Republic of the Philippines SUMMARY OF SALES INF – FORM – 009

MINDANAO STATE UNIVERSITY Medical Services

Fatima, General Santos City

MONTH JULY 2017

CATEGORY MSU MEDICINE
BILL SLIP

Rcpt
Date Name Particulars QTY U-P Amount
#
7/2 171 Vilma Maningcara Paracetamol 250mg/5ml 1 35 35
172 Edmundo Manimog Amlodipine 30 6 180
7/3 173 Zacariah Mohammad Omeprazole 10 8 80
174 Helen Caliza Amlodipine 10 6 60
175 Camilo Maningcara Amoxicillin 250mg Susp 1 35 35
176 Remaliah Macabodbod Syringe 2 8.5 17
Scalpel 1 60 60
Local Anesthesia 2 16 32
Gloves 1 25 25
Dressing 2 25 50
Cloxacillin 15 8 120
Mefenamic Acid 10 4 40
177 Dennis Torroba Cloxacillin 20 8 160
178 Marcelo Wata Amoxicillin 10 6 60
Biogesic 10 7 70
Dressing 1 30 30
179 Khadafy Ali Paracetamol 250mg/5ml 1 35 35
Ambroxol Syrup 1 35 35
180 Robert Sampiano Ciprofloxacin 14 6 84
181 Raymond Suganob Cotrimoxazole 10 6 60
Amoxicillin 250mg Susp 1 35 35
Carbocisteine Syrup 1 35 35
Cetirizine Syrup 1 55 55
7/4 182 Dennis Torroba Cloxacillin 250mg Susp 1 55 55
7/5 183 Singco Pancho Omeprazole 5 8 40
184 Felipe Nerio Dela Cruz Co-Amoxiclav 14 28 392
7/6 185 Czarina Siao-Siakol Cloxacillin 250mg Susp 1 55 55
186 Arnel Masmodi Carbocisteine Syrup 1 35 35
187 Rey paclibar Amlodipine 30 6 180
188 Juanita Calimba Nasathera 5 10 50
7/7 189 Awala Sangkula Fe So4 30 10 300
Symdex 10 6 60
190 Juanita Calimba Nasathera 10 10 100
191 Diomahali Ysmael Fe So4 10 10 100
Paracetamol tabs 10 1.5 15
Nasathera 9 10 90
Efficacent oil 1 65 65
7/8 192 Mando Mosaid Amoxicillin 10 6 60
Mefenamic Acid 10 4 40
7/10 193 Awala Sangkula Salbutamol Neb 1 25 25
Vicks 1 35 35
Carbocisteine Syrup 1 35 35
Cotrimoxazole 10 6 60
194 Haydee Espinosa Omeprazole 10 8 80
195 Akmad Mocamad Captopril 1 6 6
7/11 196 Zacariah Mohammad Biogesic 10 7 70
Solmux 4 15 60
Paracetamol 250mg/5ml 2 35 70
Carbocisteine Syrup 1 35 35
197 Ismael Jomahari Symdex 10 6 60
Prepared by: E.Pasicolan Status: Approved Issue Date: June 5, 2017 Next review date: On the event of change Page 1 of 6
Approved by: VCAF Version: 2.0 Effective Date: June 20, 2017 Document Owner: Medical Services

“Uncontrolled Document if Reproduced without Authorization”

 Republic of the Philippines SUMMARY OF SALES INF – FORM – 009
MINDANAO STATE UNIVERSITY Medical Services
Fatima, General Santos City

