REPORT OF SUPPLIES AND

MATERIALS ISSUED

JUNE 1-30 , 2018

OFFICE, JANITORIAL, ENGINEERING & CONSTRUCTION,
DRUGS & MEDICINES, FLUIDS, LABORATORY, RADIOLOGY,
MEDICAL & SURGICAL SUPPLIES
 Republic of the Philippines
MM-007-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIALS MANAGEMENT SECTION

REPORT OF SUPPLIES AND MATERIALS ISSUED

Serial No. :
Fund Cluster: BUSINESS TYPE INCOME Date :

To be filled up by the Supply and/or Property Division/Unit To be filled up by the Accounting Division/Unit

Responsibility Center Quantity

RIS No. Stock No. Item Unit Unit Cost Amount
Code Issued
MS-2018-06-
0139 PHARMACY Intravenous Administration Set (Microset) 60 drops/ml set 1,000

0154 PHARMACY Intravenous Administration Set (Microset) 60 drops/ml set 500

Recapitulation: Recapitulation:
Stock No. Item Unit Quantity Unit Cost Total Cost UACS Object Code

Intravenous Administration Set (Microset) 60 drops/ml set 1,500

I hereby certify to the correctness of the above information. Posted by:

HAROLD C. TAMAYAO
Administrative Officer III - OIC Materials Management Section Signature over Printed Name of Designated Date
Accounting Staff
 Republic of the Philippines
MM-007-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIALS MANAGEMENT SECTION

REPORT OF SUPPLIES AND MATERIALS ISSUED

Serial No. :
Fund Cluster: REGULAR AGENCY FUND Date :

To be filled up by the Supply and/or Property Division/Unit To be filled up by the Accounting Division/Unit
Responsibility Center Quantity
RIS No. Code Stock No. Item Unit Unit Cost Amount
Issued
MS-2018-06-
0141 HEMODIALYSIS Hemodialysis Supplies and Consumables set 300

0145 CSR Insulin Syringe 100's box 50

0146 CL. LAB Autoclave Indicator Tape roll 5

0151 CSR Surgical Suture, Plain 2.0 round needle doz 20

0155 CSR 03-00269 Skin stapler pc 28

03-00364 Syringe w/ Needle (Luer Lock) 20cc, Disposable (100's) box 20

0156 CSR Surgical Suture, Plain 2.0 round needle doz 10

0157 REHAB MED 03-00250 Plaster, Surgical Hypoallergenic, Adhesive 1”, 12's box 5

0160 CSR Autoclave Indicator Tape roll 50

Oxygen Mask, Adult pc 300
03-00269 Skin stapler pc 102
03-00364 Syringe w/ Needle (Luer Lock) 20cc, Disposable (100's) box 17

0162 DENTAL Autoclave Indicator Tape roll 5

Recapitulation: Recapitulation:
Stock No. Item Unit Quantity Unit Cost Total Cost UACS Object Code

Autoclave Indicator Tape roll 60

Hemodialysis Supplies and Consumables set 300
Insulin Syringe 100's box 50
Oxygen Mask, Adult pc 300
03-00250 Plaster, Surgical Hypoallergenic, Adhesive 1”, 12's box 5
03-00269 Skin stapler pc 130
03-00462 Surgical Suture, Plain 2.0 round needle doz 30
03-0444 Syringe w/ Needle (Luer Lock) 20cc, Disposable (100's) box 37

I hereby certify to the correctness of the above information. Posted by:

HAROLD C. TAMAYAO
Administrative Officer III - OIC Materials Management Section Signature over Printed Name of Designated Date
Accounting Staff
 Republic of the Philippines
MM-007-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIALS MANAGEMENT SECTION

REPORT OF SUPPLIES AND MATERIALS ISSUED

Serial No. :
Fund Cluster: INTERNALLY GENERATED INCOME Date :

To be filled up by the Supply and/or Property Division/Unit To be filled up by the Accounting Division/Unit
Responsibility Center Quantity
RIS No. Code Stock No. Item Unit Issued Unit Cost Amount

