet (not QTY data)
Drug Code brand if any) up price
(rounded up) rounded up)
control
sheet
69 0 0
70 0 0
71 0 0
72 0 0
73 0 0
74 0 0
75 0 0
76 0 0
77 0 0
78 0 0
79 0 0
80 0 0
81 0 0
82 0 0
83 0 0
84 0 0
85 0 0
 Uunkaa Qorichaa kutaaleen Raabsa qorichaa ittiin lakka'amu
Dispensary/Other Service Delivery Units Inventory Form
Name of Health Facility____________________ Section (Unit) ____________ Page Number ­__(Date INV started _____ AND Date INV ended ____ )
To be Filled
To be Filled Before the Physical Inventory During
Inventory

Converte
Retail price Retail price
d unit
from price from cost
የመድኃኒት Description (Drug name, cost from
Retail Batch control control Physical Total Cost (from origional
SN ኮድ dosage form, strength and Expiry date rounded
Unit No sheet sheet (not QTY data)
Drug Code brand if any) up price
(rounded up) rounded up)
control
sheet
86 0 0
87 0 0
88 0 0
89 0 0
90 0 0
91 0 0
92 0 0
93 0 0
94 0 0
95 0 0
96 0 0
97 0 0
98 0 0
99 0 0
100 0 0
101 0 0
102 0 0
 Uunkaa Qorichaa kutaaleen Raabsa qorichaa ittiin lakka'amu
Dispensary/Other Service Delivery Units Inventory Form
Name of Health Facility____________________ Section (Unit) ____________ Page Number ­__(Date INV started _____ AND Date INV ended ____ )
To be Filled
To be Filled Before the Physical Inventory During
Inventory

Converte
Retail price Retail price
d unit
from price from cost
የመድኃኒት Description (Drug name, cost from
Retail Batch control control Physical Total Cost (from origional
SN ኮድ dosage form, strength and Expiry date rounded
Unit No sheet sheet (not QTY data)
Drug Code brand if any) up price
(rounded up) rounded up)
control
sheet
103 0 0
104 0 0
105 0 0
106 0 0
107 0 0
108 0 0
109 0 0
110 0 0
111 0 0
112 0 0
113 7 87 5.6 0
114 0 0
115 0 0
116 0 0
117 0 0
118 0 0
119 0 0
 Uunkaa Qorichaa kutaaleen Raabsa qorichaa ittiin lakka'amu
Dispensary/Other Service Delivery Units Inventory Form
Name of Health Facility____________________ Section (Unit) ____________ Page Number ­__(Date INV started _____ AND Date INV ended ____ )
To be Filled
To be Filled Before the Physical Inventory During
Inventory

Converte
Retail price Retail price
d unit
from price from cost
የመድኃኒት Description (Drug name, cost from
Retail Batch control control Physical Total Cost (from origional
SN ኮድ dosage form, strength and Expiry date rounded
Unit No sheet sheet (not QTY data)
Drug Code brand if any) up price
(rounded up) rounded up)
control
sheet
120 0 0
121 0 0
122 0 0
123 0 0
124 0 0
125 0 0
126 0 0
127 0 0
128 0 0
129 0 0
130 0 0
131 0 0
132 0 0
133 0 0
134 0 0
135 0 0
136 0 0
 Uunkaa Qorichaa kutaaleen Raabsa qorichaa ittiin lakka'amu
Dispensary/Other Service Delivery Units Inventory Form
Name of Health Facility____________________ Section (Unit) ____________ Page Number ­__(Date INV started _____ AND Date INV ended ____ )
To be Filled
To be Filled Before the Physical Inventory During
Inventory

Converte
Retail price Retail price
d unit
from price from cost
የመድኃኒት Description (Drug name, cost from
Retail Batch control control Physical Total Cost (from origional
SN ኮድ dosage form, strength and Expiry date rounded
Unit No sheet sheet (not QTY data)
Drug Code brand if any) up price
(rounded up) rounded up)
control
sheet
137 0 0
138 0 0
139 0 0
140 0 0
141 0 0
142 0 0
143 0 0
144 0 0
145 0 0
146 0 0
147 0 0
148 0 0
149 0 0
150 0 0
151 0 0
152 0 0
153 0 0
 Uunkaa Qorichaa kutaaleen Raabsa qorichaa ittiin lakka'amu
Dispensary/Other Service Delivery Units Inventory Form
Name of Health Facility____________________ Section (Unit) ____________ Page Number ­__(Date INV started _____ AND Date INV ended ____ )
To be Filled
To be Filled Before the Physical Inventory During
Inventory

