Patient name: Ali Mubarak Almansoori Date of Order: August 24, 2020 No.

of Sessions
Patient ID: Reay0011
Ordered By: Sheryll Tamang
16
Item Number Item Description Unit of Measure Requested Stock on Hand
DC10031 Softpac Acid G298 PC 0
DC10035 Softpac Acid G394 PC 16 0
DC10008 Revaclear 400 PC 0
DC10007 Revaclear 300 PC 16 0
DC10018 Novaline BL200 Blood line PC 16 0
DC10017 Bicar 720 g Bicarbonate Cartridge PC 16 0
DC10015 clean cart C PC 16 0
DC10016 Clean cart A PC 10 0
EXP Salt pack 25KG (80 AED/25kg) Pack 3KG 3 0
Water Strips PC 0
Total Cost divided by number of Sessions Approve
Per session
Item Number Item Description Unit of Measure Requested Stock on Hand
MC10698 Sodium Chloride 0.9% 1L Bag PC 36 0
MC10703 Infusion Set 20 gtts/ml. Transflow REF SS-3063 (NMC Code : NEW) PC 16 0
MC10057 STERILE DRESSING PACK PC 16 0
MC10109 Isolation Gown PC 20 0
MC10261 Gauze PC 40 0
MC10714 Three way Stopcock, 50/Box MFR/Origin: Romsons, India REF GS-3040 (NMC Cod PC 50 0
MC10555 Glove Nitrile Medium (10box/ctn) PC 200 0
MC10068 Glove Nitrile Small PC 0 0
MC10553 Glove Nitrile Large (10box/ctn) PC 0 0
MC10249 Alcohol swab I box PC 1 0
MC10045 Caviwipe Can 1 0
EXP10001 Yellow bag/ cable ties PC 16/16 0
MC10701 Hand sanitizer (1 month use) PC 1 0
MC10065 10cc PC 0 0
MC10575 20cc PC 0
MC10318 5cc PC 0 0
MC10231 Surgical gloves 6.5 PC 50 0
MC10308 Gloves Sterile Size 7 PC 0 0
MC10380 Gloves Sterile Size 7.5 PC 0
MC10451 Gloves Sterile Size 8 PC 0 0
MC10554 Micropore PC 5 0
MC10394 Tourniquet (1 time order/Good for 2 months or more) PC 0 0
MC10246 Mask loop PC 0 0
Povidine Iodine Bottle 0 0
EXP10001 Chlorhexidine bottle Bottle 0 0
MC10702 Hand soap PC 0 0
MC10596 Tegaderm 10cm*12cm PC 0 0
MC10028 Plastic apron PC 0
Chloroprep Pads box 0 0
Sharp Bin PC 0 0
Burette/ Soluset PC 0 0
MC10745 Prefilled Syringe PC 100 0
Total Cost divided by number of Sessions Appro
Per session
 No. of Sessions Comp Session

16
Price per UOM Total Cost
AED 32.00 AED 64.00
AED 32.00 AED 512.00
AED 60.00 AED 0.00
AED 60.00 AED 960.00
AED 24.00 AED 384.00
AED 26.00 AED 416.00
AED 9.00 AED 144.00
AED 9.00 AED 90.00
AED 9.60 AED 0.96

by number of Sessions Approved AED 2,506.96

Per session Cost 156.685
Price per UOM Total Cost
4 144
AED 2.00 AED 32.00
AED 6.50 AED 104.00
AED 1.80 AED 36.00
AED 0.85 AED 34.00
AED 1.20 AED 60.00
AED 0.13 AED 1.67
AED 0.13 AED 0.00
AED 0.13 AED 0.00
AED 0.03 AED 0.03
AED 0.24 AED 0.24
AED 0.60 #VALUE!
AED 13.00 AED 0.43
AED 0.20 AED 0.00
AED 0.40 AED 0.00
 AED 0.15 AED 0.00
AED 1.00 AED 50.00
AED 1.00 AED 0.00
AED 1.00 AED 0.00
AED 1.00 AED 0.00
AED 3.50 AED 0.40
AED 14.00 AED 0.23
AED 0.09 AED 0.00

