Republic of the Philippines

Province of Isabela
MUNICIPALITY OF STO. TOMAS
- oOo –

Office of the Municipal Health Officer

PURCHASE ORDER
Department: RHU City/Municipality: STO. TOMAS
Tel. No. ________________________ Province: ISABELA
Supplier: _____________________ P.O. No.________________________
Address: ______________________ Date: JULY 17, 2023
TIN: _________________________ Mode of Procurement
Bidding Negotiated Over the Counter

Gentlemen:
Please deliver to this office the following articles subject to the terms and conditions contained herein:

Place of Delivery: ____________________________________ Delivery Term: __________________

Date of Delivery: _____________________________________ Payment Term: __________________

Item No. in Estimated

Qty. Unit of Issue Description Amount
PROC Cost/Unit

NCD
1. 30 Boxes Losartan 50 mg tablet
2. 20 Boxes Amlodipine 10mg tablet
3. 20 Boxes Amlodipine 5 mg tablet
4. 20 Boxes Metformin 500 mg tablet
5. 20 Boxes Simvastatin 20 mg tablet

Pre-natal
6. 20 Boxes Ferrous sulfate tablet
7. 20 Boxes Folic Acid tablet
8. 20 Boxes Ascorbic Acid tablet
9. 20 Boxes Calcium tablet

Infectious
10. 20 Boxes Co-amoxiclav 625 mg capsule
11. 20 Boxes Clindamycin 300 mg capsule
12. 20 Boxes Cloxacillin 500 mg capsule
13. 25 Bottles Amoxicillin 250mg/5ml syrup
14. 20 Bottles Amoxicillin 100mg/ml drops
15. 20 Boxes Cefuroxime 500 mg capsule
16. 20 Bottles Cefuroxime 250mg/5ml syrup
17. 20 Boxes Ciprofloxacin 500 mg capsule
Pain
18. 20 Boxes Celecoxib 200mg capsule
19. 10 Boxes Mefenamic Acid 500 mg cap

OTHER
DRUGS

20 10 Bottles PNSS 1L IV Solution

21 20 Bottles PNSS 1L Irrigating solution
22 5 Bottles D5050
23 2 Boxes Furosemide 40mg/2ml
24 5 Boxes Salbutamol nebule
25 5 Boxes Cinnarizine 25mg tablet
26 5 Bottle Lidocaine 2% 20ml
27 10 Boxes B-complex tablet
28 2 Boxes Epinephrine 1mg/ml amp
29 5 Boxes Clonidine tablet
30 3 Bottles Carbocisteine 500mg capsule
31 20 Bottles Ambroxol 15mg/5 ml syrup
32 20 Bottles Ambroxol 7.5mg/ml drops
33 10 Boxes Cetirizine 10mg tablet
34 20 Bottles Cetirizine 2.5mg/ml drops
35 30 Bottles Cetirizine 5mg/5ml syrup
36 20 Bottles Ascorbic Acid syrup
37 20 Boxes Ascorbic Acid drops
37 15 Boxes Metoclopramide 5mg/5ml syrup
38 2 Boxes Metoclopramide 10mg tablet
39. Ethynylestradiol+levonorgestrel
(COC)
40. 1 Boxe CONDOM
41. 2 Boxes B-complex ampoule
42 20 bottles Phenylephrine HCI
chlorphenemine maleate syrup

In case of failure to make full delivery within the time specified above, a penalty of one-tenth (1/10) of one percent
of everyday shall be imposed.

Very truly yours,

HON. ANTONIO M. TALAUE

Municipal Mayor

PURCHASE ORDER
Department: RHU City/Municipality: STO. TOMAS
Tel. No. ________________________ Province: ISABELA
Supplier: _____________________ P.O. No.________________________
Address: ______________________ Date: JULY 17 , 2023
TIN: _________________________ Mode of Procurement
Bidding Negotiated Over the Counter

Gentlemen:
Please deliver to this office the following articles subject to the terms and conditions contained herein:

Place of Delivery: ____________________________________ Delivery Term: __________________

Date of Delivery: _____________________________________ Payment Term: __________________

Item No. in Estimated

Qty. Unit of Issue Description Amount
PROC Cost/Unit

SUPPLIES
1 10 Packs COTTON BALLS
2 3 Reems BOND PAPER (LONG)
3 2 Boxes SUTURE SILK 3.0
4 2 Boxes SUTURE SILK 4.0
5 30 Pieces IV CANNULA,24G
6 20 Pieces IVCANNULA,22G
7 10 Pieces IV CANNULA,18G
8 10 Pieces IV CANNULA,20G
9 1 Bottle ALCOHOL
10 1 Piece THERM0HYGROMETER
11 1 Bottle EPSON
(black,magenta,blue,yellow)
12. 1 Boxe Heplock
13. 1 Gallon Betadine
14 5 Boxes 4x4 Gauze pad
15 3 Bottle Lysol

In case of failure to make full delivery within the time specified above, a penalty of one-tenth (1/10) of one
percent of everyday shall be imposed.

Very truly yours,

HON. ANTONIO M. TALAUE

Municipal Mayor