MS-2018-06-
0139 PHARMACY Intravenous Administration Set (Macroset) 20 drops/ml set 3000

140 HEMODIALYSIS Dialyzer (Low-Flux) pc 300

Dialyzer (High-Flux) pc 500

142 ENG'G 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) pc 2

143 RADIOLOGY 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 15
03-00075 Cotton absorbent, 400 grms. Unsterile roll 5
03-00142 Gloves, sterile s-7, 50's box 3
Mask, Surgical, 50's tie on/ box box 10
01-00049 Thermal Paper, Ultrasound roll 20

144 CSR 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 180
03-00446-B Arm sling cloth, Large pc 50
03-00447 Arm sling cloth, Medium pc 50
03-00448 Arm sling cloth, Small pc 50
03-00056 Bouffant caps, 100's (Box) pack 24
03-00062 Cautery pencil pc 300
03-00066 Chest leads, Adult, 50's pc 40
03-00090 Elastic bandage S – 4 inches (Stretchable) roll 130
03-00115 Endotracheal Tube 7.5 mm cuffed pc 50
03-00194 Mask, Surgical, 50's tie on/ box box 80
03-00206 Nasal Cannula 02, adult pc 200
03-00213 Nasogastric Tube fr .16, 125cm long pc 200
03-00214 Nasogastric Tube fr .18, 125cm, long pc 200
03-00142 Gloves, sterile s-7, 50's box 40
03-00293 Suction Tip fr.14 50cm pc 500
03-00044 Blade, surgical #10,100's, Sharp (Stainless) (Box) box 10
03-00045 Blade, surgical #11,100's, Sharp (Stainless) (Box) box 10
03-00151 Gloves, unsterile, large, 100's box 50
03-00150 Gloves, unsterile, medium, 100's box 15
03-00269 Skin stapler pc 40

145 CSR 03-00041 Povidone Iodine antiseptic 10%, Betadine gal 20

Connecting tube (Suction) pc 150
03-00077 Cotton Balls pc 300
03-00117 Epidural set pc 50
03-00161 Incontinent pad, 10's pc 1950
03-00274 Specimen cup, 25's pc 2800
03-00137 Gloves, surgical, sterile long cuff s-6 ½, 50's box 18
03-00139 Gloves, surgical, sterile long cuff s-7, 50's box 18
06-00152-A Gloves, surgical, sterile long cuff s-8, 50's box 10
03-00354 Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box 36
03-00355 Syringe w/ Needle (Luer Lock) 1cc, Disposable (100's) box 72
03-00357 Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box 42
03-00370 Syringe w/ Needle (Luer Lock) 50cc, Disposable (100's) box 16
03-00359 Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 36

146 CL. LAB 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 36
03-00194 Mask, Surgical, 50's tie on/ box box 10
03-00075 Cotton absorbent, 400 grms. Unsterile roll 24

147 ORTHOPEDIC 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE)

bot 5

148 BLOOD BANK 03-00194 Mask, Surgical, 50's tie on/ box box 3

149 CSR 03-00134 Absorbent Gauze, unsterile, mesh, 36 x100 yards bolt 100
03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 180
 03-00041 Povidone Iodine antiseptic 10%, Betadine gal 20
03-00056 Bouffant caps, 100's (Box) pack 20
03-00062 Cautery pencil pc 200
03-00077 Cotton Balls pack 300
03-00066 Chest leads, Adult, 50's pack 20
03-00091 Elastic bandage S – 6 inches (Stretchable) roll 125
03-00117 Epidural Set pc 50
03-00194 Mask, Surgical, 50's tie on/ box box 80
03-00161 Incontinent Pad, 10's pc 600
03-00206 Nasal Cannula 02, adult pc 300
03-00213 Nasogastric Tube fr .16, 125cm long pc 100
03-00214 Nasogastric Tube fr .18, 125cm, long pc 100
03-00222 Nebulizer Kit pc 300
03-00140 Gloves, sterile s-6 ½, 50's box 40
03-00141 Gloves, sterile s-7, 50's box 40
03-00142 Gloves, sterile s-7 ½, 50's box 40
03-00137 Gloves, surgical, sterile long cuff s-6 ½, 50's box 18
03-00354 Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box 60
03-00355 Syringe w/ Needle (Luer Lock) 1cc, Disposable (100's) box 36
03-00357 Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box 54
03-00370 Syringe w/ Needle (Luer Lock) 50cc, Disposable (100's) box 6
03-00359 Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 42

