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Drugs Utilizations

The document is a monthly stock inventory report form for a facility. It lists various treatment packages, programs, and medicines and the ending inventory from the previous month, new deliveries for the current month including quantities and lot numbers, and any stock transfers.

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jimelyquinones78
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© © All Rights Reserved
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56 views8 pages

Drugs Utilizations

The document is a monthly stock inventory report form for a facility. It lists various treatment packages, programs, and medicines and the ending inventory from the previous month, new deliveries for the current month including quantities and lot numbers, and any stock transfers.

Uploaded by

jimelyquinones78
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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ACILITY MONTHLY STOCK INVENTORY REPORT FORM

Name of Facility: ____________________________________________________________________


Complete Address: _____CN__________________________________________________________________________
Municipality: ____________________________________________________________________________________

NOTE: PLEASE COUNT PER TREATMENT PACK AND INDICATE LOT/BATCH NUMBER FOR EACH COMMODITY.
DOH COMPLETE
TREATMENT Ending Inventory from
New Deliveries Stock Transfer
PACKAGE PREVIOUS Month
(ComPack)
Date
Quantity Lot Number Received
Delivered

(A) (B) (C)

1 0 0
2 0 0
3 300 0
4 0 0
5 0 0
6 0 0
7 0 0
8 0 0
9 0 0
Ending Inventory from
FAMILY PLANNING New Deliveries Stock Transfer
PREVIOUS Month
Date
Quantity Lot Number Received
Delivered

(A) (B) (C)

1 0 0
2 0 0
3 0 0
4 45 0
5 0 0
6 0 0
MICRONUTRIENT Ending Inventory from
New Deliveries Stock Transfer
PROGRAM PREVIOUS Month
Date
Quantity Lot Number Received
Delivered

(A) (B) (C)

1 0 0 0
2 6,022 0 0
3 0 0 0
4 16438 0 0
5 0 0 0
6 0 0 0
7 0 0 0
8 0 0 0
9 0 0 0
10 0 0 0
11 0 0 0
12 0 0 0
13 0 0 0
14 0 0 0
15 18258 0

INSULIN MEDICINE Ending Inventory from


New Deliveries Stock Transfer
ACCESS PROGRAM PREVIOUS Month

Date
Quantity Lot Number Received
Delivered

(A) (B) (C)

1 0 0 0
2 0 0 0
3 0 0 0
NATIONAL
TUBERCULOSIS Ending Inventory from
New Deliveries Stock Transfer
CONTROL PREVIOUS Month
PROGRAM
Date
Quantity Lot Number Received
Delivered

(A) (B) (C)

1 21 0 0
2 3 0 0
3 21 0
4 42 0
5 1000 0
6 0 0 0
7 0 0 0
8 1000 0 0
9 0 0 0
10 20 0
11 16 0
12 0 0 0
13 1512 0 0
14 25 0 21 0
INTEGRATED
HELMINTH Ending Inventory from
New Deliveries Stock Transfer
CONTROL PREVIOUS Month
PROGRAM (IHCP)
Date
Quantity Lot Number Received
Delivered

(A) (B) (C)

1 1800 0 0
2 0 0 0
3 0 0 0
4 0 0 0
Philippine
Integrated
Management of Ending Inventory from
New Deliveries Stock Transfer
Severe Acute PREVIOUS Month
Malnutrition
(PIMAM)

Date
Quantity Lot Number Received
Delivered

(A) (B) (C)

1 0 0 0
2 0 0 0
NATIONAL
Ending Inventory from
IMMUNIZATION New Deliveries Stock Transfer
PREVIOUS Month
PROGRAM (NIP)
Date
Quantity Lot Number Received
Delivered

(A) (B) (C)

1 3
2 6
3 260
4 26
5 14
6 110
7 43
8 36
9 0
10 172
11 0 0
12 37 0
13 3 0
14 0 0 0
RABIES
PREVENTION AND Ending Inventory from
New Deliveries Stock Transfer
CONTROL PREVIOUS Month
PROGRAM
Date
Quantity Lot Number Received
Delivered

