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Vaccine Order Sheet

The document is a vaccine ordering sheet used by health facilities to track vaccine orders, including details such as population demographics, stock levels, and specific vaccine types. It includes sections for recording the amount to be stocked, ordered, and received, along with relevant dates and signatures from the requesting officer and issuing personnel. The sheet aims to ensure proper inventory management and facilitate timely vaccine distribution.

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clinton kibet
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351 views1 page

Vaccine Order Sheet

The document is a vaccine ordering sheet used by health facilities to track vaccine orders, including details such as population demographics, stock levels, and specific vaccine types. It includes sections for recording the amount to be stocked, ordered, and received, along with relevant dates and signatures from the requesting officer and issuing personnel. The sheet aims to ensure proper inventory management and facilitate timely vaccine distribution.

Uploaded by

clinton kibet
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

VACCINE ORDERING SHEET

Name of the County…………………………………………….…Sub County:…………………………..Health Facility:…………………………..

Date of Last Order:……………………….Date of this Order:…………………………Expected date of next Order:…………………………….

TOTAL POPULATION
Children aged 0-11 months (under 1 year)
Pregnant Women
Amount to be Stocked Number of Ordered
Antigen in Doses children Stock Available Amount Amount Received
Vaccinated since
last order
Minimum Maximum Amount Batch Expiry Amount in Amount in Batch Expiry VVM
in Doses Number Date Doses Doses Number Date Stage
BCG
BCG Diluent
Measles Rubella
MR- Diluent
Pneumococal
DPT-HepB-HiB
Oral Polio
HPV-Vaccine
IPV
Rotavirus
Td
Malaria RTSS
OPV droppers
Astrazeneca
Pfizer
Pfizer Diluent
Moderna
Janssen
Sinopharm
Officer Requesting:………………………………………….Designation:……………………………………Date:……………………………..Signature:…………………………………

Issued by:………………………………………………………… Designation:……………………………………Date:……………………………..Signature:……………………………………

Received by:……………………………… …………………… Designation:……………………………………Date:……………………………..Signature:……………………………………

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