AMBULANCE DAILY CKECKLIST MONTH_________________

MEDICINE NAME Qty 1 2 3 4 5 6 7 8 9 10 11 12 13 14

1. Inj. Dopamin 1
2. Inj. Decadran 1
3. Inj. Lasix 1
4. Inj. Avil 1
5. Inj. Atropin 1
6. Inj. Pentazocin 1
7. Inj. Deriphyllin 1
8. Inj. Buscopan 1
9. Inj. Phenargan 1
10. Inj. Mol 1
12. Inj. Metazolam 1
13. Inj. Efcorlin 1
14. Inj. Soda bicarb 2
15. Inj. Fosolin 1
16. I/V DNS 1
17. I/V Dex 5% 1
18. I/V NS 1
19. I/V Isolite-P 1

SURGICAL ITEM
1. Drip set Micro 1
2. Drip set Plain 1
3. Ryles Tube 14 1
4. Suction Catheter 12&14 1E
5. Folyes Catheter 16 1
6. Uro Bag 1
7. Xylocain Jelly 1
8. Syringe 20 ml&10 ml 2E
9. Syringe 5ml&2ml 5E
9. Air Way 4&3 1E
10. Cottan Bandage 4 & 6 2E
11. Venflan 18 & 20 1E
12. Paper Tape 2
13. Cottan
1
OINTMENT/ SOLUTION

1. Betadine Solution 1
2.Sprit 1
INSTRUMENTS
1. B.P. Apparatus 1
2.Stethoscope 1
3.Scissors 1
4. O2 cylinder 1
5. Ambu Bag set 1
6. Torch 1

Sign Emergency Incharge

15
 AMBULANCE DAILY CKECKLIST MONTH_________________
MEDICINE NAME Qty 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
1. Inj. Dopamin 1
2. Inj. Decadran 1
3. Inj. Lasix 1
4. Inj. Avil 1
5. Inj. Atropin 1
6. Inj. Pentazocin 1
7. Inj. Deriphyllin 1
8. Inj. Buscopan 1
9. Inj. Phenargan 1
10. Inj. Mol 1
12. Inj. Metazolam 1
13. Inj. Efcorlin 2
14. Inj. Soda bicarb 4
15. Inj. Fosolin 1
16. I/V DNS 1
17. I/V Dex 5% 1
18. I/V NS 1
19. I/V Isolite-P 1

SURGICAL ITEM
1. Drip set Micro 1
2. Drip set Plain 1
3. Ryles Tube 14 1
4. Suction Catheter 12&14 1E
5. Folyes Catheter 16 1
6. Uro Bag 1
7. Xylocain Jelly 1
8. Syringe 20 ml&10 ml 2E
9. Syringe 5ml&2ml 5E
9. Air Way 4&3 1E
10. Cottan Bandage 4 & 6 2E
11. Venflan 18 & 20 1E
12. Paper Tape 2
13. Cottan 1

OINTMENT/ SOLUTION

1. Betadine Solution 1
2.Sprit 1
INSTRUMENTS
1. B.P. Apparatus 1
2.Stethoscope 1
3.Scissors 1
4. O2 cylinder 1
5. Ambu Bag set 1
6. Torch 1

Sign Emergency Incharge

__________
31