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  • Philippine General Hospital Requisition and Issue Slip: Agency

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    Gerome Romero
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    The document is a requisition slip from the Philippine General Hospital requesting various medical supplies including different sizes of suction catheters, syringes, Tegaderm, urine bags, visceral packs, sutures, and other supplies. It lists the item, unit of measure, description, and quantity. Signatures are required from the requester, approver, issuer, and receiver.

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    CQM-NYV-LFIpin4rx89B7lkauX3DxNGRyxIsE2i3lOaCyfmb4L-zT8P233Rpl_078gPZi3KBIItlyB9bPbkQNR-Dj130DogrPa-0TNLHg70zoSlvLOccExGhXflSXaUcQehCYORGlXqGnpnfebFo4rol6Fnp

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    The document is a requisition slip from the Philippine General Hospital requesting various medical supplies including different sizes of suction catheters, syringes, Tegaderm, urine bags, visceral packs, sutures, and other supplies. It lists the item, unit of measure, description, and quantity. Signatures are required from the requester, approver, issuer, and receiver.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    7 views1 page

    Philippine General Hospital Requisition and Issue Slip: Agency

    Uploaded by

    Gerome Romero
    The document is a requisition slip from the Philippine General Hospital requesting various medical supplies including different sizes of suction catheters, syringes, Tegaderm, urine bags, visceral packs, sutures, and other supplies. It lists the item, unit of measure, description, and quantity. Signatures are required from the requester, approver, issuer, and receiver.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    PHILIPPINE GENERAL HOSPITAL REQUISITION AND ISSUE SLIP

    University of the Philippines Manila ___________________________


    The Health Sciences Center Agency
    Taft Ave., Manila
    Division: _________________ Responsibility Center Code RIS No: ______________________
    Office: ___________________ ___________________________ SAI No:______________________
    Requisition
    Stock No. Unit Description Quantity RETURNED Remarks
    pcs Suction Catheter 16
    pcs Suction Catheter 14
    bottles Suction Catheter 12
    bottles Suction Catheter 10
    pcs Suction Catheter 8
    pcs Syringes 1cc
    pcs Syringes 3cc
    pcs Syringes 5cc
    pcs Syringes 10cc
    tubes Tegaderm (small)
    pcs Urine Bag
    pcs Visceral Pack
    pcs Chromic 0
    pcs Chromic 2-0
    pcs Chromic 3-0
    pcs Cotton 2-0
    pcs Cotton 3-0
    pcs Cotton 4-0
    pcs Nylon 3-0
    pcs Nylon 4-0
    pcs Plain 2-0 w/ round Needle
    pcs Prolene 2-0
    pcs Silk 2-0 Strands
    pcs Silk 2-0 Round
    pcs Silk 3-0 Strands
    pcs Silk 3-0 Round
    pcs Silk 4-0 Strands
    pcs Silk 4-0 Round
    pcs Vicryl 0
    pcs Vicryl 2-0
    pcs Vicryl 3-0
    pcs Vicryl 4-0 RB1
    pcs Vicryl 4-0 PC5

    Purpose:
    _________________________________________________________________________
    Requested by: Approved by: Issued by: Received by:

    __________________ __________________ _________________ ________________

    ____________________ ____________________ ____________________ ____________________


    Signature Over Printed Name Signature Over Printed Name Signature Over Printed Name Signature Over Printed Name
    ____________________ ____________________ ____________________ ____________________
    Designation Designation Designation Designation
    Date:_______________ Date:_______________ Date:_______________ Date:_______________

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