PHO EMANA

EMANATING NO. SOURCE OF FUND ACCOUNT NAME

2022-01-001 General Fund Drugs & Meds
2022-01-002 COVID 19 Pandemic Response Program Drugs & Meds
2022-01-003 Health Services Environmental & Sanitary Services
2022-01-004 QRF Rent Expense
2022-01-005 QRF Medical Supplies
2022-01-006 General Fund Office Supplies
2022-01-007 General Fund Other Supplies
2022-01-008 General Fund Office Equipment
2022-01-009 General Fund Machinery
2022-01-010 COVID 19 Pandemic Response Program Medical Supplies
2022-01-011 COVID 19 Pandemic Response Program Drugs & Meds
2022-01-012 COVID 19 Pandemic Response Program Drugs & Meds
2022-01-013 COVID 19 Pandemic Response Program Drugs & Meds
2022-01-014 COVID 19 Pandemic Response Program Medical Supplies
2022-01-015
2022-01-016
2022-01-017
2022-01-018
2022-01-019
2022-01-020
2022-01-021
2022-01-022
2022-01-023
PHO EMANATING CONTROL TRACKER
PARTICULARS PR NO. AMOUNT
Acetycysteine et al
10,000 boxes of sodium ascorbate
Collection of pathologic waste
60 rooms for rental
500 boxes antigen test kit
Epson Ink et al
All Purpose Cleaner et al
5 units copier; 5 units risograph
350 kva gen set
1000 pcs pulse oximeter et al
20000 tablets cefuroxime et al
10000 tablets cetirizine et al
20000 tablets paracetamol 500mg et al
300 boxes Antigen Test Kits
PREPARED BY DATE NOTES
Charlene
Charlene
Charlene
Charlene
Charlene CANCELLED
Sharon 1st and 2nd QTR
Sharon 2nd and 2nd QTR
Charlene
Charlene
Charlene
Charlene
Charlene
Charlene
Sharon 1/25/2022
 General Fund
COVID 19 Pandemic Response Program
Health Services
QRF
 Control No: _________________
Office : ___________________
PR No:____________________

PROVINCIAL HEALTH OFFICE

Emanating Department
Province of Batangas

Provincial Department Head

General Service Office
Provincial Capitol
Batangas

Madam:

May I kindly request for the purchase of supplies needed by our department for the
1st and 2nd Quarter of 2022 to wit:

QTY UNIT PARTICULARS/ITEM DESCRIPTION

20 pack All Purpose Sticker A4 10's/pack
6 boxes Ballpen Black 0.7mm (12's)
5 boxes Ballpoint Pen-Fine Point Black (12's)
2 boxes Frixion point erasable gel pen 0.4mm black 12's
300 pack Battery AAA, black, 2's
300 pack Battery AA, black, 2's
250 ream Bond Paper A4, substance 24, 80gsm
2000 ream Bond Paper Long, substance 24, 80gsm
250 ream Bond Paper Short, substance 24, 80gsm
6 pack Bundy Clock Card 100pcs/pack
10 piece Bundy Clock Ribbon (Iwata)
10 piece Calculator 12 digits dual power
3 boxes Carbon Paper for Payroll 14x34
20 piece CD Rewritable w/ case
10 piece Computer Mouse-USB Connection
10 piece Computer Mouse, wireless

Charge to: General Fund

Office: Provincial Health Office
Account: Office Supplies
Purpose: For Office Use

ROSVILINDA M.OZAETA,MD.,MPH.,FPSMSI
Provincial Health Office II
 Control No: _________________
Office : ___________________
PR No:____________________

PROVINCIAL HEALTH OFFICE

Emanating Department
Province of Batangas

Provincial Department Head

General Service Office
Provincial Capitol
Batangas

Madam:

May I kindly request for the purchase of supplies needed by our department for the
1st and 2nd Quarter of 2022 to wit:

QTY UNIT PARTICULARS/ITEM DESCRIPTION

10 piece Computer Mouse Pad
2 piece Cork Board 1/4
30 piece Correction Tape
20 piece Cutter HD-Big
2 piece Document Frame 8x10
10 piece Double Sided Tape 1"
10 piece Double Sided Tape 2"
50 piece Envelope Brown Short
4 piece External Hard Drive 1 TB
30 pack Highlighter, assorted color, 3's
10 pack Index Tabs Flags Sticky Notes
5 piece Keyboard, wireless
2 unit Laminating machine
10 pack Laminating Film 303mm x 426mm, 125 micron
15 pack Laminating Sheet Long
10 pack Laminating Sheet Short

Charge to: General Fund

Office: Provincial Health Office
Account: Office Supplies
Purpose: For Office Use

ROSVILINDA M.OZAETA,MD.,MPH.,FPSMSI
Provincial Health Office II
 Control No: _________________
Office : ___________________
PR No:____________________