150 Polyester Casting Tape 5'' X 4 yards roll 50

CSR 03-00068 Chlorhexidine cleanser, 5liters (Gal) gal 8
03-00405 ECG tracing paper for 1 channel roll 100
03-00112 Endotracheal Tube 8.0 mm cuffed pc 100
03-00114 Endotracheal Tube 7.0 mm cuffed pc 100
03-00123 Foley Catheter, 2-way, siliconized, latex Fr.14 pc 500
03-00124 Foley Catheter, 2-way, siliconized, latex Fr.16 pc 500
03-00187 Lubricating Gel, Sterile 3 gms 100/Box box 40
03-00192 Mask, Surgical, N-95/ particulate/20s pc 200
Newborn Kit pc 200
03-00207 Nasal Cannula 02, pedia pc 300
03-00237 Needles Disposable G.18, 100's box 18
Newborn Screening Kit pc 1500
03-00252 Plaster, Surgical Hypoallergenic, Adhesive 2”, 6's roll 50
03-00292 Suction Tip fr.12 45cm pc 500
03-00293 Suction Tip fr.14 50cm pc 300
03-00044 Blade, surgical #10,100's, Sharp box 20
03-00043 Blade, surgical #11,100's, Sharp box 5
03-00371 Thermometer, Digital pc 300
03-00374 Thoracic catheter fr.32 pc 25
Tracheostomy Tube, F. 7.0 pc 5
Tracheostomy Tube, F. 8.0 pc 5
03-00151 Gloves, unsterile, large, 100's box 95
03-00532 Wadding Sheet 4" pc 200

151 CSR 03-00321 Surgical Suture, Silk 2.0 w/ round needle doz 20
03-00323 Surgical Suture, Silk 3.0 w/ round needle doz 20
03-00302 Surgical Suture, Chromic 2.0 double arm (round-cutting) doz 30

152 Femoral Catheter pc 300

153 HRMS 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 3

154 PHARMACY Intravenous Administration Set (Macroset) 20 drops/ml set 2000

Absorbent Gauze with X- Ray detector, unsterile, mesh 36 x100

155 CSR 03-00412
yards bolt 50
03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 144
Elastic bandage S – 2 inches (Stretchable) roll 50
Extension tubing, 1-way pc 100
03-00194 Mask, Surgical, 50's tie on/ box box 80
03-00161 Incontinent Pad pc 750
Adhesive Tape 4 inches, Leukoplast roll 45
03-00215 Nasogastric Tube fr .05, 100cm long pc 200
03-00222 Nebulizer Kit pc 300
03-00206 Nasal Cannula 02, adult pc 200
03-00142 Gloves, sterile s-7, 50's box 40
03-00141 Gloves, sterile s-7 ½, 50's box 40
03-00137 Gloves, surgical, sterile long cuff s-6 ½, 50's box 18
03-00139 Gloves, surgical, sterile long cuff s-7, 50's box 18
Suction Tip fr.05 45cm pc 500
03-00357 Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box 72
03-00354 Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box 72
 03-00386 Urine Collector pc 500
03-00392 Wound Drainage 150cc capacity pc 70

156 CSR 03-00321 Surgical Suture, Silk 2.0 w/ round needle dozen 20
03-00323 Surgical Suture, Silk 3.0 w/ round needle dozen 20
Synthetic absorbable multifilament braided dyed coated w/
03-00560
antibacterial 2.0 round needle, Novosyn dozen 20
03-00302 Surgical Suture, Chromic 2.0 double arm (round-cutting) dozen 20
03-00301 Surgical Suture, Chromic 1 w/ round needle dozen 20
03-00053 Bone Wax dozen 3

