CULASI DISTRICT HOSPITAL

INVENTORY SUMMARY
For the Period of January 1-31, 2018

Inventory Count VARIANCE Reconciliation Remarks

Lot/Batch Expiration Unit of Ending Balance Deliveries
No. Description Brand
Number Date Issue STOCK ROOM
Quantity Total Quantity Cost Total

B-SHINE
9 Ceftriaxone 1g/vial CEFTRIAMED 1347CO13 03/2020 vial 1000 145,000.00 145.00 - 1000 -
11 Cefuroxime Sodium 750mg/vial MEDAXIME 0237B002 03/2020 vial 1000 259,000.00 259.00 - 746 7.00 7 FEB 1 SALE
37 Omeprazole sodium 40mg/vial 02-1604 07/2018 vial 100 30,200.00 302.00 - 100 -

DAVILLE
7 Cefotaxime 1g/vial AXIME 988106 03/2019 vial 100 30,600.00 306.00 - 100 -
8 Ceftazidime 1g/vial ZEFTACARE P06570501 04/2020 vial 150 18,000.00 120.00 - 150 -
39 Phytomenadione 10mg/ml/ampule PHYTOMEN 160102 01/2019 ampule 100 4,100.00 41.00 - 100 -
44 Tramadol 50mg/ml, 1ml/ampule PENIMADOL F028 09/2019 ampule 60 4,740.00 79.00 - 60 -

DHAN CZAR
27 Hydralazine 20mg/ml, 1ml/ampule ZACZIN 4791603 12/2018 ampule 200 34,000.00 170.00 - 200 -
28 Hydrocortisone Na Succinate 100mg/vial LYCORTIS ICAL131E 09/2019 vial 395 31,995.00 81.00 - 125 -
31 Ketorolac 30mg/ml, 1ml/ampule KETOLON ampule 200 26,000.00 130.00 - 200 -
35 Metronidazole 5mg/ml, 100ml/vial ULTRAGYL vial 0 - 0 -

DYNASTY
8 Ceftazidime 1g/vial AERUM 16105 11/2018 vial 150 33,000.00 220.00 - 150 -
9 Ceftriaxone 1g/vial TRIXOPHIN 170202 08/2019 vial 579 69,480.00 120.00 - 579 -
10 Cefazolin 1g/vial ILOZEF 170630 06/2019 vial 150 13,200.00 88.00 - 150 -
15 Clonidine 150mcg/ml, 1ml/ampule CYCLODINE I002 07/2021 ampule 200 21,000.00 105.00 - 200 -
31 Ketorolac 30mg/ml, 1ml/ampule DYROLAC I004 ampule 176 22,880.00 130.00 - 175 -
38 Paracetamol 150mg/ml, 2ml/ampule FASTAMOL 161122 11/2019 ampule 0 - 600 32.00 19,200.00 557 -
44 Tramadol 50mg/ml, 1ml/ampule DYNATRAM LE1507 12/2017 ampule 0 - - 0 -
45 Tranexamic Acid 100mg/ml, 5ml/ampule RANEXID TEI I006 08/2019 ampule 0 - 200 55.00 11,000.00 118 -

ECE
11 Cefuroxime Sodium 750mg/vial ROXICEF 0327Z001 01/2020 vial 260 72,020.00 1000 277.00 277,000.00 872 8.00 5+3 Feb 1 sale
37 Omeprazole sodium 40mg/vial FARCID DG1059 03/2019 vial 0 - 200 322.00 64,400.00 193 -

