REQUISITION (STORES)

M.T./M.V. C/S SUBARU Requisition No. DK - 064/17

Department DECK Date 17-Dec-17
Port MHI DOCK YOKOHAMA

ARTICLES QUANTITY
No. (Give Full Descriptions) Unit Onboard Required Remarks
MEDICINES
AMETHOCAINE (TETRACAINE HYDROCHLORIDE 0.5%
1 Btls 2 3
EYEDROPS, SINGLE USE VIAL 1ml.)
2 AMOXICILLIN+CLAVULANATE Tablets 875mg/125mg Pkt 2 2

3 ATROPINE Ampule 1.2mg/ml Pkt 1 4

4 CHARCOAL, ACTIVATED 50g in 300ml purified water Pc. 1 5
5 DIAZEPAM Tablets 5mg Pkt 1 4
6 ETHANOL 70% hand cleanser gel 250ml Pc 0 10
7 HYDROCORTISONE 1% CREAM (20-30 grams) Pc 7 10
8 MEBENDAZOLE Tablet 100mg Pc 18 20
9 MICONAZOLE 2% CREAM Pc 1 6
10 PARACETAMOL Tablets 500mg Pc 20 200
11 PERMETHRIN 1% LOTION 250ml Pc 1 3
12 PERMETHRIN 5% LOTION VIAL 250g Pc 1 3
13 PREDNISONE TABLET 25mg Pc 0 30
14 SALBUTAMOL AEROSOL inhaler 0.1mg/dose Pc 4 20
15 COUGH TABLETS Tablets Btls 0 4
16 2-CTYL CYANOACRYLATE LIQUID 0.5%X5 Btls 0 4
17 DIARRHOEA TABLETS Btls 0 4
18 OMEGA PAIN KILLER Btls 0 20
19 TOPICAL ANALGESIC GELS "BEN-GAY" TUB 0 10
20 MULTI VITAMINS TABLETS Btls 0 2
21 JOHNSON & JOHNSON "BAND - AID" Box 1 5
22 POCARI SWEAT TIN 0 24
23 PETROLIUM JELLY LIPSTICK Pc 2 24
24 PENICILLIN OITMENT 10 grm TUB 0 10
25 INHALATION MIXTURE(FRIAR'S BALSAM)(BENZOIN COMPOUND TICTURE Btls 0 10
26 EAR DROPS 15 ml Btls 0 5
27 ABSORBENT COTTON Pkt 0 5

Master:
Master of "CS SUBARU" Chief Officer

Requested by:

Transnational Ship Management Inc.