AED 40.00 AED 0.00

AED 5.00 AED 0.00
AED 2.40 AED 0.00
AED 0.17 AED 0.00

AED 2.80 AED 280.00

d by number of Sessions Approved #VALUE!
Per session Cost #VALUE!
Patient name: Muna Abdulmajeed Date of Order: August 24,2020 No. of Sessions
Patient ID: Reay019
Ordered By: Sheryll Tamang 16
Item Number Item Description Unit of Measure Requested Stock on Hand
DC10031 Softpac Acid G298 PC 16 0
DC10035 Softpac Acid G394 PC 0
Polyflux 210H PC 16 0
DC10007 Revaclear 300 PC 0
DC10018 Novaline BL200 Blood line PC 16 0
DC10017 Bicar 720 g Bicarbonate Cartrid PC 16 0
DC10015 clean cart C PC 10 0
DC10016 Clean cart A PC 10 0
EXP Salt pack 25KG (80 AED/25kg) Pack 3KG 2 0
Water Strips PC 0 0
Total Cost divided by number of Sessions Approved
Per session Cost
Item Number Item Description Unit of Measure Requested Stock on Hand
MC10698 Sodium Chloride 0.9% 1L Bag PC 36 0
MC10703 Infusion Set 20 gtts/ml. Trans PC 16 0
MC10057 STERILE DRESSING PACK PC 16 0
MC10109 Isolation Gown PC 30 0
MC10261 Gauze PC 40 0
MC10714 Three way Stopcock, 50/Box MF PC 50 0
MC10555 Glove Nitrile Medium (10box/c PC 0 0
MC10068 Glove Nitrile Small PC 0 0
MC10553 Glove Nitrile Large (10box/ctn) PC 0 0
MC10249 Alcohol swab I box box 0 0
MC10045 Caviwipe Can 0 0
EXP10001 Yellow bag/ cable ties PC 16/16 0
MC10701 Hand sanitizer (1 month use) PC 1 0
MC10065 10cc PC 0 0
MC10575 20cc PC 0
MC10318 5cc with needless PC 0 0
MC10231 Surgical gloves 6.5 PC 0 0
MC10308 Gloves Sterile Size 7 PC 50 0
MC10380 Gloves Sterile Size 7.5 PC 0 0
MC10451 Gloves Sterile Size 8 PC 0 0
MC10554 Micropore PC 5 0
MC10394 Tourniquet (1 time order/Good PC 0 0
MC10246 Mask loop PC 0 0
Povidine Iodine Bottle 0 0
EXP10001 Chlorhexidine bottle Bottle 0 0
MC10702 Hand soap PC 0 0
MC10596 Tegaderm 10cm*12cm PC 50 0
MC10028 Plastic apron PC 100 0
Chloroprep Pads box 0 0
Sharp Bin PC 1 0
Burette/ Soluset PC 0 0
MC10745 Prefilled Syringe PC 100 0
Total Cost divided by number of Sessions Approved
Per session Cost
 No. of Sessions Comp Session

16
Price per UOM Total Cost
AED 32.00 AED 64.00
AED 32.00 AED 0.00
AED 60.00 AED 960.00
AED 60.00 AED 0.00
AED 24.00 AED 384.00
AED 26.00 AED 416.00
AED 9.00 AED 90.00
AED 9.00 AED 90.00
AED 9.60 AED 0.64

umber of Sessions Approved AED 1,940.64

Per session Cost 121.29
Price per UOM Total Cost
4 144
AED 2.00 AED 32.00
AED 6.50 AED 104.00
AED 1.80 AED 54.00
AED 0.85 AED 34.00
AED 1.20 AED 60.00
AED 0.13 AED 1.67
AED 0.13 AED 0.00
AED 0.13 AED 0.00
AED 0.03 AED 0.00
AED 0.24 AED 0.00
AED 0.60 #VALUE!
AED 13.00 AED 0.43
AED 0.20 AED 0.00
AED 0.40 AED 0.00
AED 0.15 AED 0.00
AED 1.00 AED 0.00
AED 1.00 AED 50.00
AED 1.00 AED 0.00
AED 1.00 AED 0.00
AED 3.50 AED 0.40
AED 14.00 AED 0.23
AED 0.09 AED 0.00