157 REHAB MED. 04-00395 Ultrasound Gel box 2

03-00194 Mask, Surgical, 50's tie on/ box box 5
03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) pc 5
03-00075 Cotton absorbent, 400 grms. Unsterile roll 5

158 RADIOLOGY 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 10
03-00075 Cotton absorbent, 400 grms. Unsterile roll 5
03-00250 Plaster, Surgical Hypoallergenic, Adhesive 1”, 12's box 5
03-00194 Mask, Surgical, 50's tie on/ box box 12
01-00049 Thermal Paper, Ultrasound roll 20

159 ADMITTING 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 3

160 03-00062 Cautery pencil pc 12

03-00252 Plaster, Surgical Hypoallergenic, Adhesive 2”, 6's box 50
03-00140 Gloves, sterile s-6 ½, 50's box 80
03-00142 Gloves, sterile s-7, 50's box 40
03-00141 Gloves, sterile s-7 ½, 50's box 40
03-00137 Gloves, surgical, sterile long cuff s-6 ½, 50's box 18
03-00139 Gloves, surgical, sterile long cuff s-7, 50's box 18
03-00138 Gloves, surgical, sterile long cuff s-7 ½, 50's box 18
03-00291 Suction Tip fr.10 45cm pc 500
03-00285 Suction Tip fr.12 50cm pc 500
Suction Tip fr.05 45cm pc 500
Blade, surgical #15,100's, Sharp (Stainless) (Box) box 10
03-00354 Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box 60
03-00355 Syringe w/ Needle (Luer Lock) 1cc, Disposable (100's) box 48
03-00357 Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box 36
03-00375 Thoracic catheter fr.36 pc 25
03-00410 Titanized mesh pc 15
03-00487 Tracheostomy Tube, F. 6.0 pc 5

Yankuer Suction Connecting Tube, Double packing with pool

03-00393
drain suction (Universal Connecting tube 210-250cm)
pc 400

Absorbent Gauze with X- Ray detector, unsterile, mesh 36 x100

161 CSR 03-00412
yards bolt 50
03-00041 Povidone Iodine antiseptic 10%, Betadine gal 20
03-00059 Cautery Pad pc 300
03-00062 Cautery pencil pc 100
03-00238 Needles Disposable G.19, 100's box 30
03-00235 Needles Disposable G.22, 100's box 30
03-00194 Mask, Surgical, 50's tie on/ box pc 40
03-00625 Mask, Surgical, N-95/ particulate/20s pc 100
03-00206 Nasal Cannula 02, adult pc 300
03-00207 Nasal Cannula 02, pedia pc 200
03-00386 Urine Collector, 100's pc 500

162 CSR Surgical Suture, Chromic 2.0 single arm arm dozen 20
03-00302 Surgical Suture, Chromic 2.0 double arm (round-cutting) dozen 20
03-00301 Surgical Suture, Chromic 1 w/ round needle dozen 10
Synthetic absorbable multifilament braided dyed coated w/
03-00560
antibacterial 2.0 (MH) round needle dozen 15
Synthetic absorbable multifilament braided dyed coated w/
03-00563
antibacterial 4.0 w/ cutting needle, 12's dozen 17

163 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 10

03-00140 Gloves, sterile s-6 ½, 50's box 5
03-00142 Gloves, sterile s-7, 50's box 5