Solmux 8 15 120
Nasatapp Syrup 1 120 120
Ambroxol Syrup 1 35 35
198 Felipe Neri Dela Cruz Biogesic 10 7 70
199 Johari Ali O2 inhalation 10 2 20
200 Rhea Ayop Amlodipine 40 6 240
Amoxicillin 250mg Susp 3 35 105
7/12 201 Singco Pancho Nasatapp Syrup 1 120 120
202 Zacariah Mohammad Biogesic 10 7 70
Solmux 4 15 60
neozep 10 7 70
203 Dolores Manimog Amlodipine 20 6 120
7/13 204 Khadafy Ali Paracetamol tabs 20 1.5 30
Cloxacillin 20 8 160
205 TRANSFERRED TO CASH 0
206 Awala Sangkula Omeprazole 10 8 80
207 Norberto Juaman Losartan 20 6 120
Amlodipine 20 6 120
7/14 208 Victorio J. Badilla Cotrimoxazole 10 6 60
209 Arturo Adajar Ciprofloxacin 10 6 60
210 Esmael Ali Amoxicillin 10 6 60
Mefenamic Acid 10 6 60
211 Raymond Suganob Cefalexin 250mg 1 50 50
Fe So4 10 10 100
7/15 212 Ysmael Diomahali Nasatapp Syrup 2 120 240
Carbocisteine Syrup 2 35 70
213 Dennis Toroba Betadine 1 85 85
Mefenamic Acid 6 4 24
Amoxicillin 15 6 90
214 Felipe Neri Dela Cruz Ambroxol Syrup 1 35 35
7/16 215 Felipe Neri Dela Cruz Biogesic 10 7 70
216 Tito Valiente Silk 3.0 1 80 80
Micropore 1 45 45
Amoxicillin 10 6 60
Lidocaine 1.5 16 24
Dressing 2 25 50
3cc Syringe 1 8 8
Suturing 2 3 6
7/17 217 Flora Mammah (Dra Llorente) Alcohol 70% 1 100 100
218 Zacariah Mohammad Solmux 20 15 300
7/18 219 Maulawi Calimba Paracetamol 250mg/5ml 1 35 35
220 Eliezar Bayocboc Cefalexin 20 6 120
Dressing with Bactroban 1 50 50
221 Raymond Suganob Symdex-D 10 6 60
Solmux 4 15 60
222 Helen Caliza Losartan 40 6 240
Amlodipine 40 6 240
Omeprazole 10 8 80
223 Dalmacio Pacho Solmux 9 15 135
7/19 224 Mila Robles Cloxacillin 15 8 120
Mefenamic Acid 14 4 56
225 Melvin C. Gay Jr. (JO- Accreditation Center) Cloxacillin 20 8 160
Mefenamic Acid 20 4 80
226 Zacariah Mohammad Biogesic 2 7 14
Solmux 6 15 90
227 Edna B. Mabuloc Amoxicillin 15 6 90
Prepared by: E.Pasicolan Status: Approved Issue Date: June 5, 2017 Next review date: On the event of change Page 2 of 6
Approved by: VCAF Version: 2.0 Effective Date: June 20, 2017 Document Owner: Medical Services

“Uncontrolled Document if Reproduced without Authorization”

 Republic of the Philippines SUMMARY OF SALES INF – FORM – 009
MINDANAO STATE UNIVERSITY Medical Services
Fatima, General Santos City

