MEDICINE AND MEDICAL SUPPLIES REQUEST

JULY/11/2019
MEDICINE QUANTITY PRICE TOTAL
(MERCURY DRUG)

ALAXAN capsule 30 8.00 240.00

ADVIL 200mg capsule 40 8.25 330.00
AMBROXOL Hcl (Ritemed) 30 7.00 210.00
BIOFLU 30 7.00 210.00
PARACETAMOL (Biogesic) 20 3.25 65.00
CETIRIZINE (Ricam) 20 14.00 280.00
KREMIL-S 20 5.50 110.00
LOPERAMIDE (Diatabs) 40 7.00 280.00
MEFENAMIC ACID 250mg(RITE MED) 40 3.75 150.00

NEOZEP (NON-DROWSE) 40 5.25 210.00

TUSERAN FORTE 40 9.00 360.00
ALCOHOL 500ml (Green Cross) 3 65.75 197.25
WHITE FLOWER (Bottle No. 3) 2 88.00 176.00
Band Aid (Mediplast) 3 125.00 375.00
RANITIDINE (RiteMed) 150mg 30 11.00 330.00
Metoclopramide (Plasil) 20 9.25 185.00
Sterile Gauze (McBride) 4x4 10 6.00 60.00
Face Mask (McBride) (50pc) 2 250.00 500.00
Micropore Tape 2 in 2 2.00 4.00
Elastic Bandage 2" 5 40.00 200.00
Elastic Bandage 3" 5 65.00 325.00
Serc tab 20 35.00 700.00
Buscopan 30 27.00 810.00
Catapres 75mg cap 30 32.00 960.00

Sterile Gauze 2x2 10 17.00 170.00

Betadine 3 125.00 375.00
Terramycine Ointment 1 170.00 170.00
Burn Ointment 1 195.00 195.00
Hot Water Bag 2 180.00 360.00
Ice Pack 1 180.00 180.00
Ventolin Nebule 4 30.00 120.00
Visine Eye Drops 1 130.00 130.00
Aluminum Tray with cover 1 300.00 300.00
Disposable Gloves 1 250.00 250.00
Disinfectant Spray 2 230.00 460.00
Surgical Tweezers 2 110.00 220.00
Surgical Scissors 2 110.00 220.00
Medicine Storage w/drawers 1 350.00 350.00
Nurse on the Go Kit/ Storage 1 380.00 380.00
Glucometer 1 3000.00 3,000.00
Nebulizer 1 2000.00 2,000.00
TOTAL ₱16,147.25

Prepared By: Noted By:

Melissa David, RN Rachel F. Ambas

Human Resources Department,
Company Nurse Head
 MEDICINE AND MEDICAL SUPPLIES REQUEST
October 23, 2020

PRICE
MEDICINE QUANTITY (MERCURY TOTAL
DRUG)
BIOGESIC 30 10.00 Php 300.00
CETIRIZINE (Ricam) 30 15.00 Php 450.00
Alcohol 1 gallon 2 500.00 Php 1,000.00
Disposable Gloves 1 250.00 Php 250.00
Terramycin Ointment 1 250.00 Php 250.00
Salonpas Patch 2 100.00 Php 200.00
Vitamin C for HR Staff 12 255.00 Php 3,060.00
TOTAL Php 5,510.00

Prepared By: Noted By:

Melissa David, RN Rachel F. Ambas

Company Nurse HR Department, Head
 CLINIC SUPPLIES REQUEST
July 11, 2019
SUPPLY QUANTITY PRICE TOTAL
CLINIC REFRIGERATOR FOR LACTATION ROOM 1 10,000.00 10,000.00
LACTATING APRON 1 500.00 500.00
MOBILE BP APPARATUS 1 4,000.00 4,000.00
LITTMANN STETHOSCOPE 1 4,500.00 4,500.00
INFRARED THERMOMETER 1 1,000.00 1,000.00
WEIGHING SCALE WITH HEIGHT AND WEIGHT 1 5,500.00 5,500.00
BROTHER MOBILE DOCUMENT SCANNER 1 6,000.00 6,000.00
CONTINGENCY 5,500.00 5,500.00
TOTAL ₱37,000.00

Prepared By: Noted By:

Melissa David, RN Rachel F. Ambas

Company Nurse Human Resources Department Head
 CLINIC SUPPLIES REQUEST
July 12, 2019
SUPPLY QUANTITY PRICE TOTAL
Portable Sink for Lactation Room 1 1,000.00 1,000.00
Sink Stand for Lactation Room 1 300.00 300.00
Breast Milk Storage for Lactation Room 1 400.00 400.00
Lactation Room Curtain & Curtain Rod 1 2,000.00 2,000.00
Logbook & Signages for Lactation Room 1 400.00 400.00
Handwashing soaps & tissues for Lactation Room 1 300.00 300.00
Breast Pump for Lactation Room 1 2,500.00 2,500.00
Clinic Bed 1 14,000.00 14,000.00
Pillow 1 1,000.00 1,000.00
Pillow Case and Bed Cover 1 2,500.00 2,500.00
Wheelchair 1 4,000.00 4,000.00
CONTINGENCY 1 5,000.00 5,000.00
TOTAL 33,400.00

Prepared By: Noted By:

