Page No.

----------
Dispensary/Other Service Units Inventory Form(DIF)
Name of Health Facility: Ziquala Primary Hospital Unit (Section): IPD Pharmacy Date: 24/12/12E.C
To be filled
during To be filled after
 S.No To be filled before physical inventory inventory inventory
. Retail Expiry Retail Physical Unit Rema
Drug code Description(drug name unit Batch number date price quantity cost Total cost rk
Catg-73-1 Cat gut chromic 0 circle round pcs 180908 23-Aug 5.50  24 5.47 131.25  
1
Syri-80-1 Syringe (Disposable) 10ml with needl pcs 190504 24-May 2.00 200 1.6 320  
2
Sali-14-1 Acetaylsalicilic acid 300mg tablet tab 24866 24-Feb 0.20 900 0.16 144  
3
Amit-11-1 Amitriptyline 25mg tablet tab 69356 21-Sep 2.25 240 1.8 432  
4
Amox-01-1 Amoxacillin 250mg capsule cap 23059 22-May 0.55 2420 0.44 1065  
5
Amox-02-1 Amoxicillin 500mg cap Cap 31148 20-Mar 1.10 760 0.88 669  
6
Bepl Anti-haemrrhoidal (betamethason 20gm 6
valerate + phenylphrine HCL +
lidocain HCL (0.5mg + 1mg + 25mg)-
ointment GN18012 11/21 49.6 39.68 238.08
7
Arte-30-1 Artisunate 60mg injection vial LA181118 21-Oct 5.00 102 4 408 Free
8
Ceft-31 Ceftazidime 1gm injection vial 183051148 21-Nov 21.95 24 17.56 421  
9
Cefr-32-1 Ceftriaxone 1g inj Vial 87
IC20421008 22-Jan 19.00 15.2 1322  
10
11 Ceph-20-1 Cephalexin 125mg/5ml suspension 100ml LE0B0328 21-Feb 52.80 13 42.24 549  
 Ceti-11-1 Cetirizine 10mg tablet tab DC11801   1.25 100 1 100  
12
Quic-11-1 Chloroquine phosphate 250mg tablet tab 69802 21-Sep 1.00 100 0.8 80 Free
13
Quic-20-1 Chloroquine phosphate 60mg/5ml 60ml 8
syrup 28868 21-Aug 14.60 11.68 93 Free
14
Cime-31-1 Cimetidine 400mg/2ml injection amp 18190505 21-May 2.60 10 2.08 21  
15
Cipr-11-1 Ciprofloxacillin 500mg tablet tab 29953 22-Oct 1.00 800 0.8 640  
16
Clar-11-1 Claritromycine 500mg tablet tab 1000
OO419100010 21-Sep 4.60 3.68 3680  
17
Clin-10-1 Clindamycine 150mg capsule cap O24 20-Dec 4.40 195 3.52 686  
18
Dexa-30-1 Dexamethasone 4mg/ml injaection amp I19190 21-Jan 31.00 95 24.8 2356  
19
Dext-22-1 Dextrometorphan 15mg/5ml syrup bottle 31665 22-May 62.00 7 49.6 347  
20
Dnsa-31-1 Dextrose 5% in normal saline with 1000ml 346
giving set 19060390 21-Oct 33.55 26.84 9287  
21
Diaz-31-1 Diazepam 5mg/ml injection amp 70
FH802X 20-Dec 4.3.00 3.44 241  
22
Dicp-11-1 Diclofenac potassium 50mg tablet Tab FCP5j902 22-Aug 0.60 1100 0.48 528  
23
Dics-30-1 Diclofenac sodium 75mg/3mlml Amp 80
injection 181211 22-Nov 1.40 1.12 90  
24 
Diph-20-1 Diphenhydramine hydrochloride bottle 10
12.5mg/5ml Elixir N19243 22-Nov 44.00 35.2 352  
25 
26 Doxy-01-1 Doxycycline 100mg capsule Cap 26803 22-Aug 0.55 890 0.44 392  