AED 40.00 AED 0.00

AED 5.00 AED 0.00
AED 2.40 AED 120.00
 AED 0.17 AED 17.00

AED 2.80 AED 280.00

number of Sessions Approved #VALUE!
Per session Cost #VALUE!
Patient name: Sameya Ibrahim Date of Order: August 24,2020 No. of Sessions
Patient ID: Reay0062
Ordered By: Sheryll Tamang 16
Item Number Item Description Unit of Measure Requested Stock on Hand
DC10031 Softpac Acid G298 PC 16 0
DC10035 Softpac Acid G394 PC 0 0
DC10008 Revaclear 400 PC 16 0
DC10007 Revaclear 300 PC 0
DC10018 Novaline BL200 Blood line PC 16 0
DC10017 Bicar 720 g Bicarbonate Cartridg PC 16 0
DC10015 clean cart C PC 10 0
DC10016 Clean cart A PC 5 0
EXP Salt pack 25KG (80 AED/25kg) Pack 3KG 1 0
Water Strips PC 0
Total Cost divided by number of Sessions Approved
Per session Cost
Item Number Item Description Unit of Measure Requested Stock on Hand
MC10698 Sodium Chloride 0.9% 1L Bag PC 18 0
MC10703 Infusion Set 20 gtts/ml. Transf PC 16 0
MC10057 STERILE DRESSING PACK PC 16 0
MC10109 Isolation Gown PC 20 0
MC10261 Gauze PC 20 0
MC10714 Three way Stopcock, 50/Box MFR PC 50 0
MC10555 Glove Nitrile Medium (10box/ct PC 0 0
MC10068 Glove Nitrile Small PC 0 0
MC10553 Glove Nitrile Large (10box/ctn) PC 0 0
MC10249 Alcohol swab I box PC 0 0
MC10045 Caviwipe Can 0 0
EXP10001 Yellow bag/cable ties PC 16/16 0
MC10701 Hand sanitizer (1 month use) PC 0 0
MC10065 10cc PC 0
MC10575 20cc PC 0 0
MC10318 5cc PC 0 0
MC10231 Arterial fistula needle G.16 PC 0 0
MC10308 venous fistula needle G.16 PC 0 0
MC10380 Gloves Sterile Size 7 PC 0 0
MC10451 Gloves Sterile Size 8 PC 0 0
MC10554 Micropore PC 0 0
MC10394 Tourniquet (1 time order/Good PC 0
MC10246 Mask loop PC 0 0
Povidine Iodine Bottle 0 0
EXP10001 Chlorhexidine bottle Bottle 0 0
MC10702 Hand soap PC 0 0
MC10596 Tegaderm 10cm*12cm PC 0 0
MC10028 Plastic apron PC 0
Chloroprep Pads box 50 0
Sharp Bin PC 0 0
Burette/ Soluset PC 2 0
MC10745 Prefilled Syringe PC 0 0
Total Cost divided by number of Sessions Approved
Per session Cost
 No. of Sessions Comp Session

16
Price per UOM Total Cost
AED 32.00 AED 64.00
AED 32.00 AED 0.00
AED 60.00 AED 960.00
AED 60.00 AED 0.00
AED 24.00 AED 384.00
AED 26.00 AED 416.00
AED 9.00 AED 90.00
AED 9.00 AED 45.00
AED 9.60 AED 0.32

umber of Sessions Approved AED 1,895.32

Per session Cost 118.4575
Price per UOM Total Cost
4 72
AED 2.00 AED 32.00
AED 6.50 AED 104.00
AED 1.80 AED 36.00
AED 0.85 AED 17.00
AED 1.20 AED 60.00
AED 0.13 AED 1.67
AED 0.13 AED 0.00
AED 0.13 AED 0.00
AED 0.03 AED 0.00
AED 0.24 AED 0.00
AED 0.60 #VALUE!
AED 13.00 AED 0.43
AED 0.20 AED 0.00
AED 0.40 AED 0.00
AED 0.15 AED 0.00
AED 1.00 AED 0.00
AED 1.00 AED 0.00
AED 1.00 AED 0.00
AED 1.00 AED 0.00
AED 3.50 AED 0.40
AED 14.00 AED 0.23
AED 0.09 AED 0.00