Recapitulation: Recapitulation:
Quantity UACS Object
Stock No. Item Unit Unit Cost Total Cost
Code
03-00091 Elastic bandage S – 6 inches (Stretchable) roll 125
 Absorbent Gauze with X- Ray detector, unsterile, mesh 36 x100
03-00412
yards bolt 100
03-00134 Absorbent Gauze, unsterile, mesh, 36 x100 yards bolt 100
Adhesive Tape 4 inches, Leukoplast roll 45
03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) pc 593
03-00446-B Arm sling cloth, Large pc 50
03-00447 Arm sling cloth, Medium pc 50
03-00448 Arm sling cloth, Small pc 50
03-00044 Blade, surgical #10,100's, Sharp box 30
03-00045 Blade, surgical #11,100's, Sharp box 15
Blade, surgical #15,100's, Sharp (Stainless) (Box) box 10
03-00053 Bone Wax dozen 3
03-00056 Bouffant caps, 100's (Box) pack 44
03-00059 Cautery Pad pc 300
03-00062 Cautery pencil pc 612
03-00066 Chest leads, Adult, 50's pc 60
03-00068 Chlorhexidine cleanser, 5liters (Gal) gal 8
Connecting tube (Suction) pc 150
03-00075 Cotton absorbent, 400 grms. Unsterile roll 39
03-00077 Cotton Balls pack 600
Dialyzer (High-Flux) pc 500
Dialyzer (Low-Flux) pc 300
03-00405 ECG tracing paper for 1 channel roll 100
Elastic bandage S – 2 inches (Stretchable) roll 50
03-00090 Elastic bandage S – 4 inches (Stretchable) roll 130
03-00114 Endotracheal Tube 7.0 mm cuffed pc 100
03-00115 Endotracheal Tube 7.5 mm cuffed pc 50
03-00112 Endotracheal Tube 8.0 mm cuffed pc 100
03-00117 Epidural set pc 100
Extension tubing, 1-way pc 100
Femoral Catheter pc 300
03-00123 Foley Catheter, 2-way, siliconized, latex Fr.14 pc 500
03-00124 Foley Catheter, 2-way, siliconized, latex Fr.16 pc 500
03-00140 Gloves, sterile s-6 ½, 50's box 125
03-00142 Gloves, sterile s-7 ½, 50's box 120
03-00142 Gloves, sterile s-7, 50's box 168
03-00137 Gloves, surgical, sterile long cuff s-6 ½, 50's box 72
03-00138 Gloves, surgical, sterile long cuff s-7 ½, 50's box 18
03-00139 Gloves, surgical, sterile long cuff s-7, 50's box 54
06-00152-A Gloves, surgical, sterile long cuff s-8, 50's box 10
03-00151 Gloves, unsterile, large, 100's box 145
03-00150 Gloves, unsterile, medium, 100's box 15
03-00161 Incontinent Pad, 10's pc 3300
Intravenous Administration Set (Macroset) 20 drops/ml set 5000
03-00187 Lubricating Gel, Sterile 3 gms 100/Box box 40
03-00194 Mask, Surgical, 50's tie on/ box box 320
03-00625 Mask, Surgical, N-95/ particulate/20s pc 300
03-00206 Nasal Cannula 02, adult pc 1000
03-00207 Nasal Cannula 02, pedia pc 500
03-00215 Nasogastric Tube fr .05, 100cm long pc 200
03-00213 Nasogastric Tube fr .16, 125cm long pc 500
03-00214 Nasogastric Tube fr .18, 125cm, long pc 100
03-00222 Nebulizer Kit pc 600
03-00237 Needles Disposable G.18, 100's box 18
03-00238 Needles Disposable G.19, 100's box 30
03-00235 Needles Disposable G.22, 100's box 30
Newborn Kit pc 200
Newborn Screening Kit pc 1500
03-00250 Plaster, Surgical Hypoallergenic, Adhesive 1”, 12's box 5
03-00252 Plaster, Surgical Hypoallergenic, Adhesive 2”, 6's roll 100
Polyester Casting Tape 5'' X 4 yards roll 50
03-00041 Povidone Iodine antiseptic 10%, Betadine gal 60
03-00269 Skin stapler pc 40
03-00274 Specimen cup, 25's pc 2800
Suction Tip fr.05 45cm pc 1000
03-00291 Suction Tip fr.10 45cm pc 500
03-00285 Suction Tip fr.12 50cm pc 1000
03-00293 Suction Tip fr.14 50cm pc 800
03-00301 Surgical Suture, Chromic 1 w/ round needle dozen 30
03-00302 Surgical Suture, Chromic 2.0 double arm (round-cutting) doz 70
Surgical Suture, Chromic 2.0 single arm arm dozen 20
03-00321 Surgical Suture, Silk 2.0 w/ round needle doz 40
03-00323 Surgical Suture, Silk 3.0 w/ round needle dozen 40
Synthetic absorbable multifilament braided dyed coated w/
03-00560
antibacterial 2.0 (MH) round needle dozen 35
Synthetic absorbable multifilament braided dyed coated w/
03-00563
antibacterial 4.0 w/ cutting needle, 12's dozen 17
 03-00354 Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box 228
03-00355 Syringe w/ Needle (Luer Lock) 1cc, Disposable (100's) box 156
03-00357 Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box 204
Syringe w/ Needle (Luer Lock) 50cc, Disposable (100's) box 24
03-00359 Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 78
01-00049 Thermal Paper, Ultrasound roll 40
03-00371 Thermometer, Digital pc 300
03-00374 Thoracic catheter fr.32 pc 25
03-00375 Thoracic catheter fr.36 pc 25
03-00410 Titanized mesh pc 15
03-00487 Tracheostomy Tube, F. 6.0 pc 5
Tracheostomy Tube, F. 7.0 pc 5
Tracheostomy Tube, F. 8.0 pc 5
04-00395 Ultrasound Gel box 2
03-00386 Urine Collector, 100's pc 1000
03-00532 Wadding Sheet 4" pc 200
03-00392 Wound Drainage 150cc capacity pc 70