Converte
Retail price Retail price
d unit
from price from cost
የመድኃኒት Description (Drug name, cost from
Retail Batch control control Physical Total Cost (from origional
SN ኮድ dosage form, strength and Expiry date rounded
Unit No sheet sheet (not QTY data)
Drug Code brand if any) up price
(rounded up) rounded up)
control
sheet
154 0 0
155 0 0
156 0 0
157 0 0
158 0 0
159 0 0
160 0 0
161 0 0
162 0 0
163 0 0
164 0 0
SUM Total 4,896.00
Inventory Registered by Name ____________________________Counted by Name ______________________ Recounted by Name __________________________________
Signature_______________________________ , Signature _____________________ Signature ___________________________________________
Responsible Persons Name________________________________,_______________________________,_________________________________________________________________________
Signature’s __________________________________,________________________,________________________________________________________________________
 Uunkaa Qorichaa kuusaa qorichaa ittiin lakka'amu
Medicines and supplies Stores Inventory Form
Name of Health Facility___________________ Store __________________________ Page number ­____________ (Date INV started _____ AND Date INV ended ____ )

To be Filled After Physical

To be Filled Before the Physical Inventory To be Filled During Inventory
Inventory

Bin/ Stock
የመድኃኒት ኮድ Description (Drug name, dosage form, Physical
Unit Batch No Expiry date Unit Cost card Total cost Discrepancy Remark
Drug Code strength and brand if any) QTY
Balance

1 Amox 02-1 Amoxicilin 500 mg capsule 500 am2019 22/2021 378 76 60 28728 0
2 0 0
3 0 0
4 0 0
5 0 0
6 0 0
7 0 0
8 0 0
9 0 0
10 0 0
11 0 0
12 0 0
13 0 0
14 0 0
15 0 0
16 0 0
17 0 0
18 0 0
19 0 0
20 0 0
21 0 0
 Uunkaa Qorichaa kuusaa qorichaa ittiin lakka'amu
Medicines and supplies Stores Inventory Form
Name of Health Facility___________________ Store __________________________ Page number ­____________ (Date INV started _____ AND Date INV ended ____ )

To be Filled After Physical

To be Filled Before the Physical Inventory To be Filled During Inventory
Inventory

Bin/ Stock
የመድኃኒት ኮድ Description (Drug name, dosage form, Physical
Unit Batch No Expiry date Unit Cost card Total cost Discrepancy Remark
Drug Code strength and brand if any) QTY
Balance

22 0 0
23 0 0
24 0 0
25 0 0
26 0 0
27 0 0
28 0 0
29 0 0
30 0 0
31 0 0
32 0 0
33 0 0
34 0 0
SUM Total 28,728.00 0
Inventory Registered by Name ____________________________Counted by Name ______________________ Recounted by Name __________________________________
Signature_______________________________ , Signature _____________________ Signature ___________________________________________
Responsible Persons Name________________________________,_______________________________,_________________________________________________________________________
Signature’s __________________________________,________________________,________________________________________________________________________
 Uunkaa Qorichaa kutaaleen Raabsa qorichaa ittiin lakka'amu
Dispensary/Other Service Delivery Units Inventory Form
Name of Health Facility___________________________ Section (Unit) __________________________ Page Number ­________Date__________
To be Filled
To be Filled Before the Physical Inventory During
Inventory

Converte
Retail price Retail price
d unit
from price from cost
የመድኃኒት Description (Drug name, cost from Total Cost
Retail Batch control control Physical
SN ኮድ dosage form, strength and Expiry date rounded (from origional
Unit No sheet sheet (not QTY
Drug Code brand if any) up price data)
(rounded up) rounded up)
control
sheet
1 65 765 52 49725
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
SUM Total 49,725.00
Inventory Registered by Name ____________________________Counted by Name ______________________ Recounted by Name __________________________________
Signature_______________________________ , Signature _____________________ Signature ___________________________________________
Responsible Persons Name________________________________,_______________________________,_________________________________________________________________________
Signature’s __________________________________,________________________,________________________________________________________________________