AED 40.00 AED 0.00

AED 5.00 AED 0.00
AED 2.40 AED 0.00
 AED 0.17 AED 0.00

AED 2.80 AED 0.00

number of Sessions Approved #VALUE!
Per session Cost #VALUE!
Patient name: Salama Farag Matraf Date of Order: August 3,2020 No. of Sessions
Patient ID: Reay0042
Ordered By: Mark Ace Pido 16
Item Number Item Description Unit of Measure Requested Stock on Hand
DC10031 Softpac Acid G298 PC 0
DC10035 Softpac Acid G391 PC 16 0
DC10008 Revaclear 400 PC 16 0
DC10007 Revaclear 300 PC 0
DC10018 Novaline BL200 Blood line PC 16 0
DC10017 Bicar 720 g Bicarbonate Car PC 16 0
DC10015 clean cart C PC 16 0
DC10016 Clean cart A PC 0
EXP Salt pack 25KG (80 AED/25k Pack 3KG 3 0
Water Strips PC 0
Total Cost divided by number of Sessions Approved
Per session Cost
Item Number Item Description Unit of Measure Requested Stock on Hand
MC10698 Sodium Chloride 0.9% 1L Ba PC 36 0
MC10703 Infusion Set 20 gtts/ml. T PC 16 0
MC10057 STERILE DRESSING PACK PC 16 0
MC10109 Isolation Gown PC 30 0
MC10261 Gauze PC 80 0
MC10714 Three way Stopcock, 50/Box PC 0
MC10555 Glove Nitrile Medium (10bo PC 200 0
MC10068 Glove Nitrile Small PC 0 0
MC10553 Glove Nitrile Large (10box/c PC 0 0
MC10249 Alcohol swab I box PC 1 0
MC10045 Caviwipe Can 1 0
EXP10001 Yellow bag PC 0 0
MC10701 Hand sanitizer (1 month use PC 1 0
MC10065 10cc PC 0
MC10575 20cc PC 0
MC10318 5cc with needless PC 100 0
MC10231 Surgical gloves 6.5 PC 0 0
MC10308 Gloves Sterile Size 7 PC 50 0
MC10380 Gloves Sterile Size 7.5 PC 0 0
MC10451 Gloves Sterile Size 8 PC 0 0
MC10554 Micropore PC 5 0
MC10394 Tourniquet (1 time order/G PC 0 0
MC10246 Mask loop PC 50 0
Povidine Iodine Bottle 2 0
EXP10001 Chlorhexidine bottle Bottle 1 0
MC10702 Hand wash PC 1 0
MC10596 Tegaderm 10cm*12cm PC 50 0
MC10028 Plastic apron PC 0 0
Chloroprep Pads box 0 0
Sharp Bin PC 1 0
Burette/ Soluset PC 0 0
MC10745 Prefilled Syringe PC 100 0
Total Cost divided by number of Sessions Approved
Per session Cost
 No. of Sessions Comp Session

16
Price per UOM Total Cost
AED 32.00 AED 64.00
AED 32.00 AED 512.00
AED 60.00 AED 960.00
AED 60.00 AED 0.00
AED 24.00 AED 384.00
AED 26.00 AED 416.00
AED 9.00 AED 144.00
AED 9.00 AED 0.00
AED 9.60 AED 0.96

umber of Sessions Approved AED 2,416.96

Per session Cost 151.06
Price per UOM Total Cost
4 144
AED 2.00 AED 32.00
AED 6.50 AED 104.00
AED 1.80 AED 54.00
AED 0.85 AED 68.00
AED 1.20 AED 0.00
AED 0.13 AED 1.67
AED 0.13 AED 0.00
AED 0.13 AED 0.00
AED 0.03 AED 0.03
AED 0.24 AED 0.24
AED 0.60 AED 0.00
AED 13.00 AED 0.43
AED 0.20 AED 0.00
AED 0.40 AED 0.00
AED 0.15 AED 15.00
AED 1.00 AED 0.00
AED 1.00 AED 50.00
AED 1.00 AED 0.00
AED 1.00 AED 0.00
AED 3.50 AED 0.40
AED 14.00 AED 0.23
AED 0.09 AED 4.40