3cc Syringe 1 8 8
7/20 228 Eleonor Espina/Milo Amlodipine 10 6 60
229 Felipe Neri Dela Cruz Cefalexin 250mg 1 50 50
7/21 230 Sheila Madriaga Cefalexin 250mg 2 50 100
Ambroxol Syrup 2 35 70
Cetirizine Syrup 1 55 55
Nasatapp Syrup 1 120 120
231 Rasdie Maningcara Biogesic 10 7 70
232 Mando Mosaid Alcohol 70% 1 100 100
Solmux 7 15 105
Symdex-D 6 6 36
233 Gracie Mae Olorosisimo Symdex-D 10 6 60
Mefenamic Acid 10 4 40
Paracetamol tabs 10 1.5 15
7/22 234 Peter Nazareth Cetirizine 1 7 7
235 Dalmacio Pacho Efficacent oil 1 65 65
7/23 236 Kingco Pancho Omeprazole 5 8 40
237 Raymond Suganob Symdex-D 20 6 120
Solmux 4 15 60
7/24 238 Amenodin Agakan Omeprazole 10 8 80
239 Usman Akmad (Security) Cloxacillin 15 8 120
Mefenamic Acid 15 4 60
7/25 240 Rasdie Maningcara D5LRiL 2 150 300
Macroset 110
Butterfly g21 1 45 45
Cotrimoxazole 10 6 60
Metoclopramide Amp 1 35 35
3cc Syringe 1 8 8
Omeprazole 4 8 32
IV Insertion 1 100 100
Admission 1 100 100
Micropore 1 45 45
241 Jojo Baclaan Ciprofloxacin 14 6 84
242 Ysmael Diomahali Symdex-D 10 6 60
243 Dennis Toroba Vicks 2 35 70
Efficacent oil 1 65 65
Alcohol 70% 1 100 100
244 Rowena Dalaten Alcohol 70% 1 100 100
Efficacent oil 1 65 65
245 Hasna Onggal (STTC) Losartan 20 6 120
Amlodipine 20 6 120
7/26 246 Ysmael Diomahali Paracetamol tabs 10 1.5 15
Ciprofloxacin 14 6 84
247 Wilson Diaz Biogesic 5 7 35
Symdex-D 4 6 24
248 Rey paclibar Amlodipine 10 6 60
249 Rhea Ayop Alcohol 70% 1 100 100
250 Singco Pancho Omeprazole 6 8 48
Shelogel 9 4 36
7/27 251 Zacariah Mohammad Paracetamol 250mg/5ml 1 35 35
Efficacent oil 1 65 65
252 Khadafi Ali Paracetamol tabs 10 1.5 15
7/28 253 Dalmacio Pacho Carbocisteine Syrup 1 35 35
Cefalexin 250mg 1 50 50
Paracetamol 250mg/5ml 1 35 35
254 TRANSFERRED TO CASH 0
Prepared by: E.Pasicolan Status: Approved Issue Date: June 5, 2017 Next review date: On the event of change Page 3 of 6
Approved by: VCAF Version: 2.0 Effective Date: June 20, 2017 Document Owner: Medical Services

“Uncontrolled Document if Reproduced without Authorization”

 Republic of the Philippines SUMMARY OF SALES INF – FORM – 009
MINDANAO STATE UNIVERSITY Medical Services
Fatima, General Santos City

7/29 255 Eleonor Espina Mefenamic Acid 6 4 24

Cloxacillin 6 8 48
Dressing 1 20 20
7/30 256 Franklin Marohomsar Amlodipine 10 6 60
7/31 257 Edmundo Manimog Shelogel 1 4 4
258 Eleonor Espina Cloxacillin 13 8 104
Dressing 1 25 25
259 Eleonor Espina Amlodipine 7 6 42
260 Cesar Otacan Efficacent oil 1 65 65
Vicks 1 35 35
Amlodipine 10 6 60
261 Maguindala Macabinta Losartan 30 6 180
Amlodipine 30 6 180
262 Hamerhamsa P. Maguid Mefenamic Acid 10 4 40
Cloxacillin 10 8 80
263 Mark Lloyd Sioquim(JO PPD) Amoxicillin 20 6 120
Mefenamic Acid 1 4 4
Dressing 1 25 25
264 Juanita Calimba Vicks 1 35 35
265 Dolores Manimog Buscopan tabs 2 30 60
266 Dolores Manimog Macroset 1 50 50
Butterfly g21 1 45 45
Omeprazole 4 8 32
Cotrimoxazole 10 6 60
IV Insertion 1 50 50
Confinement 1 50 50
267 April Joy Lumbatan Solmux 12 15 180
Salbutamol Neb 2 25 50
Nebulizing kit 1 100 100
Paracetamol 250mg/5ml 1 35 35
Nasatapp Syrup 1 120 120
268 Wilson Diaz neozep 5 7 35
269 Symdex-D 6 6 36
neozep 9 7 63
Ciprofloxacin 14 6 84
270 Mama Anab Amlodipine 10 6 60
Losartan 10 6 60
271 Rowena Dalaten Cetirizine Syrup 1 55 55
14,606.00