Melissa David, RN Rachel F. Ambas

Company Nurse Human Resources Department Head
 CLINIC SUPPLIES REQUEST
September 16, 2020

SUPPLY QUANTITY PRICE TOTAL

GUN THERMOMETER 2 275.00 550.00
SHIPPING FEE 1 50.00 50.00
TOTAL 600.00

Prepared By: Noted By:

Melissa David, RN Rachel F. Ambas

Company Nurse Human Resources Department Head
 HEALTH AWARENESS PROGRAM
January 15, 2021

SUPPLY QUANTITY PRICE TOTAL

CORKBOARD BULLETIN (2X3) 15 600.00 9,000.00
SHIPPING FEE 1 827.00 827.00
TOTAL 9,827.00

Prepared By: Noted By:

Melissa David, RN Rachel F. Ambas

Company Nurse Human Resources Department Head
 HR SUPPLIES REQUEST
September 13, 2021

ITEM QUANTITY PRICE TOTAL

VITAMIN C 12 250.00 Php 3,000.00
TOTAL Php 3,000.00

Prepared By: Noted By:

Melissa David, RN Rachel F. Ambas

Company Nurse HR Department, Head
 FIRST AID TRAINING (JULY 5-6, 2021)

ITEM QUANTITY PRICE TOTAL

TRAINING FEE 14 2300.00 Php 32,200.00
MEAL ALLOWANCE (2 DAYS) 17 600.00 Php 10,200.00
TOKEN FOR RED CROSS FACILITATORS 1 3000.00 Php 3,000.00
FARE ALLOWANCE FOR RED CROSS
FACILITATORS 1 1000.00 Php 1,000.00
CONTIGENCY 1 2000.00 Php 2,000.00
TOTAL Php 48,400.00

Prepared By: Noted By:

Melissa David, RN Rachel F. Ambas

Company Nurse HR Department, Head
 MEDICINE AND MEDICAL SUPPLIES REQUEST
22-Sep-21

ITEM QUANTITY PRICE TOTAL

BIOGESIC 20 10.00 Php 200.00
CETIRIZINE 20 15.00 Php 300.00
TUSERAN FORTE 20 15.00 Php 300.00
METOCLOPRAMIDE 20 15.00 Php 300.00
BUSCOPAN 20 30.00 Php 600.00
TERRAMYCIN OINTMENT 1 200.00 Php 200.00
SALONPAS PATCH 20'S 2 100.00 Php 200.00
DISINFECTANT SPRAY 1 500.00 Php 500.00
TOTAL Php 2,600.00

Prepared By: Noted By:

Melissa David, RN Rachel F. Ambas

Company Nurse HR Department, Head
 HR SUPPLIES REQUEST
September 13, 2021

ITEM QUANTITY PRICE TOTAL

VITAMIN C 15 150.00 Php 2,250.00
FACEMASK 60 67.00 Php 4,020.00
SHIPPING FEE FOR FACEMASK 1 300.00 Php 300.00
BIOGESIC 40 10.00 Php 400.00
CETIRIZINE 40 15.00 Php 600.00
TOTAL Php 7,570.00

Prepared By: Noted By:

Melissa David, RN Rachel F. Ambas

Company Nurse HR Department, Head
 CLINIC EQUIPMENT AND SUPPLIES REQUEST
May 31, 2022

ITEM QUANTITY PRICE TOTAL

BP CUFF REPLACEMENT (BAXTEL) 1 1500.00 Php 1,500.00
BP APPARATUS PORTABLE (BAXTEL) 1 2000.00 Php 2,000.00
BLOOD GLUCOSE STRIP 1 1000.00 Php 1,000.00
MOUTHPIECE FOR NEBULIZER 3 100.00 Php 300.00
LANCET 1 150.00 Php 150.00
PULSE OXIMETER 1 1000.00 Php 1,000.00
ALCOHOL SWAB 1 150.00 Php 150.00
BROWN BAG 1 100.00 Php 100.00
ARM SLING 2 200.00 Php 400.00
ADVIL 20 10.00 Php 200.00
SALONPAS PATCH (20'S) 2 100.00 Php 200.00
WHITE FLOWER 1 100.00 Php 100.00
TOTAL Php 7,100.00

Prepared By: Noted By:

Melissa David, RN Rachel F. Ambas

Company Nurse HR Department, Head
 MEDICINE SUPPLIES REQUEST
January 20, 2023

ITEM QUANTITY PRICE TOTAL

ALAXAN 10 10.00 Php 100.00
ADVIL 20 10.00 Php 200.00
AMBROXOL 15 10.00 Php 150.00
BIOFLU 20 10.00 Php 200.00
BIOGESIC 20 10.00 Php 200.00
CETIRIZINE 20 15.00 Php 300.00
KREMIL-S 10 10.00 Php 100.00
LOPERAMIDE 20 10.00 Php 200.00
MEFENAMIC ACID 10 10.00 Php 100.00
NEOZEP 10 10.00 Php 100.00
RANITIDINE 10 15.00 Php 150.00
BUSCOPAN 30 30.00 Php 900.00
DISINFECTANT SPRAY 2 600.00 Php 1,200.00
FACE MASK 4 60.00 Php 240.00
CONTIGENCY Php 1,000.00
TOTAL Php 5,140.00

Prepared By: Noted By:

Melissa David, RN Rachel F. Ambas

Company Nurse HR Department, Head