Republic of the Philippines

BANGSAMORO AUTONOMOUS REGION IN MUSLIM MINDANAO

MINISTRY OF HEALTH
PAGAYAWAN RURAL HEALTH UNIT
Brgy. Ngingir, Pagayawan, Lanao del Sur
pagayawanrhu@gmail.com/0946-531-3302

PURCHASE ORDER
RURAL HEALTH UNIT PAGAYAWAN

MEDICINES

Department:
_____________________
P.R. No.: ______________________________ Date: ____________
Section:_____________________
S.A.I. No.: _____________________________ Date: ____________
SAHAR
Stock No. Unit Particulars qty price amount
1 box Amlodipine 5mg (100 tab/box) REGIVASC 20 80 1,600.00
2 box Losartan 50mg (100 tab/box) LOSAAR 20 156.8 3,136.00
3 box Captopril 25mg (100 tab/box) CAPTOBES 1 56 56.00
4 box Gliclazide 80mg (100 tab/box) SAPHCLAZIDE 1 224 224.00
5 box Metoprolol 50mg (100 tab/box) PROMETIN 2 96 192.00
6 bottle Amoxicillin 250mg/5ml syrup AXMEL 50 25.6 1,280.00
7 bottle Amoxicillin 100mg/ml drops AXMEL 50 17.6 880.00
8 box Co-amoxiclav 625mg (14 tab/box) XYVEEMOX 15 148.8 2,232.00
9 bottle Co-amoxiclav 457mg/5ml syrup MEOXICLAV 10 208 2,080.00
10 bottle Co-amoxiclav 228.5mg/5ml syrup CLOVIMED 10 120 1,200.00
11 box Cefalexin 500mg (100 caps/box) EXEL 3 352 1,056.00
12 bottle Cefalexin drops EXEL 20 20.8 416.00
13 box Cefuroxime 500mg (10 tab/box) AEROX 15 136.95 2,054.25
14 box Ciprofloxacin 500mg (100 tab/box) CIPRODIN 1 208 208.00
15 box Cloxacillin 500mg (100 cap/box) FLACTAMACIN 3 328 984.00
16 bottle Cloxacillin 250mg/5ml syr MYRECLOX 20 33.6 672.00
17 box Metronidazole 500mg (100 tab/box) FLAGEX 3 144 432.00
18 bottle Metronidazole 125mg/5ml syrup DARYL 10 25.6 256.00
19 box Carbocisteine 500mg (100 cap/box) MARLUXYN 5 144 720.00
20 box Acetylcysteine 600mg (10 sachet/box) CYSAPHTEINE 3 160 480.00
21 bottle Salbutamol + Guaiafenesin syrup COFNIL 30 49.5 1,485.00
22 bottle Phenylpropanolamine syrup PHENYL SIDOCRAINE PLUS 20 36.3 726.00
23 bottle Phenylpropanolamine drops COLDS-OFF 20 17.6 352.00
24 box Symdex-D tab (100 tab/box) SYMDEX-D 2 204.8 409.60
25 box Cetirizine 10mg (100 tab/box) RHINIL 5 107.25 536.25
26 box Paracetamol 500mg (100 tab/box) NAHALGESIC 10 88 880.00
27 bottle Paracetamol 250mg/5ml syrup MYREMOL 50 43.2 2,160.00
28 bottle Paracetamol 100mg/ml drops BIOGIC 50 19.2 960.00
29 box Salbutamol 2mg (30 nebule/box) BRONCOLIN 1 272.25 272.25
30 bottle Zinc Sulfate Syrup ZINC BOS 70 25.6 1,792.00
31 bottle Zinc Sulfate drops ZINLUM 30 24 720.00
32 box Oral Rehydration Solution sachet (25/box) AMBILYTE 15 80 1,200.00
33 bottle Multivitamins syrup TOVIT 50 35 1,750.00
34 bottle Ascorbic Acid + Zinc syrup SAPHCEEVIT 50 48 2,400.00
35 box Aluminum Magnesium Hydroxide tab (100 tabs/box) CALMSAPH 1 75.2 75.20
36 box Sodium Ascorbate + Zinc SO4 500mg (100 cap/box) PER-C PLUS 10 272 2,720.00
37 box Omeprazole 20mg (100 cap/box) OMEPHIL 3 108.8 326.40
38 box Celecoxib 200mg (100 tab/box) GEOCOXIB 2 198 396.00
39 box Mefenamic Acid 500mg (100 tab/box) FENAMIC 5 92.8 464.00
40 box Vitamin B Complex (100 tab/box) RAMAVIT 10 84.8 848.00
41 box Ferrous Sulfate + Folic Acid (100 tab/box) AMELIRON 10 96 960.00
42 box Calcium Carbonate (100 tab/box) AMBICAL 5 75.2 376.00
43 box Betahistine 16mg (100 tab/box) VERTIGINE 1 480 480.00
44 box Cinnarizine 25mg (100 tab/box) MOTICON 3 86.4 259.20
45 pc IV Fluids (PNSS) 1L PNSS 1L 5 66 330.00
46 pc IV Fluids (PLR) 1L PLR 1L 5 66 330.00
47 pc IV Fluids (D5LR) 1L D5LR 1L 5 66 330.00
48 box Amlodipine 10mg (100 tab/box) REGIVASC 2 94.5 189.00
49 box Azithromycin 500mg tab (3 tabs/box) AMSOMAX 10 59.4 594.00
50 bottle Cefuroxime 125mg/5ml susp CEFURO 5 107.25 536.25
51 bottle Dicycloverine 5mg/5ml syrup SPASMOVERIN 10 20.8 208.00
52 bottle Domperidone 5mg/5ml susp APULDON 10 72 720.00
53 box Epinephrine 1mg/ml ampule (10amp/box) EPIX 1 264 264.00
54 box HNBB 10mg tab (100 tab/box) HYOSAPH 1 416 416.00
 55 box Ibuprofen 400mg tab (100 tab/box) IBUFEN 1 100.8 100.80
56 box Losartan 100mg (100 tab/box) SAPHLOR-100 1 288 288.00
57 box Losartan Potassium + HCTZ 50mg/12.5mg tab (100 tab/box) ARTAZIDE 1 192 192.00
58 box Methyldopa 250mg (100 tab/box) DOPAMAINE 1 632 632.00
59 box Metoclopramide 10mg (100 tab/box) METO 1 116.8 116.80
60 tube Mupirocin 2% ointment 5g MUPIDERM 2 84.8 169.60
61 box Propranolol 10mg (100 tab/box) ASTEROL 1 107.2 107.20
62 box Simvastatin 20mg (100 tab/box) SAPHVAS 3 108.8 326.40
63 tube Silver Sulfadiazine 20g MAZINE 2 89.6 179.20
64 box Isosorbide Dinitrate 5mg tab (100 tab/box) 1 -
65 bottle Cetirizine syrup SITIZINE 20 49.5 990.00
66 bottle Cetirizine drops ALLECUR 20 28.8 576.00
50,301.40