Yankuer Suction Connecting Tube, Double packing with pool

03-00393
drain suction (Universal Connecting tube 210-250cm)
pc 400

I hereby certify to the correctness of the above information. Posted by:

HAROLD C. TAMAYAO
Administrative Officer III - OIC Materials Management Section Signature over Printed Name of Designated Date
Accounting Staff
 Republic of the Philippines
MM-007-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIALS MANAGEMENT SECTION

REPORT OF SUPPLIES AND MATERIALS ISSUED

Serial No. :
Fund Cluster: REGULAR AGENCY FUND Date :

To be filled up by the Supply and/or Property Division/Unit To be filled up by the Accounting Division/Unit

Responsibility Center Quantity

RIS No. Stock No. Item Unit Unit Cost Amount
Code Issued

OS-2018-10- HP laser printer ink pc 2

686 Paper, Copy A4 ream 2

687 Multi-Copy Paper A4 ream 5

Staple Wire box 5
Calculator pc 1

688 Paper, Copy Long ream 8

689 Multi-Copy Paper, Legal ream 10

Multi-Copy Paper A4 ream 10
Tape, Masking pc 2
Paper Clip, Big box 1
Pencil pc 10
Staple Wire, #35 box 3

690 Envelope, Long pc 12

691 Multi-Copy Paper, Legal ream 2

Multi-Copy Paper A4 ream 9
Masking Tape 1" pc 2
Brown Envelope Short pc 50

692 Multi-Copy Paper A4 ream 12

Multi-Copy Paper, Legal ream 2
Record Book 300p pc 5

693 Multi-Copy Paper, Legal ream 2

694 Multi-Copy Paper, Legal ream 5

Multi-Copy Paper A4 ream 10

695 Multi-Copy Paper A4 ream 10

696 Multi-Copy Paper, Legal ream 10\

Multi-Copy Paper A4 ream 5
Toner, 85A ream 2
Staple Wire #35 box 5
Fastener box 5
Paper Clip, Big box 2

697 Multi-Copy Paper A4 ream 28

Multi-Copy Paper, Legal ream 2

698 Multi-Copy Paper A4 ream 15

Multi-Copy Paper, Legal ream 2

699 Multi-Copy Paper A4 ream 29

Multi-Copy Paper, Legal ream 9
HP, LaserJet Toner cart 1

700 Multi-Copy Paper A4 ream 4

701 Multi-Copy Paper A4 ream 10

Multi-Copy Paper, Legal ream 10
Fastener box 3
Toner, 85A box 3
Toner, CE278AC box 2
2ply, Continous Form box 3

