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DSM COC - 4 - Copy - 1

1. The bin cards show stock information for 5 products at the Black Lion Hospital pharmacy over the month of February 2019, including cephalexin suspension, normal saline solution, paracetamol suspension, adrenaline solution, and azithromycin suspension. 2. The bin cards track product receipts, issues, losses/adjustments, balance on hand, batch and expiry details on a daily basis. 3. Stock balances were physically verified against recorded balances at the end of the month for all products.

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Ana Kedir
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723 views7 pages

DSM COC - 4 - Copy - 1

1. The bin cards show stock information for 5 products at the Black Lion Hospital pharmacy over the month of February 2019, including cephalexin suspension, normal saline solution, paracetamol suspension, adrenaline solution, and azithromycin suspension. 2. The bin cards track product receipts, issues, losses/adjustments, balance on hand, batch and expiry details on a daily basis. 3. Stock balances were physically verified against recorded balances at the end of the month for all products.

Uploaded by

Ana Kedir
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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LEVEL 4 EASY COC EXAM LMIS Formats

Bin card -1

Name of the health facility – Black lion hospital pharmacy

Product name, strength, dosage form – cephalexin 250mg/5ml suspension

Unit of issue – bottle

Maximum stock level – 4 month

Minimum stock level –

Emergency order pt – 0.5 month

Average monthly consumption (AMC) –

Date Doc. No. Received Quantity Batch Expiry Remarks


(Receiving From/ Received Issued Loss/Adj Balance No. Date
or issuing) Issued to
1/1/2019 BBF 10,000 2108 9/2020
8/1/2019 M – 22 DISP 3000 7000 2108 9/2020
13/1/2019 M – 22 DISP 4000 3000 2108 9/2020
28/1/2019 M – 19 PFSA 10,000 13,000 2109 12/202
0
2/2/2019 M – 22 YZ -250 12,750 2108 9/2020 Transfer
out
8/2/2019 M – 22 DISP 500 12,250 2108 9/2020 FEFO
13/2/2019 M – 22 DISP 1250 11,000 2108 9/2020
18/2/2019 M – 22 DISP 1000 10,000 2108 9/2020
20/2/2019 M – 19 YZ +1000 11,000 2109 12/202 Transfer
0 in
22/2/2019 M – 22 DISP 4000 7000 2109 12/202
0
23/2/2019 M – 22 DISP 3000 4000 2109 12/202
0
30/2/2019 Physical 0 4000 2109 12/202
inventory 0
Bin card -2

Name of the health facility – Black lion hospital pharmacy

Product name, strength, dosage form – Normal saline 1000ml solution

Unit of issue – bag

Maximum stock level – 4 month

Minimum stock level –

Emergency order pt – 0.5 month

Average monthly consumption (AMC) –

Date Doc. No. Received Quantity Batch Expiry Remarks


(Receivi From/ Received Issued Loss/ Balance No. Date
ng Issued to Adj
or
issuing)
1/1/2019 BBF 2000 125 5/2020
8/1/2019 M – 22 DISP 1000 1000 125 5/2020
10/1/2019 M – 19 DISP 1000 0 125 5/2020
20/1/2019 M – 22 PFSA 3800 3800 3356 1/2020
23/1/2019 M – 22 DISP 800 3000 3356 1/2020 FEFO
18/1/1019 M -22 XXHC -900 2100 33561 1/2020 TRANSF
ER OUT
20/1/2019 M -22 DISP 1000 1100 3356 1/2020 FEFO
20/1/2019 M -22 DISP 100 1000 3356 1/2020
30/1/2019 M -22 DISP 850 150 3356 1/2020
2/2/2019 M – 19 PFSA 4000 4150 0342 6/2023
2/3/2019 M- 22 DISP 150 4000 3356 1/2020 FEFO
22/2/2019 M- 22 DISP 1000 3000 0342 6/2023
23/2/2019 M -22 DISP 2000 1000 0342 6/2023
30/2/2019 PHY 0 1000 0342 6/2023
Bincard -3

Name of the health facility – Black lion hospital pharmacy

Product name, strength, dosage form – paracetamol 100mg/5ml suspension

Unit of issue – bottle

Maximum stock level – 4 month

Minimum stock level –

Emergency order pt – 0.5 month

Average monthly consumption (AMC) –


Date Doc. No. Received Quantity Batch Expiry Remarks
(Receiving From/Issued Received Issued Loss/Adj Balance No. Date
or issuing) to
1/1/2019 BBF 1500 0425 2/2021
8/1/2019 M – 22 DISP 500 1000 0425 2/2021
13/1/2019 M – 22 DISP 200 800 0425 2/2021
18/1/2019 M -19 PFSA 7000 7800 0112 1/2020
23/1/2019 M- 22 LIDETHC -800 7000 0112 1/2020 FEFO
28/1/2019 M -22 DISP 2200 4800 0112 1/2020 FEFO
2/2/2019 M – 22 DISP 1000 3800 0112 1/2020 FEFO
8/2/2019 M -22 DISP 1000 2800 0112 1/2020
13/2/2019 M -22 DISP 500 2300 0112 1/2020
18/2/2019 M – 22 DISP 1000 1300 0112 1/2020
23/2/2019 M -22 DISP 500 800 0112 1/2020
30/2/2019 PHY 0 800 0425 2/2021
Bincard -4

