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Anti Malaria Daily Stock status Report form

Facility Name:Goro Health Center , Reporting Date: 15/10/2015


Availability of Stock
S.No Item h Discrption Unit Batch No Expiry Date Dispensing Remark
Store
units
1 ACT 20+120 mg tab 6*1 Blister PA18271 Nov-24 85 29
2 ACT 20+120 mg tab 6*2 Blister FWR322042 Mar-25 25 44
3 ACT 20+120 mg tab 6*3 Blister HWE102106 Mar-25 140 57
4 ACT 20+120mg tab 6*4 Blister HWE112229 Sep-24 210 51
Artesunate - 60mg/ml in 1ml Ampoule -
5 Vial LA210803 Jul-24 50 79
Injection
6 Primaquine 7.5mg tablet tab 92737 Feb-25 0 637
7 Chlorquine phosphate 250mg tablet tab L8080014 Apr-23 0 238
Malaria, Rapid Diagnostic Test (RDT), PF-PV
Test 76D0222S Mar-24 500 225
8 Cassette
Reported By : Tekabe Moges
Date:-8/5/2015

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