 Fefo-10-1 Ferrous sulfate + folic acid (150mg + tab 270
0.5mg) tablet MM30 20-Aug 0.23 0.184 50 Free
27
Foli-11-1 Folic acid 5mg tablet tab OO24 20-Nov 1.65 70 1.32 92  
28
Frus-10-1 Frusemide 40mg tablet tab 10190319 21-Mar 0.05 750 0.04 30  
29
Frus-30-1 Frusemide 10mg/ml,2ml Amp 3319032 21-Feb 1.00 20 0.8 16  
30
Gent-31-1 Gentamycin 80mg/2ml inj Amp     1.30 40 1.04 42  
31
Guab-72-1  Guaze bandage 12.5cmx5m pcs 20191018 24-Oct 8.15 43 6.52 280  
32
Heam-20-1 Heam up syrup 200ml D20005BX70 22-Dec 95.00 6 76 456  
33
Hydr-35-1 Hydralazine hydrochloride 20mg/1ml vial 35
amp inje 9EB09090 21-Feb 51.20 40.96 1434  
34
Thia-11-1 Hydrochlorothiazide 25mg tablet tab OO719040022 21-Mar 0.32 450 0.256 115  
35
Cort-30-1 Hydrocortisone sodiumsuccinate vial 50
100mg/2ml injection 420394 21-Nov 15.95 12.76 638  
36 
Cort-50-1 Hydrocortosone 1% topical cream 15gm 200101 23-Jan 111.00 2 88.8 178  
37
Hyos-11-1 Hyoscine hydrobromide 10mg tablet tab 25611 21-Apr 0.25 160 0.2 32  
38
Hyos-32-1 Hyoscine hydrobromide 20mg/2ml amp 90
amp inje 1801850 21-Jan 7.25 5.8 522  
39
Ivca-72-1 Intravenous cannula 18g pcs 84913J 23-Nov 4.40 450 3.52 1584  
40
Ivca-74-1 Intravenous cannula 22g pcs R19J557 24-Sep 4.30 40 3.44 138  
41
 Ivca-75-1 Intravenous cannula 24g pcs 3094019C 24-Feb 4.45 90 3.56 320  
42
Lido-32-1 Lidocaine + adrenaline 2% injection vial I18296 20-Nov 2.40 36 1.92 69  
43
Lora-10-1 Lorantidine 10mg tablet tab CL004 21-Sep 1.10 50 0.88 44  
44
Mags-34-1 Magnisium sulphate-50% 10ml amp 10
injection 37190903 21-Sep 60.00 48 480  
45
Mags-34-1 Magnisium sulphate-50% in 10ml amp 18
injection 9EC049097 21-Jun 60.00 48 864  
46
Mebe-20-1 Mebendazole 100mg/5ml suspension bottle 14 29.02
L2798 20-Nov 36.28 4 406  
47
Silr-74-1 Merisilk braided black 1 round pcs 190116 23-Dec 5.85  94 0 0  
48
Sirc-72-1 Merisilk braided black 2/0 cutting pcs 180619NH 23-Jul 5.85  28 0 0  
49
Sirc-71-1 Merisilk braided black 3/0 cutting pcs P873379 22-May 6.60  24 0 0  
50
Meto-11-1 Metoclorpramide 10mg tablet tab T2227 20-Aug 0.25 20 0.2 4  
 51
Metr-20-1 Metronidazole 125mg/5ml suspension 100ml 30158 22-Nov 13.00 8 10.4 83  
 52
Metr-20-1 Metronidazole 125mg5/ml suspension 100ml 30158 21-Feb 60.00 8 48 384  
53
Metr-01-1 Metronidazole 250mg capsule cap 90601911 21-Sep 0.70 710 0.56 398  
54
Muvi-11-1 Multivitamin with minerals tab tab 180713 21-Jul 2.70 70 2.16 151  
55
Muvi-11-1 Multivitamin with minerals tab tab 1810713 21-Jul 1.20 500 0.96 480  
56 
Nife-12-1 Nifedipine 20mg tab tab OO119050030 21-Apr 0.40 500 0.32 160  
57
Fura-56-1 Nitrofurazone-0.2% - soluble ointment tube IL79006 22-Jan 13.85 14 11.08 155  