GENCARE
11 Endotracheal tube Fr. 3.5 PARTNERS piece 6 390.00 65.00 - 6 -
13 Endotracheal tube Fr. 4.5 PARTNERS piece 6 390.00 65.00 - 6 -
14 Endotracheal tube Fr. 5.0 PARTNERS piece 6 390.00 65.00 - 6 -
15 Endotracheal tube Fr. 5.5 PARTNERS piece 6 390.00 65.00 - 6 -
17 Endotracheal tube Fr. 6.5 PARTNERS piece 6 390.00 65.00 - 6 -
24 Heplock B BRAUN piece 100 2,400.00 24.00 - 100 -
29 IV Catheter with wings g-18 B BRAUN piece 50 3,200.00 64.00 - 50 -
30 IV Catheter with wings g-20 B BRAUN piece 50 3,200.00 64.00 - 50 -
31 IV Catheter with wings g-22 B BRAUN piece 100 6,400.00 64.00 - 100 -
32 IV Catheter with wings g-24 B BRAUN piece 105 6,720.00 64.00 - 105 -
36 Macroset B BRAUN piece 125 1,750.00 14.00 - 125 -
64 Urine Bag with lock, 2000cc HEALTHWIDE 100 1,400.00 14.00 - 100 -

JOSMEF
4 Ampicillin 500mg + Sulbactam 250 mg /vial QUALISULTAM 173012163 05/2020 vial 250 31,500.00 126.00 - 250 -
7 Cefotaxime 1g/vial CLINBAXEF 07/2019 vial 100 32,500.00 325.00 - 100 -
35 Metronidazole 5mg/ml, 100ml/vial CETAZ LET1700/AB 03/2020 vial 144 6,300.00 43.75 - 3 -
37 Omeprazole sodium 40mg/vial QUALIPRAZOLE 172062015 05/2020 vial 71 10,735.20 151.20 - 0 (1.00)
41 Ranitidine 25mg/ml, 2ml/ampule ZEPTAG ZI7001 04/2020 ampule 90 4,095.00 45.50 - 0 (30.00)

JUSAN
2 Aminophylline 25mg/ml, 10ml/ampule AMINOSOL 15117 11/2018 ampule 30 1,485.00 49.50 - 30 -
11 Cefuroxime Sodium 750mg/vial ZINACARE H06470401 03/2020 vial 342 29,370.96 85.88 - 273 -
28 Hydrocortisone Na Succinate 100mg/vial VERDICORT AV-3464 04/2020 vial 500 54,375.00 108.75 - 500 -
30 Hyoscine-N-butylbromide 20mg/ml/ampule SPASBACINE 17O803 08/2020 ampule 250 10,030.00 40.12 - 250 -
37 Omeprazole sodium 40mg/vial RAMEZOLE 17A01 01/2019 vial 97 25,074.50 258.50 - 47 2.00 2 FEB 1 SALE
52 Oxytocin 10 IU/ml, 1ml/ampule GYNE-TOCIN 170801 08/2020 ampule 200 10,500.00 52.50 - 192 1.00 1 FEB 1 SALE

MEDIRICH
11 Cefuroxime Sodium 750mg/vial CEFT KZ003 02/23/2019 vial 1000 97,500.00 97.50 - 1000 -

MG PRIME
8 Ceftazidime 1g/vial CEFTAMED 17037002 1/3/2019 vial 150 45,000.00 300.00 - 150 -
9 Ceftriaxone 1g/vial TRIAMED 16075009 10/11/2019 vial 784 125,440.00 160.00 - 660 -

11 Cefuroxime Sodium 750mg/vial UROXINE 17036002 07/2020 vial 1000 195,000.00 195.00 - 1000 -

NATRAPHARM
11 Cefuroxime Sodium 750mg/vial vial 1000 190,000.00 190.00 - 1000 -

OXFORD
9 Ceftriaxone 1g/vial vial 0 - 148.00 - 0 -

Prepared by: CHRISTIE ANNE S. OGATIS Certified Correct by: MA. LOURDES L. XAVIER, RPh
Pharmacy Aide Pharmacist II

