Program products requesting form for items likely lead to be stock out for the next 2 months

Requesting some essential program products to make the stock level adequate for the next 2
months till re-filling per RRF after ERP system implementation
Zone – West Hararghe HF name ___Hirna Health center ____________________ Date
___27/7/2016____________

No Description Unit AMC SOH Quantity Remark

requested
1 TB kit Kit 10 2 30
2 Ethanbutol 100mg Pk 3 0 10
3 RHZ 75,150,50mg Pk 4 2 10
4 Rifapetin 300mg, 3*28 1 0 20
Isonaizade 300mg
5 Deltogeraver 50mg tab 30 3 0 10
6 Deltogeraver 10mg tab 90 3 2 10
7 Tdf, 3tc, dtg 300mg 300mg,50mg tab 90 88 101 100
8 Dipo probera injection Vial 175 200 400
9 Amoxacilin 250mg dt 10*10 25 67 70
10 MDT adult 6blister 3 0 10
11 Misoprostol Pack 10 0 30
12 Ferrus salphet 10*10 60 0 300
13 HIV test kit one step 40 10 3 20
14 EDTE Tube 100 3 0 10
15 Microscope slide 100 10 3 30
16 Isonaizade 100mg tab 10*10 2 0 6