(A) (B) (C)

1 0 0 0
2 0 0 0
3 0 0 0
4 0 0 0
5 0 0 0
ORAL HEALTH Ending Inventory from
New Deliveries Stock Transfer
PROGRAM PREVIOUS Month
Date
Quantity Lot Number Received
Delivered

J (A) (B) (C)


1 0 0 0
2 0 0 0
3 0 0 0
4 0 0 0
5 0 0 0
6 0 0 0
MENTAL HEALTH
Ending Inventory from
MEDICINE New Deliveries Stock Transfer
PREVIOUS Month
PROGRAM
Date
Quantity Lot Number Received
Delivered

(A) (B) (C)

1 0 0 0
2 0 0 0
3 0 0 0
4 0 0 0
5 0 0 0
6 0 0 0
7 0 0 0
8 0 0 0
9 0 0 0
10 0 0 0
11 0 0 0
12 0 0 0
13 0 0 0
14 0 0 0
15 0 0 0
16 0 0 0
17 0 0 0
18 0 0 0
19 0 0 0
20 0 0 0
21 0 0 0
22 0 0 0
23 0 0 0

Prepared by: Noted by:

Supply Chain Management Officer Municipal Health Officer / DTTB


Month & Year: Feb-22
Region: _____II_______________________
Province: __

Monthly End of the


Stock Transfer Others
Consumption Month Stocks

Transferred

(A+B+C)-
(D) (E) (F)
(D+E+F)
0 0
0 0
300 0
0 0
0 0
0 0
0 0
0 0
0 0
Monthly End of the
Stock Transfer Others
Consumption Month Stocks

Transferred

(A+B+C)-
(D) (E) (F)
(D+E+F)
0 0
0 0
0 0
0 45
0 0
0 0
Monthly End of the
Stock Transfer Others
Consumption Month Stocks

Transferred

(A+B+C)-
(D) (F)
(D+E+F)
0 0
800 5222
0 0
150 16288
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 18258

Monthly End of the


Stock Transfer Others
Consumption Month Stocks

Transferred

(A+B+C)-
(D) (E) (F)
(D+E+F)
0 0
0 0
0 0

Monthly End of the


Stock Transfer Others
Consumption Month Stocks

Transferred

(A+B+C)-
(D) (E) (F)
(D+E+F)
6 15
1 2
6 15
12 30
0 1000
0 0
0 0
0 1000
0 0
4 16
4 12
0 0
0 0
14 11

Monthly End of the


Stock Transfer Others
Consumption Month Stocks

Transferred

(A+B+C)-
(D) (E) (F)
(D+E+F)
250 1550
0 0
0 0
0 0
Monthly End of the
Stock Transfer Others
Consumption Month Stocks

Transferred

(A+B+C)-
(D) (E) (F)
(D+E+F)
0 0
0 0

Monthly End of the


Stock Transfer Others
Consumption Month Stocks

Transferred

(A+B+C)-
(D) (E) (F)
(D+E+F)
0 3
2 4
114 146
15 11
8 6
43 67
10 33
7 29
0 0
15 157
0 0
0 37
1 2
0

Monthly End of the


Stock Transfer Others
Consumption Month Stocks

Transferred

(A+B+C)-
(D) (E) (F)
(D+E+F)
0 0
0 0
0 0
0 0
0 0
Monthly End of the
Stock Transfer Others
Consumption Month Stocks

Transferred

(A+B+C)-
(D) (E) (F)
(D+E+F)
0 0
0 0
0 0
0 0
0 0
0 0

Monthly End of the


Stock Transfer Others
Consumption Month Stocks

Transferred

(A+B+C)-
(D) (E) (F)
(D+E+F)
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

Received by:

Public Health Pharmacist - Cagayan

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