Approved by: REBECCA V. AGUIRRE, M.D., DPPPS

CHIEF OF HOSPITAL
 Lot/Batch Expiration
No. Description Brand
Number Date

B-SHINE
9 Ceftriaxone 1g/vial CEFTRIAMED 1347CO13 03/2020
11 Cefuroxime Sodium 750mg/vial MEDAXIME 0237B002 03/2020
37 Omeprazole sodium 40mg/vial ACIMED 02-1604 07/2018

DAVILLE
7 Cefotaxime 1g/vial AXIME 988106 03/2019
8 Ceftazidime 1g/vial ZEFTACARE P06570501 04/2020
39 Phytomenadione 10mg/ml/ampule PHYTOMEN 160102 01/2019
44 Tramadol 50mg/ml, 1ml/ampule PENIMADOL F028 09/2019

DHAN CZAR
27 Hydralazine 20mg/ml, 1ml/ampule ZACZIN 4791603 12/2018
28 Hydrocortisone Na Succinate 100mg/vial LYCORTIS ICAL131E 09/2019
31 Ketorolac 30mg/ml, 1ml/ampule KETOLON
35 Metronidazole 5mg/ml, 100ml/vial ULTRAGYL

DYNASTY
8 Ceftazidime 1g/vial AERUM 16105 11/2018
9 Ceftriaxone 1g/vial TRIXOPHIN 170202 08/2019
10 Cefazolin 1g/vial ILOZEF 170630 06/2019
15 Clonidine 150mcg/ml, 1ml/ampule CYCLODINE I002 07/2021
31 Ketorolac 30mg/ml, 1ml/ampule DYROLAC I004
38 Paracetamol 150mg/ml, 2ml/ampule FASTAMOL 161122 11/2019
44 Tramadol 50mg/ml, 1ml/ampule DYNATRAM LE1507 12/2017
45 Tranexamic Acid 100mg/ml, 5ml/ampule RANEXID TEI I006 08/2019

ECE
11 Cefuroxime Sodium 750mg/vial ROXICEF 0327Z001 01/2020
37 Omeprazole sodium 40mg/vial FARCID DG1059 03/2019

GENCARE
10 Endotracheal tube Fr. 2.5 20170410 44652
11 Endotracheal tube Fr. 3.5 PARTNERS
13 Endotracheal tube Fr. 4.5 PARTNERS
14 Endotracheal tube Fr. 5.0 PARTNERS
15 Endotracheal tube Fr. 5.5 PARTNERS
16 Endotracheal tube Fr. 6.0 20160405 04-2021
17 Endotracheal tube Fr. 6.5 PARTNERS
19 Endotracheal tube Fr. 7.5 170524 44682
20 Endotracheal tube Fr. 8 20161130 44501
22 Foley Catheter Fr.16 20160831 44409
23 Foley Catheter Fr.18 20160831 44409
24 Heplock B BRAUN
29 IV Catheter with wings g-18 B BRAUN
30 IV Catheter with wings g-20 B BRAUN
31 IV Catheter with wings g-22 B BRAUN
32 IV Catheter with wings g-24 B BRAUN
 33 IV Catheter with wings g-26 60676/286 44440
36 Macroset B BRAUN
37 Microset 20170710 44013
44 Oxygen Cannula Pedia 20160531 05-30-21
64 Urine Bag with lock, 2000cc HEALTHWIDE

JOSMEF
4 Ampicillin 500mg + Sulbactam 250 mg /vial QUALISULTAM 173012163 05/2020
7 Cefotaxime 1g/vial CLINBAXEF 07/2019
35 Metronidazole 5mg/ml, 100ml/vial CETAZ LET1700/AB 03/2020
37 Omeprazole sodium 40mg/vial QUALIPRAZOLE 172062015 05/2020
41 Ranitidine 25mg/ml, 2ml/ampule ZEPTAG ZI7001 04/2020
3 Cord Clamp FY1608028 08-17-21
16 Endotracheal tube Fr. 6.0 160401 Apr-21
29 IV Catheter with wings g-18 703346 Dec-21
55 Sterile Surgical Gauze 4x4 ORMED JS153101 Jun-20
71 Silk 2.0 w/ cutting needle B-BRAUN 617184 Feb-22