702 Multi-Copy Paper A4 ream 40

Multi-Copy Paper, Legal ream 10
Masking Tape 1" pc 3

703 Multi-Copy Paper, Legal ream 5

Folder, Long pc 10

704 Multi-Copy Paper A4 ream 14

Cartolina pc 30
Scotch Tape 1" pc 5

705 Multi-Copy Paper A4 ream 1

Record Book, 500p pc 10

706 Multi-Copy Paper A4 ream 2

Multi-Copy Paper, Legal ream 1

707 Multi-Copy Paper A4 ream 2

Ink, Epson L220 Yellow cart 1

708 Multi-Copy Paper A4 ream 6

 Multi-Copy Paper, Legal ream 3

709 Cartolina pc 15

710 Multi-Copy Paper, Legal ream 2

711 Fastener box 5

712 Multi-Copy Paper A4 ream 10

Multi-Copy Paper, Legal ream 5

713 Tape, Scotch 1" pc 2

Tissue Paper pc 12
Paper, Copy A4 ream 5
Paper, Copy Legal ream 3
Fastener box 2
Staple Wire box 2

714 Paper, Copy A4 ream 5

Paper, Copy Legal ream 5
Paper Clip, Big box 1
Multi-Copy Paper A4 ream 3
Multi-Copy Paper, Legal ream 4

715 Multi-Copy Paper A4 ream 10

Multi-Copy Paper, Legal ream 10
Fastener box 10
Pencil pc 3
Staple Wire #35 box 5

716 Paper, Copy A4 ream 15

Fastener box 3
Staple Wire #35 box 50
Envelope, long pc 50

Recapitulation:
UACS Object
Stock number Item Unit Quantity Unit Cost Total Cost
Code

2ply, Continous Form box 3

Envelope, Short pc 50
Calculator pc 1
Cartolina pc 45
Envelope, Long pc 62
Fastener box 5
Fastener box 23
Folder, Long pc 10
HP laser printer ink pc 2
HP, LaserJet Toner cart 1
Ink, Epson L220 Yellow cart 1
Masking Tape 1" pc 5
Multi-Copy Paper A4 ream 235
Multi-Copy Paper, Legal ream 84
Paper Clip, Big box 4
Paper, Copy Legal ream 16
Paper, Copy A4 ream 27
Pencil pc 13
Record Book 300p pc 5
Record Book, 500p pc 10
Scotch Tape 1" pc 5
Staple Wire box 70
Tape, Masking pc 2
Tape, Scotch 1" pc 2
Tissue Paper pc 12
Toner, 85A box 5
Toner, CE278AC box 2

I hereby certify to the correctness of the above information. Posted by:

HAROLD C. TAMAYAO
Administrative Officer III - OIC Materials Management Section Signature over Printed Name of Designated Date
Accounting Staff
2ply, Continous Form box 3
Envelope, Short pc 50
Calculator pc 1
Cartolina pc 45
Envelope, Long pc 62
Fastener box 5
Fastener box 23
Folder, Long pc 10
HP laser printer ink pc 2
HP, LaserJet Toner cart 1
Ink, Epson L220 Yellow cart 1
Masking Tape 1" pc 5
Multi-Copy Paper A4 ream 235
Multi-Copy Paper, Legal ream 84
Paper Clip, Big box 4
Paper, Copy Legal ream 16
Paper, Copy A4 ream 27
Pencil pc 13
Record Book 300p pc 5
Record Book, 500p pc 10
Scotch Tape 1" pc 5
Staple Wire box 70
Tape, Masking pc 2
Tape, Scotch 1" pc 2
Tissue Paper pc 12
Toner, 85A box 5
Toner, CE278AC box 2
 Republic of the Philippines
MM-007-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIALS MANAGEMENT SECTION

REPORT OF SUPPLIES AND MATERIALS ISSUED

Serial No. :
Fund Cluster: INTERNALLY GENERATED INCOME Date :

To be filled up by the Supply and/or Property Division/Unit To be filled up by the Accounting Division/Unit
Quantity
RIS No. Responsibility Center Code Stock No. Item Unit Unit Cost Amount
Issued
OS-2018-10
687 Pencil box 1