Name of the health facility – Black lion hospital pharmacy

Product name, strength, dosage form – Adrenaline 1mg/ml solution

Unit of issue – ampoule

Maximum stock level – 4 month

Minimum stock level –

Emergency order pt – 0.5 month

Average monthly consumption (AMC) –

Date Doc. No. Received Quantity Batch Expiry Remarks


(Receiving From/Issued Received Issued Loss/Adj Balance No. Date
or issuing) to
1/1/2019 BBF 500 0635 1/2023
8/1/2019 M – 22 DISP 100 400 0635 1/2023
13/1/2019 M – 22 DISP 50 350 0635 1/2023
18/1/2019 M – 22 DISP 50 300 0635 1/2023
23/1/2019 M – 22 DISP 100 200 0635 1/2023
28/2019 M – 22 DISP 20 180 0635 1/2023
3/2/2019 M – 22 DISP 50 130 0635 1/2023
8/2/2019 M – 22 DISP 50 80 0635 1/2023
13/2/2019 M – 19 PFSA 300 380 0435 11/2022
18/2/2019 M – 22 DISP 100 280 0435 11/2022
23/2/2019 M – 22 DISP 200 80 0435 11/2022
30/2/2019 PHY -30 50 0635 1/2023
Bincard -5

Name of the health facility – Black lion hospital pharmacy

Product name, strength, dosage form – Azithromycin 1OOmg/5ml Susp

Unit of issue – ampoule

Maximum stock level – 4 month

Minimum stock level –

Emergency order pt – 0.5 month

Average monthly consumption (AMC) –

Date Doc. No. Received Quantity Batch Expiry Remarks


(Receiving From/Issued Received Issued Loss/Adj Balance No. Date
or issuing) to
1/1/2019 BBF 10000 0738 3/2022
8/1/2019 M – 22 DISP 1000 9000 0738 3/2022

13/1/2019 M – 22 DISP 3000 6000 0738 3/2022

18/1/2019 M – 19 PFSA 4000 10000 0235 1/2020


23/1/2019 M – 22 TULUHC -300 9700 0235 1/2020 FEFO
28/2019 M – 22 DISP 700 9000 0235 1/2020 FEFO
3/2/2019 M – 22 DISP 1000 8000 0235 1/2020 FEFO
8/2/2019 M – 22 DISP 2000 6000 0235 1/2020 FEFO
13/2/2019 M – 22 DISP 500 5500 0738 3/2022
18/2/2019 M – 22 DISP 1500 4000 0738 3/2022
23/2/2019 M – 22 DISP 500 3500 0738 3/2022
30/2/2019 M – 22 DISP -300 3200 0738 3/2022

REPORT & REQUSITION FORM (RRF)


HEALTH FACILITY – BLACK LION HOSPITAL PHARMACY

REPORTED PERIOD FROM______TO______

SI PRDUCT NAMR Unit of Beginn Quantity Losses Ending Calculated Day Maximum Quantity

N issue / balanc consumptio out of stock quantity


ing Received e n stock
Needed to

O balance Adjust
Reach max
ed

A B C D E=A+B+/- F G=120*E/ I=H-D-E

(60-F)
C-D

1 Cephalexin250mg/ Bottle
5mlsuspention

2 Normal Saline 1000ml Bag


solution

3 Paracetamol100mg/ Bottle
5ml suspention

4 Adrenalin 1mg/ml Ampul


solution e

5 Azitromycin Bottle
100mg/5ml

Quantity Unit Total price Quantity Unit Total


needed price ordered price price
to reach
max

A B C(A×B) D E F=(D×E)

1 Cephalexin Bottle E
250mg/5ml
suspention

2 Normal saline Bag V


1000ml solution

3 Paracetamol Bottle N
100mg/5ml
suspention

4 Adrenalin 1mg/ml Ampule V


solution

5 Azitromycin Bott E
100mg/5ml susp

TOTAL PRICE
TOTAl PRICE
COAST ANALYSIS FOR WORKSHEET FOR RRF

DRUG BUDGET = 921,760


HEALTH FACILITY – BLACK LION HOSPITAL PHARMACY

REPORTED PERIOD FROM______TO______

D/CE=

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