JUSAN
2 Aminophylline 25mg/ml, 10ml/ampule AMINOSOL 15117 11/2018
11 Cefuroxime Sodium 750mg/vial ZINACARE H06470401 03/2020
28 Hydrocortisone Na Succinate 100mg/vial VERDICORT AV-3464 04/2020
30 Hyoscine-N-butylbromide 20mg/ml/ampule SPASBACINE 17O803 08/2020
37 Omeprazole sodium 40mg/vial RAMEZOLE 17A01 01/2019
52 Oxytocin 10 IU/ml, 1ml/ampule GYNE-TOCIN 170801 08/2020

MEDIRICH
11 Cefuroxime Sodium 750mg/vial CEFT KZ003 02/23/2019

MG PRIME
8 Ceftazidime 1g/vial CEFTAMED 17037002 1/3/2019
9 Ceftriaxone 1g/vial TRIAMED 16075009 10/11/2019
11 Cefuroxime Sodium 750mg/vial UROXINE 17036002 07/2020

NATRAPHARM
11 Cefuroxime Sodium 750mg/vial

OXFORD
9 Ceftriaxone 1g/vial

Prepared by: CHRISTIE ANNE S. OGATIS Certified Correct by: MA. LOURDES L. X
Pharmacy Aide Pharmaci

Approved by: REBECCA V. AGUIRRE, M.D., DPPPS

CHIEF OF HOSPITAL
 CULASI DISTRICT HOSPITAL
INVENTORY SUMMARY
For the Period of February 1-28, 2018

SUMMARY OF SOLD
Unit of Ending Balance Deliveries
Issue Total
Total Cost
Quantity Total Quantity Cost Total Quantity

vial 1000 145,000.00 145.00 - - -

vial 746 259,000.00 259.00 - 7.00 1,813.00
vial 100 30,200.00 302.00 - - -

vial 100 30,600.00 306.00 - - -

vial 150 18,000.00 120.00 - - -
ampule 100 4,100.00 41.00 - - -
ampule 60 4,740.00 79.00 - - -

ampule 200 34,000.00 170.00 - - -

vial 395 31,995.00 81.00 - 127.00 10,287.00
ampule 200 26,000.00 130.00 - - -
vial 0 - - -

vial 150 33,000.00 220.00 - - -

vial 579 69,480.00 120.00 - - -
vial 150 13,200.00 88.00 - - -
ampule 200 21,000.00 105.00 - - -
ampule 176 22,880.00 130.00 - 3.00 390.00
ampule 0 - 600 32.00 19,200.00 68.00 2,176.00
ampule 0 - - - -
ampule 0 - 200 55.00 11,000.00 119.00 6,545.00

vial 260 72,020.00 1000 277.00 277,000.00 351.00 97,227.00

vial 0 - 200 322.00 64,400.00 58.00 18,676.00

piece 6 390.00 65.00 - - -

piece 6 390.00 65.00 - - -
piece 6 390.00 65.00 - - -
piece 6 390.00 65.00 - - -
piece 6 390.00 65.00 - - -
piece 6 390.00 65.00 - - -
piece 6 390.00 65.00 - - -
piece 2 130.00 65.00 - - -
3 195.00 65.00 - - -
piece 8 200.00 25.00 - - -
piece 12 300.00 25.00 - - -
piece 100 2,400.00 24.00 - - -
piece 50 3,200.00 64.00 - - -
piece 50 3,200.00 64.00 - - -
piece 100 6,400.00 64.00 - - -
piece 105 6,720.00 64.00 - - -
 piece 90 4,320.00 48.00 - - -
piece 125 1,750.00 14.00 - - -
piece 60 870.00 14.50 - - -
piece 100 2,600.00 26.00 - - -
100 1,400.00 14.00 - - -