EQUIPMENTS

Department:
_____________________
P.R. No.: ______________________________ Date: ____________
Section:_____________________
S.A.I. No.: _____________________________ Date: ____________

Stock No. Unit Particulars qty price amount

1 pc Microset SURGITECH 5 19.2 96.00
2 pc Macroset SURGITECH 5 22 110.00
3 pc IV Cannula (G20) ECOSAFE 5 12 60.00
4 pc IV Cannula (G22) ECOSAFE 5 12 60.00
5 pc IV Cannula (G24) ECOSAFE 5 12 60.00
6 pc Nebulizing Kit (Adult) SURGITECH 3 72 216.00
7 pc Nebulizing Kit (Pedia) SURGITECH 5 72 360.00
8 box Surgical Face Mask (50 pcs/box) SAHAR 5 70 350.00
9 box Pregnancy Test Kit (40 pcs/box) SUPERSIGN 1 480 480.00
10 pc Nebulizer SURGITECH 1 992.0 992.00
11 pack Underpad / Bluepad SITICARE 1 181.5 181.50
12 box Sterile Gloves (50 pcs/box) 3
13 roll Gauze (Roll) 24x28 | 36"x100yds | 2ply 1
14 gallon 70% Ethyl Alcohol 2
15 gallon Povidone Iodine 10% Solution gallon 2
16 box Sterile Wooden Cotton Applicator 6" (100s x 2pcs/box) 1
17 roll Cotton Roll 400g 1
18 pack Cotton Balls (300's/pack) 1
19 box Band-Aid (100 pcs/box) 2
20 pc Oxygen Facemask (Adult) 3
21 pc Oxygen Facemask (Pedia) 3
22 pc Ultrasound Transmission Gel 250ml SURE-GUARD 1
23 pc Stainless Instruments Soaking Tray with cover 1
2,965.50
Grand Total 53,266.90

Prepared by:

Dr. OMIE CALZUM M. YUSOPH

PRC Lic. No. 0151691
DTTB, Pagayawan, LDS