AED 40.00 AED 1.33

AED 5.00 AED 5.00
AED 2.40 AED 120.00
 AED 0.17 AED 0.00

AED 2.80 AED 280.00

number of Sessions Approved AED 880.74
Per session Cost AED 55.05
Patient name: Rolando Tuvillara Date of Order: August 3,2020 No. of Sessions
Patient ID: Reay0060
Ordered By: Mark Ace Pido 16
Item Number Item Description Unit of Measure Requested Stock on Hand
DC10031 Softpac Acid G298 PC 0
DC10035 Softpac Acid G394 PC 16 0
DC10008 Revaclear 400 PC 16 0
DC10007 Revaclear 300 PC 0
DC10018 Novaline BL200 Blood line PC 16 0
DC10017 Bicar 720 g Bicarbonate Cart PC 16 0
DC10015 clean cart C PC 16 0
DC10016 Clean cart A PC 0
EXP Salt pack 25KG (80 AED/25kg Pack 3KG 3 0
Water Strips PC 0 0
Total Cost divided by number of Sessions Approved
Per session Cost
Item Number Item Description Unit of Measure Requested Stock on Hand
MC10698 Sodium Chloride 0.9% 1L Bag PC 36 0
MC10703 Infusion Set 20 gtts/ml. Tra PC 16 0
MC10057 STERILE DRESSING PACK PC 16 0
MC10109 Isolation Gown PC 30 0
MC10261 Gauze PC 80 0
MC10714 Three way Stopcock, 50/Box PC 0
MC10555 Glove Nitrile Medium (10box PC 200 0
MC10068 Glove Nitrile Small PC 0 0
MC10553 Glove Nitrile Large (10box/ct PC 0 0
MC10249 Alcohol swab I box PC 1 0
MC10045 Caviwipe Can 1 0
EXP10001 Yellow bag PC 0 0
MC10701 Hand sanitizer (1 month use) PC 1 0
MC10065 10cc with needless PC 100 0
MC10575 20cc PC 0
MC10318 5cc PC 0
MC10231 Surgical gloves 6.5 PC 0 0
MC10308 Gloves Sterile Size 7 PC 50 0
MC10380 Gloves Sterile Size 7.5 PC 0 0
MC10451 Gloves Sterile Size 8 PC 0 0
MC10554 Micropore PC 5 0
MC10394 Tourniquet (1 time order/Go PC 0 0
MC10246 Mask loop PC 50 0
Povidine Iodine Bottle 1 0
EXP10001 Chlorhexidine bottle Bottle 1 0
MC10702 Hand wash PC 1 0
MC10596 Tegaderm 10cm*12cm PC 50 0
MC10028 Plastic apron PC 0 0
Chloroprep Pads box 0
Sharp Bin PC 1 0
Burette/ Soluset PC 0 0
MC10745 Prefilled Syringe PC 100 0
Total Cost divided by number of Sessions Approved
Per session Cost
 No. of Sessions Comp Session

16
Price per UOM Total Cost
AED 32.00 AED 64.00
AED 32.00 AED 512.00
AED 60.00 AED 960.00
AED 60.00 AED 0.00
AED 24.00 AED 384.00
AED 26.00 AED 416.00
AED 9.00 AED 144.00
AED 9.00 AED 0.00
AED 9.60 AED 0.96

umber of Sessions Approved AED 2,416.96

Per session Cost 151.06
Price per UOM Total Cost
4 144
AED 2.00 AED 32.00
AED 6.50 AED 104.00
AED 1.80 AED 54.00
AED 0.85 AED 68.00
AED 1.20 AED 0.00
AED 0.13 AED 1.67
AED 0.13 AED 0.00
AED 0.13 AED 0.00
AED 0.03 AED 0.03
AED 0.24 AED 0.24
AED 0.60 AED 0.00
AED 13.00 AED 0.43
AED 0.20 AED 20.00
AED 0.40 AED 0.00
AED 0.15 AED 0.00
AED 1.00 AED 0.00
AED 1.00 AED 50.00
AED 1.00 AED 0.00
AED 1.00 AED 0.00
AED 3.50 AED 0.40
AED 14.00 AED 0.23
AED 0.09 AED 4.40