vial 250 31,500.00 126.00 - - -

vial 100 32,500.00 325.00 - - -
vial 3 131.25 43.75 - - -
vial 0 - 151.20 - - -
ampule 0 - 45.50 6.00 273.00
PIECE 100 504.00 5.04 - -
PIECE 6 352.80 58.80 - -
PIECE 100 2,352.00 23.52 - - -
piece 1000 3,500.00 3.50 - - -
piece 120 11,004.00 91.70 - - -

ampule 30 1,485.00 49.50 - - -

vial 342 29,370.96 85.88 - 225.00 19,323.00
vial 500 54,375.00 108.75 - 20.00 2,175.00
ampule 250 10,030.00 40.12 - 39.00 1,564.68
vial 97 25,074.50 258.50 - 22.00 5,687.00
ampule 192 10,500.00 52.50 - 49.00 2,572.50

vial 1000 97,500.00 97.50 - - -

vial 150 45,000.00 300.00 - - -

vial 660 105,600.00 160.00 - 76.00 12,160.00
vial 1000 195,000.00 195.00 - - -

vial 1000 190,000.00 190.00 - - -

vial 0 - 148.00 - - -

tified Correct by: MA. LOURDES L. XAVIER, RPh

Pharmacist II
SUMMARY OF TRANSFER Inventory Count VARIANCE
Ending Balance
Total
Total Cost STOCK ROOM
Quantity Quantity Total

- 1,000.00 145,000.00 1000 -

- 739.00 191,401.00 746 (7.00)
- 100.00 30,200.00 100 -

- 100.00 30,600.00 100 -

- 150.00 18,000.00 150 -
- 100.00 4,100.00 100 -
- 60.00 4,740.00 60 -

- 200.00 34,000.00 200 -

- (2.00) (162.00) 0 (2.00)
- 200.00 26,000.00 200 -
- - - 0 -

- 150.00 33,000.00 150 -

- 579.00 69,480.00 585 6.00
- 150.00 13,200.00 150 -
- 200.00 21,000.00 200 -
- 172.00 22,360.00 173 1.00
- 489.00 15,648.00 489 -
- - - 0 -
- (1.00) (55.00) 0 (1.00)

- 521.00 144,317.00 536 15.00

- 135.00 43,470.00 137 2.00

- 6.00 390.00 6 -
- 6.00 390.00 6 -
- 6.00 390.00 6 -
- 6.00 390.00 6 -
- 6.00 390.00 6 -
- 6.00 390.00 6 -
- 6.00 390.00 6 -
- 2.00 130.00 2 -
- 3.00 195.00 3 -
- 8.00 200.00 8 -
- 12.00 300.00 12 -
- 100.00 2,400.00 100 -
- 50.00 3,200.00 50 -
- 50.00 3,200.00 50 -
- 100.00 6,400.00 100 -
- 105.00 6,720.00 105 -
- 90.00 4,320.00 90 -
- 125.00 1,750.00 125 -
- 60.00 870.00 60 -
- 100.00 2,600.00 100 -
- 100.00 1,400.00 100 -

- 250.00 31,500.00 250 -

- 100.00 32,500.00 100 -
- 3.00 131.25 3 -
- - - 0 -
- (6.00) (273.00) 0 (6.00)
- 100.00 504.00 100 -
- 6.00 352.80 6 -
- 100.00 2,352.00 100 -
- 1,000.00 3,500.00 1000 -
- 120.00 11,004.00 120 -

- 30.00 1,485.00 30 -
- 48.00 4,122.24 48 -
- 480.00 52,200.00 480 -
- 211.00 8,465.32 211 -
- 25.00 6,462.50 25 -
- 143.00 7,507.50 143 -

- 1,000.00 97,500.00 1000 -

- 150.00 45,000.00 150 -

- 584.00 93,440.00 584 -
- 1,000.00 195,000.00 1000 -

- 1,000.00 190,000.00 1000 -

- - - 0 -
Reconciliation Remarks