MONTHLY MEDICAL SUPPLIES CHECKLIST

LOCATION:______________________________ Month/Year:_________________________

SN Item Min.Stock Qty Lot # Mfg. Date Expiry Remarks

1 Couch Roll 12pcs na na
2 Cadaver Bag 7pcs na na
3 Disposable Bedsheets 1pkt na na
4 Disposable cap 1pkt na na
5 Disposable gown 1pkt na na
6 Disposable shoe cover 1pkt na na
7 Adhesive Dressing 10x15 cm box/100 6box 4/2015 3/2020
8 Adhesive Dressing 6x7 cm box/100 2box 9/2016 8/2021
9 Adhesive Dressing 6x7 cm box/50 2box 10/2018 10/2021
10 Povidone Iodine Pads pkt/100 3pkt 7/2017 7/2022
11 Alcocol Prep Pads pkt/100 1pkt 2/2017 2/2022
12 Waster Resistant Sheer Bandage pkt/100 1pkt na 1/2020
13 Plastic Bandages 2box 1/2017 1/2020
14 Wound Closure Strips box/50 1box 7/2018 7/2021
15 Steri Strip 1pkt na 4/2021
16 Nexcare Eye Patch 2 pkt na 3/2021
na 12/2020
17 Adhesive Plasters pkt/100 1pkt na na
18 Micropore Non Woven 5x10 1pkt 7/2017 7/2022
19 Micropore Non Woven 2.5x10 2pkt 11/2018 11/2021
5/2017 5/2020
20 Micropore Non Woven 2x10 1pkt 3/2017 3/2022
21 IV Catheter G.22 3 box 3/2016 2/2021
7/2018 6/2023
6/2017 5/2022
22 IV Catheter G.20 1box 7/2017 6/2022
23 Medix Probe Cover/200 5 box na na
24 Macro Drip Set 1 box 10/2018 10/2023
25 Safety Lancet 1 box
26 3cc Syringe 2box 12/2018 12/2023
10/2017 10/2022
27 5cc syringe 5box 10/2017 10/2022
10/2016 10/2021
3/2016 3/2021
10/2014 10/2019
28 10 cc Syringe 8/2015 8/2020
29 Oxygen Mask 1 box 3/2017 2/2022
30 Nebulizer Mask 1box 1/2018 12/2022
5/2018 4/2023
31 Bag Valve Mask Adult 3 pcs na na
32 Handheld Suction (Manual) 3 pcs na na
33 Humidifier pcs na na
 MONTHLY MEDICAL SUPPLIES CHECKLIST
LOCATION:______________________________ Month/Year:_________________________

SN Item Min.Stock Qty Lot # Mfg. Date Expiry Remarks

1 Pillow 2 pcs na na
2 Blanket 1 pc na na
3 Medical Razor box/100 1 box
4 LED Flashlight 2 pcs na na
5 Torch 1 box na na
6 Pocket Mask 1 bkt na na
Unigrip Tubular Bandage 8.75 cm
7 4 rolls na na
(small thigh, medium knee, large ankle)
Unigrip Tubular Bandage 7.5 cm
8 2 rolls na na
(small ankle, medium ankle, large arms)
Unigrip Tubular Bandage 6.75 cm
9 1 roll na na
(small ankle and medium arms)
10 Tubular Gauze 20m 9 pcs na na
11 Finger Splint 3 pcs na na
12 Confirming Bandage 7.5x4cm 2 pkt 12/2015 12/2020
4/2015 4/2020
13 Confirming Bandage Different Sizes 1 box
14 Crepe Bandage 5x4.5, 10x4.5, 7.5x4.5 1 box
15 Elastic Bandage 15x4.5cm 2 pkt 10/2017 10/2022
16 Elastic Bandage 7.5x4.5cm 2 pkt 5/2016 5/2021
17 Cotton Applciator 2 pkt na na
18 Sam Splint 7 pcs
19 Lomar Gauze Swab 5x5 cm box/50 5 box 5/2018 5/2023
20 Medix Gauze Swab 5x5 cm box/50 4 box 5/2017 5/2022
21 Lomar Gauze Swab 10x10 cm box/50 5 box 5/2018 5/2023
22 Medix Gauze Swab 10x10 cm box/50 4 box 5/2017 5/2022
23 Underpads 17 pkt 8/2016 8/2021
Underpads 3 pkt 6/2017 3/2020
LOCATION:________________________ Month/Year:_________________________

SN Item Qty Lot # Mfg. Date Expiry Remarks

PPE and Other Disposable Materials
1 Facemask Earloop box/50 1 box Sep-19
2 Bag Valve Mask 1 set
3 Cervical Collar 1 pc
4 Cotton Tipped Applicator 1 pkt
5 Gloves (Large) box/100 1 box Sep-23
6 Sterile Gloves 8 pcs Jun-18 May-21
Medicine/Creams/Ointment
1 Panalife (Paracetamol 500mg) 96/box 1 box Jan-18 Dec-20
2 Panadol Cold and Flu Tab 24/box 1 box Jan-19 Dec-20
3 Deep Heat Spray
4 Profinal Gel 30 gms 1 tube Aug-17 Aug-20
5 Moov Rapid Relief Spray 50g 1 tube Mar-18 Feb-21
6 Rubicalm Cream 30g 1 tube Aug-18 Aug-21
7 Optrex Lotion 100ml 1bottle Oct-18 Oct-21
8 Optrex Eye Drops 10ml 1 pc Jul-18 Jul-21
9 Calamine Lotion 1 btl Oct-17 Oct-20
1 btl Apr-18 Apr-21
10 Govil Clove Oil 1 pc na Jul-21
11 Tigel Balm 1 pc May-18 Apr-22
12 Itch Guard 25g 1 pc Nov-18 Oct-20
13 Silver Sulfadiazine 50g 1 pc Aug-18 Aug-20
14 Alfacort 1 pc Mar-18 Mar-21
15 Eurax 20g 10% 1 pc Jan-16 Dec-20
16 Alfacort 1 pc Mar-18 Mar-21
17 Casino Alcohol 70% 500ml 1 pc Apr-16 Apr-21
18 Savoy Antiseptic Spray 2 pc Aug-16 Jul-21
May-18 Apr-23
19 Savoy Burn Spray 1 pc Mar-17 Feb-22
20 Betadine 120ml 1 pc Jul-16 Jul-21
21 Hydrogen Peroxide 100ml 6% 1 pc Mar-17 Mar-20
Patch and Pandages
1 Alcohol Pads pkt/100 1 pkt na Oct-21
2 Non Sterile Gauze 5x5 100/pkt 1 pkt Nov-17 Nov-22
3 1 pkt na Oct-20
4 Non Sterile Gauze 7.5x7.5 100/pkt 1 pkt Jan-18 Jan-23
5 Non Sterile Gauze 10x10 100/pkt 1 pkt Jan-18 Jan-23
6 Sterile Gauze 5x5 na na
7 Sterile Gauze 7.5 Jan-18 Jan-23
8 Sterile Gauze 10x10 Jan-15 Jan-21
9 Universal Hansaplast 100/pkt 1 pkt Feb-17 Jan-22
1 pkt Mar-16 Feb-21
10 Elastic Hansaplast 100/pkt 1 pkt Sep-15 Sep-20
11 Bandaid Spot 100/pkt 1 pkt Jun-18 May-23
12 Sheer Bandage 100/pkt (nexcare) assort 1 pkt Dec-20
13 Cold Pack 3 pcs na na
14 Adhesive Wound Dressing 10x25 3 pcs
15 Adhesive wound Dressing 9x20 cm 3 na Aug-20