CASH SLIP

Date Cash Slip # Particulars Spec QTY U-P Amount

7/1 118 Nasathera M 2 10 20
7/3 119 A/R-Peelbar Salarda AR 1 517 517
120 Ceterizine M 3 7 21
Mefenamic Acid M 10 4 40
Cloxacillin M 20 8 160
121 3cc Syringe O 1 8.5 8.5
Anesthesia O 3 16 48
Silk suture (3.0) O 1 80 80
Dressing O 2 25 50
7/4 122 3cc Syringe O 1 8 8
7/6 123 Biogesic M 1 7 7
Prepared by: E.Pasicolan Status: Approved Issue Date: June 5, 2017 Next review date: On the event of change Page 4 of 6
Approved by: VCAF Version: 2.0 Effective Date: June 20, 2017 Document Owner: Medical Services

“Uncontrolled Document if Reproduced without Authorization”

 Republic of the Philippines SUMMARY OF SALES INF – FORM – 009
MINDANAO STATE UNIVERSITY Medical Services
Fatima, General Santos City

124 3cc Syringe O 2 8 16

7/7 125 Nebulization O 1 25 25
Dressing O 1 25 25
Shelogel M 5 4 20
126 Cancelled 0
127 Ciprofloxacin M 14 6 84
7/10 Biogesic M 6 7 42
128 Omeprazole M 10 8 80
Amlodipine M 3 6 18
Efficacent oil O 1 65 65
129 Co-Amoxiclav M 14 28 392
7/11 130 Biogesic M 3 7 21
131 Cotrimoxazole M 10 6 60
132 Dressing O 2 25 50
133 3cc Syringe O 1 8.5 8.5
7/12 134 Biogesic M 1 7 7
7/13 135 Amoxicillin M 5 6 30
7/17 Dressing O 1 20 20
136 3cc Syringe O 1 8 8
Symdex-D M 6 6 36
Ceterizine M 1 7 7
137 3cc Syringe O 1 8 8
Scalpel 20 O 1 60 60
Gloves O 1 25 25
Anesthesia O 1 16 16
Dressing O 2 25 50
138 Biogesic M 10 7 70
7/18 Efficacent oil O 1 65 65
Neozep M 10 7 70
139 Ciprofloxacin M 14 6 84
7/20 Mefenamic Acid M 10 4 40
Cotrimoxazole M 4 6 24
140 Solmux M 10 15 150
Cloxacillin M 7 8 56
Ciprofloxacin M 3 6 18
141 Dressing O 1 18.5 18.5
Band Aid O 1 1.5 1.5
Nebulization O 1 25 25
142 Nebulization O 1 25 25
7/21 Salbutamol Nebule M 1 25 25
Captopril M 1 6 6
143 Cloxacillin M 6 8 48
Tranexamic M 2 10 20
144 Nebulization O 1 25 25
7/22 Salbutamol Nebule M 1 25 25
145 Dressing O 1 20 20
146 Metoclopramide M 1 3 3
7/23 147 Nasatapp M 1 120 120
7/25 148 Cloxacillin M 15 8 120
7/26 149 3cc Syringe O 1 8 8
7/28 Chromic 2.0 O 2 200 400

Prepared by: E.Pasicolan Status: Approved Issue Date: June 5, 2017 Next review date: On the event of change Page 5 of 6
Approved by: VCAF Version: 2.0 Effective Date: June 20, 2017 Document Owner: Medical Services

“Uncontrolled Document if Reproduced without Authorization”

 Republic of the Philippines SUMMARY OF SALES INF – FORM – 009
MINDANAO STATE UNIVERSITY Medical Services
Fatima, General Santos City

Dressing O 2 25 50
150 Cetirizine Syrup M 1 55 55
151 Cefalexin M 10 6 60
152 Dressing O 1 20 20
7/29 153 Nebulization O 1 25 25
154 Nebulization O 1 25 25
7/30 155 Cetirizine Syrup M 1 55 55
7/31 156 Nebulization O 1 25 25
*May 24 Omeprazole M 1 8 8
3,923.00

Prepared by: Sheila Marie E. Madriaga, RN

Noted by: Dr. Reuel G. Llorente

Prepared by: E.Pasicolan Status: Approved Issue Date: June 5, 2017 Next review date: On the event of change Page 6 of 6
Approved by: VCAF Version: 2.0 Effective Date: June 20, 2017 Document Owner: Medical Services

“Uncontrolled Document if Reproduced without Authorization”