58
 Norf-10-1 Norfloxacillin 400mg tablet tab 1B122 2-Jan 1.10 112 0.88 99  
59
Omep-02-1 Omeprazole 20mg tablet tab 1K235 22-Jan 0.40 150 0.32 48  
60
Orsp-26-1 Oral rehydration salt 20.7g Sachet O394018 20-Dec 2.60 700 2.08 1456 Free
61
Para-20-1 Paracetamole 120mg/5ml syrup 60ml L2339 22-Oct 35.00 9 28 252  
62
Para-20-1 Paracetamole 120mg/5ml syrup 60ml NL9248 22-Nov 35.00 3 28 84  
63
Para-11-1 Paracetamole 500mg tablet tab 30925 24-Feb 0.20 900 0.16 144  
64
Penb-37-1 Pencillin G, Benzantine 2.4MIU vial 711192 21-Feb 12.00 35 9.6 336  
65
Penc-35-1 Pencillin G, crystalline sodium 1MIU vial 183011186 21-Oct 3.25 35 2.6 91  
66
Toin-10-1 Phenytoin 50mg tablet tab NT80327 21-Apr 1.25 250 1 250  
67
Pipe-23-1 Piperazine citrate 750mg/5ml elixir bottle AQ0187 20-Dec 8.35 10 6.68 67  
68
Plpa-71-1 Plaster of paris(P.O.P) 10cmx3m roll JA19052025 24-May 5.40 10 4.32 43  
69
Pota-12-1 Potassium chloride 600mg tablet tab O6190201 21-Feb 0.60 100 0.48 48  
70
Praz-10-1 Praziquantel 600mg tablet tab A1B134 22-Feb 4.45 60 3.56 214  
71
Prim-10-1 primaquine phosphate 7.5mg tablet tab 80283 21-Feb 2.00 500 1.6 800  
72
Ring-31-1 Ringers lactate 1000ml infusion 1000ml 82MK117818 21-Oct 37.9 30 30.32 910  
73
Spir-11-1 Spiranolactone 25mg tablet tab 1903801 21-Apr 1.43 900 1.144 1030  
74
Sutr-20-1 Sulfametoxazole + Trimetoprim bottle 30
240mg/5ml suspension F3026F01 20-Sep 23.70 18.96 569  
75
Blad-81-1 Surgical scalpel blade No. 24 pcs E3786 24-Aug 1.80 42 1.44 60  
76
 Syri-81-1 Syringe (Disposable) 20ml with needle pcs 20140501   2.40 200 1.92 384  
77
Syri-78-1 Syringe (Disposable) 5ml with needle pcs 190504 24-May 1.50 200 1.2 240  
78
Syri-78-1 Syringe (Disposable) 5ml with needle pcs 20190916 24-Aug 1.50 800 1.2 960  
79
Tini-11-1 Tinidazole 500mg tablet tab 9050073   0.50 200 0.4 80  
80
Tram-30-1 Tramadole HCL 100mg/2ml injection amp BA1908025A 21-Jul 19.80 40 15.84 634  
81
Tram-01-1 Tramadole HCL 50mg capsule cap TMCE19035F 22-Nov 2.65 50 2.12 106  
82
Urba-70-1 Urine collecting bag PVC latex product pcs 190309 21-Feb 8.40 12 6.72 81  
83
Vanc-30-1 Vancomycine 500mg injection vial NP0046A 22-Jan 60.30 30 48.24 1447  
84
Vicr-77-1 Vicryl 2 round pcs A190155 23-Dec 31.55 24 25.24 606  
85
Vicr-77-1 Vicryl 2 round pcs PF92292 24-Aug 31.55 24 25.24 606  
86
Vita-03-1 Vitamin A 100,000IU capsule Cap AS1761A 21-Mar 1.00 20 0.8 16 Free
87
Vitk-30-1 Vitamin k1 10mg/ml injection amp 180358 21-Apr 1.10 9 0.88 8  
88
Wate-31-1 Water for injection 5ml amp 34190750 21-Jul 0.95 30 0.76 23  
89
Zinc-11-1 Zinc sulfate 20mg tablet tab M16 20-Nov 2.00 50 1.6 80 Free
90
45,966.74

 
Total cost