AED 40.00 AED 1.33

AED 5.00 AED 5.00
AED 2.40 AED 120.00
 AED 0.17 AED 0.00

AED 2.80 AED 280.00

number of Sessions Approved AED 885.74
Per session Cost AED 55.36
Patient name: Sultana Abdulla Dawoud Date of Order: August 3,2020 No. of Sessions
Patient ID: Reay0109
Ordered By: Mark Ace Pido 16
Item Number Item Description Unit of Measure Requested Stock on Hand
DC10031 Softpac Acid G298 PC 0
DC10035 Softpac Acid G394 PC 16 0
DC10008 Revaclear 400 PC 16 0
DC10007 Revaclear 300 PC 0
DC10018 Novaline BL200 Blood line PC 16 0
DC10017 Bicar 720 g Bicarbonate Cartridge PC 16 0
DC10015 clean cart C PC 16 0
DC10016 Clean cart A PC 16 0
EXP Salt pack 25KG (80 AED/25kg) Pack 3KG 4 0
Water Strips PC 1 0
Total Cost divided by number of Sessions Approved
Per session Cost
Item Number Item Description Unit of Measure Requested Stock on Hand
MC10698 Sodium Chloride 0.9% 1L Bag PC 36 0
MC10703 Infusion Set 20 gtts/ml. Transfl PC 16 0
MC10057 STERILE DRESSING PACK PC 16 0
MC10109 Isolation Gown PC 30 0
MC10261 Gauze PC 40 0
MC10714 Three way Stopcock, 50/Box MFR/ PC 50 0
MC10555 Glove Nitrile Medium (10box/ctn PC 200 0
MC10068 Glove Nitrile Small PC 0 0
MC10553 Glove Nitrile Large (10box/ctn) PC 0 0
MC10249 Alcohol swab I box PC 1 0
MC10045 Caviwipe Can 1 0
EXP10001 Yellow bag/cable ties PC 16/16 0
MC10701 Hand sanitizer (1 month use) PC 1 0
MC10065 10cc with needless PC 100 0
MC10575 20cc PC 0 0
MC10318 5cc with needless PC 100 0
MC10231 Arterial fistula needle G.16 PC 16 0
MC10308 venous fistula needle G.16 PC 16 0
MC10380 Gloves Sterile Size 7.5 PC 0 0
MC10451 Gloves Sterile Size 8 PC 0 0
MC10554 Micropore PC 10 0
MC10394 Tourniquet (1 time order/Good f PC 1 0
MC10246 Mask loop PC 50 0
Povidine Iodine Bottle 1 0
EXP10001 Chlorhexidine bottle Bottle 1 0
MC10702 Hand wash PC 1 0
MC10596 Tegaderm 10cm*12cm PC 0 0
MC10028 Plastic apron PC 100 0
Chloroprep Pads box 50 0
Sharp Bin PC 1 0
Burette/ Soluset PC 2 0
MC10745 Prefilled Syringe PC 100 0
Total Cost divided by number of Sessions Approved
Per session Cost
 No. of Sessions Comp Session

16
Price per UOM Total Cost
AED 32.00 AED 64.00
AED 32.00 AED 512.00
AED 60.00 AED 960.00
AED 60.00 AED 0.00
AED 24.00 AED 384.00
AED 26.00 AED 416.00
AED 9.00 AED 144.00
AED 9.00 AED 144.00
AED 9.60 AED 1.28

umber of Sessions Approved AED 2,561.28

Per session Cost 160.08
Price per UOM Total Cost
4 144
AED 2.00 AED 32.00
AED 6.50 AED 104.00
AED 1.80 AED 54.00
AED 0.85 AED 34.00
AED 1.20 AED 60.00
AED 0.13 AED 1.67
AED 0.13 AED 0.00
AED 0.13 AED 0.00
AED 0.03 AED 0.03
AED 0.24 AED 0.24
AED 0.60 #VALUE!
AED 13.00 AED 0.43
AED 0.20 AED 20.00
AED 0.40 AED 0.00
AED 0.15 AED 15.00
AED 1.00 AED 16.00
AED 1.00 AED 16.00
AED 1.00 AED 0.00
AED 1.00 AED 0.00
AED 3.50 AED 0.40
AED 14.00 AED 0.23
AED 0.09 AED 4.40

AED 40.00 AED 1.33

AED 5.00 AED 5.00
AED 2.40 AED 0.00
 AED 0.17 AED 17.00

AED 2.80 AED 280.00

number of Sessions Approved #VALUE!
Per session Cost #VALUE!