PROVINCIAL HEALTH OFFICE

Emanating Department
Province of Batangas

Provincial Department Head

General Service Office
Provincial Capitol
Batangas

Madam:

May I kindly request for the purchase of supplies needed by our department for the
1st and 2nd Quarter of 2022 to wit:

QTY UNIT PARTICULARS/ITEM DESCRIPTION

7 piece Lithium Button Battery Cell
20 roll Masking Tape 1"
20 roll Masking Tape 2" (48mm x 20m)
10 roll Packaging Tape 2"
20 box Paper Fastener-Metal 50's
10 box Paper Fastener Plastic-50's/box
20 pack Parchment Paper 10 pcs./pack
5 ream Payroll Paper (size:14x34)
5 box Permanent Marker, black, 12's, broad
10 pack Photo Paper-glossy, A4, 100's/pack
9 pack Photo paper, matte, A4, 100's/pack
5 roll Plastic Cover 5m
10 roll Plastic Cover 2.6
50 piece Post It 3x3
5 piece Puncher, heavy duty steel
5 piece Ruler Plastic 12"

Charge to: General Fund

Office: Provincial Health Office
Account: Office Supplies
Purpose: For Office Use

ROSVILINDA M.OZAETA,MD.,MPH.,FPSMSI
Provincial Health Office II
 Control No: _________________
Office : ___________________
PR No:____________________

PROVINCIAL HEALTH OFFICE

Emanating Department
Province of Batangas

Provincial Department Head

General Service Office
Provincial Capitol
Batangas

Madam:

May I kindly request for the purchase of supplies needed by our department for the
1st and 2nd Quarter of 2022 to wit:

QTY UNIT PARTICULARS/ITEM DESCRIPTION

5 piece Ruler Plastic 18"
10 piece Scissor 8" stainless
10 piece Scissor 10" stainless
7 piece Scissor 12" stainless
5 piece Sharpener Heavy duty
5 box Sign Pen, Black, 0.5 (12's)
2 box Sign Pen, Hi-Techpoint (12's)
2 box Sign Pen, Black, 0.4 (12's)m
5 piece Stapler w/ remover/Stapler #35
30 box Staple Wire #35-Big, 1000 pcs
5 box Staple Wire #10-small, 1000 pcs
20 roll Transparent Tape 1', 50 yards
16 piece USB Flash Drive 8GB
15 piece USB Flash Drive 16GB
10 piece USB Flash Drive 32GB
7 piece USB Flash Drive 64GB

Charge to: General Fund

Office: Provincial Health Office
Account: Office Supplies
Purpose: For Office Use

ROSVILINDA M.OZAETA,MD.,MPH.,FPSMSI
Provincial Health Office II
 Control No: _________________
Office : ___________________
PR No:____________________

PROVINCIAL HEALTH OFFICE

Emanating Department
Province of Batangas

Provincial Department Head

General Service Office
Provincial Capitol
Batangas

Madam:

May I kindly request for the purchase of supplies needed by our department for the
1st and 2nd Quarter of 2022 to wit:

QTY UNIT PARTICULARS/ITEM DESCRIPTION

1 unit Tri Band Cell Phone Signal Repeater, Cellular Signal Booster Kit with Omini Antenna 30m cable
1 unit Ring Binder Machine / Comb Binding (with adjustable holes space)
10 piece Side Clip 3 inch Lever Arch File Folder with 2 ring and metal finger pull fit F/C Long Legal paper
2 piece Wood Structure Paper cutter with paper adjuster
4 piece Desk tray/wire mesh four layer file/basket rack multi-layer storage box file golder
4 piece 4 layer magazine case/rack/organizer / storage
4 piece 3/4 grids magazine case/rack/organizer / storage
5 piece Compact PC Stereo Speakers, 3.5mm audio input, USB Powered, Controls power and volume control on right speaker

5 piece Lockable steel mobile pedestal office cabinet with 3 lockable drawers filing cabinet storage organizer
8 unit 450 mbps High power wireless N Router Wifi Router (including cable wire and installation)

Charge to: General Fund

Office: Provincial Health Office
Account: Office Supplies
Purpose: For Office Use

ROSVILINDA M.OZAETA,MD.,MPH.,FPSMSI
Provincial Health Office II
 Control No: _________________
Office : ___________________
PR No:____________________

PROVINCIAL HEALTH OFFICE

Emanating Department
Province of Batangas

Provincial Department Head

General Service Office
Provincial Capitol
Batangas

Madam:

May I kindly request for the purchase of supplies needed by our department for the
1st and 2nd Quarter of 2022 to wit:

