Page No.

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Dispensary/Other Service Units Inventory Form(DIF)
Name of Health Facility: Ziquala Primary Hospital Unit (Section): OPD Pharmacy Date: 24/12/12E.C
To be filled
during
 S.No To be filled before physical inventory inventory To be filled after inventory
. Retail Batch Expiry Retail Physical Unit Total
Drug code Description(drug name unit number date price quantity cost cost Remark
Lamuvidine (3TC) + Zidovudine (AZT) -
Lazi-10-1 (30mg + 60mg) tablet tab V2BG024 22-Apr 1080 0.8 864
1
Lamuvidine (3TC) + Neverapine (NVP) +
Lanz-11-1 Zidovudine(AZT) + (30 +50 + 60)mg tablet tab 3076586 22-Nov 720 80.5 57960
2
Abac-11-1 Abacavir (ABC) 300mg tablet tab 3100267 23-May 420 7.78 3267.6
3
Conm-70-1 Condommale latex -180mmx53mm pcs 17N1037 22-Feb 352 0.57 200.64
4
Delu-10-1 Delutegravir (DTG) 50mg tablet tab E191239 21-May 570 4.31 2456.7
5
Efav-01-1 Efavirenz (EFV) 50mg capsule tab EWAG039 22-Jan 360 1.78 640.8
6
Efav-12-1 Efavirenz (EFV) 600mg tablet tab EF117022 21-Oct 240 2.19 525.6
7
Ison-11-1 Isoniazide (INH) 300mg tablet tab EIW765A 21-Nov 246 0.74 182.04
8
Lami-10-1 Lamuvidine (3TC) 150mg tablet tab LXAG046 22-Dec 600 1.11 666
9
Lamuvidine (3TC)/Zidovudine (150mg +
Lazi-11-1 300mg) tablet tab LAZ18121 21-May 1020 2.41 2458.2
10
 Lamuvidine(3TC)/Tenofovir (TDF) 300mg
Late-10-1 + 300mg tablet tab 3098074 21-Mar 180 4.82 867.6
11
Lamuvidine/Efavirenz/Tenofovir/
(TDF/EFV/3TC) 300mg + 300mg + 400mg
Laet-10-1 tablet tab 3090168 20-Sep 780 7.03 5483.4
12
Lamuvidine/Tenofofir/Dolutegravir (3TC
+TDF+ DTG) -(150mg + 300mg + 50mg)
Latd-10-1 tablet tab 3107098 21-Sep 90 4.11 369.9
13
Neve-10-1 Neverapine 200mg tablet tab E180261 22-Dec 120 0.94 112.8
14
Vitb-11-1 Pyridoxine HCL (vitamin B6) 50mg tablet tab NT71009 800 0.19 152
15
Sulfamethoxazole + trimetoprim (800 +
Sutr-12-1 160)mg tablet tab G84E6138 1500 0.45 675
16
76882.28  
Total cost