QTY UNIT PARTICULARS/ITEM DESCRIPTION

15 cart Epson Ink T6642 Cyan
15 cart Epson Ink T6643 Magenta
15 cart Epson Ink T6644 Yellow
5 set Continous Ink/EPSON 003(black, yellow, magenta, cyan)
8 set Continous Ink/Canon G1010 (black, yellow, magenta, cyan)
20 cart HP Ink 704 Black
10 cart HP Ink 704 tri-color
60 cart HP Ink 680 Black
20 cart HP Ink 680 tri-color
10 cart HP Ink 685 black ( for HP 3525)
5 cart HP Ink 685 cyan
5 cart HP Ink 685 magenta
5 cart HP Ink 685 yellow
55 cart HP Ink 955 or 955 XL set of 4 (cyan, magenta, yellow, black)
40 cart HP Ink 955 or 955 XL black
15 roll Riso Master CV/B4 UA

Charge to: General Fund

Office: Provincial Health Office
Account: Office Supplies
Purpose: For Office Use

ROSVILINDA M.OZAETA,MD.,MPH.,FPSMSI
Provincial Health Office II
 Control No: _________________
Office : ___________________
PR No:____________________

PROVINCIAL HEALTH OFFICE

Emanating Department
Province of Batangas

Provincial Department Head

General Service Office
Provincial Capitol
Batangas

Madam:

May I kindly request for the purchase of supplies needed by our department for the
1st and 2nd Quarter of 2022 to wit:

QTY UNIT PARTICULARS/ITEM DESCRIPTION

20 roll Riso Ink 3230
20 piece Epson ink LQ 2190
20 piece Toner Laserjet Ink CE285A/85A for HP 1102 HP
10 piece Toner TN 118 Develop
50 piece RJ 45 Connector

Charge to: General Fund

Office: Provincial Health Office
Account: Office Supplies
Purpose: For Office Use

ROSVILINDA M.OZAETA,MD.,MPH.,FPSMSI
Provincial Health Office II
 Control No: _________________
Office : ___________________
PR No:____________________

PROVINCIAL HEALTH OFFICE

Emanating Department
Province of Batangas

Provincial Department Head

General Service Office
Provincial Capitol
Batangas

Madam:

May I kindly request for the purchase of supplies needed by our department for the
1st and 2nd Quarter of 2022

QTY UNIT PARTICULARS/ITEM DESCRIPTION

20 piece All Purpose Cleaner, 500ml.
20 gal Bleaching Solution, 1 gal.
20 piece Car Freshener can 70g
1 unit Crocodile Jack, 3 tonner
10 pail Detergent Powder 500g
10 piece Dipper
50 bottle Dishwashing Liquid 250ml.
600 piece Disinfectant spray, 400ml.
20 piece Doormat Medium Cotton
20 piece Doormat Medium Rubber
5 piece Feather Duster
15 piece Furniture Cleaner, 330ml.
15 piece Glass Cleaner, 500ml
20 piece Insecticide 600ml.
40 piece Liquid Hand Wash/Hand Soap, 250ml
2 piece Pail Plastic 12 liters

Charge to: General Fund

Office: Provincial Health Office
Account: Other Supplies and Materials Expense
Purpose: For Office Use

ROSVILINDA M.OZAETA,MD.,MPH.,FPSMSI
Provincial Health Office II
 Control No: _________________
Office : ___________________
PR No:____________________

PROVINCIAL HEALTH OFFICE

Emanating Department
Province of Batangas

Provincial Department Head

General Service Office
Provincial Capitol
Batangas

Madam:

May I kindly request for the purchase of supplies needed by our department for the
1st and 2nd Quarter of 2022

QTY UNIT PARTICULARS/ITEM DESCRIPTION

2 piece Pail Plastic 16 liters Medium
2 piece Pail Plastic 24 liters
2 piece Pail Plastic 48 liters
5 kilo Rag-round
3 piece Rubber Pump
30 pack Scouring Pad
20 piece Toilet Deodorizer w/ holder 50g
5 pack Toilet Paper 12 rolls/pack 2 ply
6 bundle Trash Bag, small, (black, natural, yellow, green), 100's
6 bundle Trash Bag, medium, (black, natural, yellow, green), 100's
15 bundle Trash Bag, x-large, (black, natural, yellow, green), 100's
15 bundle Trash Bag, xx-large, (black, natural, yellow, green, 100's
12 bundle Trash Bag, plastic, black, medium, 25 pcs
12 bundle Trash Bag, plastic, black, XL, 10pcs
12 bundle Trash Bag, plastic, Green , large, 10pcs./pack
12 bundle Trash Bag, plastic, green, medium, 25pcs

Charge to: General Fund

Office: Provincial Health Office
Account: Other Supplies and Materials Expense
Purpose: For Office Use

ROSVILINDA M.OZAETA,MD.,MPH.,FPSMSI
Provincial Health Office II
 Control No: _________________
Office : ___________________
PR No:____________________

PROVINCIAL HEALTH OFFICE

Emanating Department
Province of Batangas

Provincial Department Head

General Service Office
Provincial Capitol
Batangas

Madam:

May I kindly request for the purchase of supplies needed by our department for the
1st and 2nd Quarter of 2022

QTY UNIT PARTICULARS/ITEM DESCRIPTION

12 bundle Trash Bag, plastic, green, medium, 25pcs
12 bundle Trash Bag, plastic, yellow, small, 25pcs
12 bundle Trash Bag, plastic, yellow, medium, 25pcs
12 bundle Trash Bag, plastic, yellow, XL, 10pcs
10 bundle Trash Bag Large(black, natural, yellow, green), 100's
5 piece Trash Can Medium w/ cover
5 piece Trash Can Big w/ cover
5 piece Trash Can Small w/ cover
20 piece Cadaver Bag – Adult
5 piece Chain - Metal
5 piece Door knob
100 piece Eco Bag-Large
5 piece Electrical Tape
6 piece 6-Gang Universal Individual Switch Extension Cord
25 piece Fire Extinguisher refill
3 pair Garden Gloves heavy duty

Charge to: General Fund

Office: Provincial Health Office
Account: Other Supplies and Materials Expense
Purpose: For Office Use

ROSVILINDA M.OZAETA,MD.,MPH.,FPSMSI
Provincial Health Office II
 Control No: _________________
Office : ___________________
PR No:____________________

PROVINCIAL HEALTH OFFICE

Emanating Department
Province of Batangas

Provincial Department Head

General Service Office
Provincial Capitol
Batangas

Madam:

May I kindly request for the purchase of supplies needed by our department for the
1st and 2nd Quarter of 2022

QTY UNIT PARTICULARS/ITEM DESCRIPTION

1 unit Grass Cutter - Heavy Duty
1 unit Grass Scissor
2 unit Hand Trolley - Heavy Duty
1 unit Multi-Screw driver set
5 piece Padlock Yale
2 piece Exhaust Fan 12"
2 piece Paper Sheredder - Heavy Duty
5 piece Plaque 8'
5 piece Plaque 10'
1 set Power Drill with drill bit set
3 roll Tarpaulin canvass ", 36", 13oz
3 roll Tarpaulin canvass 48", 13oz
3 roll Tarpaulin canvass 54", 13oz
3 roll Tarpaulin canvass 72", 13oz
5 liter Tarpaulin Ink Black
5 liter Tarpaulin Ink Cyan

Charge to: General Fund

Office: Provincial Health Office
Account: Other Supplies and Materials Expense
Purpose: For Office Use

ROSVILINDA M.OZAETA,MD.,MPH.,FPSMSI
Provincial Health Office II
 Control No: _________________
Office : ___________________
PR No:____________________

PROVINCIAL HEALTH OFFICE

Emanating Department
Province of Batangas

Provincial Department Head

General Service Office
Provincial Capitol
Batangas

Madam:

May I kindly request for the purchase of supplies needed by our department for the
1st and 2nd Quarter of 2022

QTY UNIT PARTICULARS/ITEM DESCRIPTION

5 liter Tarpaulin Ink Magenta
5 liter Tarpaulin Ink Yellow
1 piece Paper Cutter - Heavy Duty
2 unit Push Trolley-heavy duty
1 set Precision screwdriver kit set
3 unit Industrial Fan
5 box UTP Cable, 1000 ft
3 unit VGA to HDMI Cable
3 piece VGA to VGA Cable
5 pack Ziplock, small, 50's
5 pack Ziplock, XL
5 pack Ziplock, 2XL
5 piece Wired Headset, Stereo headphones with rotating noise-cancelling microphone, USB computer headset

Charge to: General Fund

Office: Provincial Health Office
Account: Other Supplies and Materials Expense
Purpose: For Office Use

ROSVILINDA M.OZAETA,MD.,MPH.,FPSMSI
Provincial Health Office II
 Control No.:
Office: PHO
PR No.:
Provincial Health Office
Emanating Department
Province of Batangas

Provincial Department Head

General Services Office
Provincial Capitol
Batangas

Madam:

May I kindly request for the purchase of supplies and materials needed by our department for
the _________________________ quarter / month of ____________________, 21____, to wit

QTY PARTICULARS/ITEM DESCRIPTION

300 boxes Antigen Test Kit 25's

Charge to: COVID 19 PANDEMIC RESPONSE PROGRAM

Office: PHO
Account : Medical, Dental and Laboratoy Supplies
Purpose: For use in District Hospitals and PHO Proper

ROSVILINDA M. OZAETA., MD, MPH, FPSMSI

Provincial Health Officer II