688 Tape, Packaging 2" pc 2

692 Cartridge, Epson LX-300HI pc 2

694 Paper, Copy A4 ream 8

696 Pencil pc 10

Recapitulation: Recapitulation:
UACS Object
Stock No. Item Unit Quantity Unit Cost Total Cost
Code
 UACS Object
Stock No. Item Unit Quantity Unit Cost Total Cost
Code

BLOOD DONOR CARD/CIKAB 15000 PC

DVD-REWRITABLE 4.7 GB 90 PC
08-00014-A FOLDER,TAGBOARD LEGAL 625 PC
06-00049 INK CART, EPSON MAGENTA 2 CART
06-00050 INK CART, EPSON YELLOW 3 CART
13-00003 PAPER CLIP BIG 8 BOX
SUBSIDIARY LEDGER 1000 PC
11-00006 TAPE, PACKAGING 2" 20 ROLL

I hereby certify to the correctness of the above information. Posted by:

HAROLD C. TAMAYAO
Administrative Officer III - OIC Materials Management Section Signature over Printed Name of Designated Date
Accounting Staff
 Republic of the Philippines
MM-007-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIALS MANAGEMENT SECTION

REPORT OF SUPPLIES AND MATERIALS ISSUED

Serial No. :
Fund Cluster: INTERNALLY GENERATED INCOME Date :

To be filled up by the Supply and/or Property Division/Unit To be filled up by the Accounting Division/Unit
Responsibility Center Quantity
RIS No. Code Stock No. Item Unit Unit Cost Amount
Issued
CLS-2018-06-
0047 BLOOD BANK 05-00059 HBsAg, EIA, 480't - BIORAD kit 2
05-00138 HIV Ag/Ab, EIA, 480't - BIORAD kit 2
05-00065 HCV Ag/Ab, EIA, 480't - BIORAD kit 2
05-00119 Syphilis/Trepsure, EIA, 960't - BIORAD kit 2
HBsAg, CLIA, 100't - HISCL kit 2
HCV Ab, CLIA, 100't - HISCL kit 2
HIV Ag/Ab, CLIA, 100't - HISCL kit 2
Syphilis, CLIA, 1000't - HISCL kit 2
05-00101 Malaria Ag, Rapid, 25't kit 110

48 CL. LAB 02-00079 SGPT/ALT reagent, dry method kit 10

02-00076 SGOT/AST, reagent, dry method kit 5
02-00117 Cholesterol reagent, total, dry method 60's kit 5
04-00199 HDL reagent, dry method, 60's kit 5

02-00091-A
Triglyceride reagent, dry method, 60's kit 5
02-00036 Creatinine reagent, dry method, 60's kit 10
02-00045 Electrolyte Reagent (K), dry method, 50's kit 10
04-00239 Lyse reagent for basophils for 5 part analyzer, LB LYSE bot 6
Cleanse reagent/rinse for hematology (5 diff. part), PROBE
CLEANSER box 3

04-00421
Activated Partial Thromboplastin Time reagent, Coapreasta vial 10
(CEA) Carcinoembryonic Antigen kit 1
04-00180 Glass slides, frosted ends box 100

Shrink-banded vessels with sodium thiosulfate; 120m/200's box 1

04-00505 Snap pack for rapid E. coli dtermination for 100ml water,
200's/pack box 1

49 CL. LAB CaCl2 (Coapresta) vial 10

04-00151 ESR Tubes, 200's box 1
Control rgt for 5 part hematology set 3
05-00169 HAV IgM kit 1
FT4 kit 5
01-00011 CKMB kit 7

04-00518
Stain rgt for WBC diff. ct. fully automated hematology, (FD dye) kit 6

50 BLOOD BANK Apheresis Set, Extended Plt/Plasma Storage kit 10

Spike Bag Platelets, 500ml, ACDA pack 10

51 BLOOD BANK HBsAg, CLIA, 100't - HISCL kit 3

HCV Ab, CLIA, 100't - HISCL kit 3
HIV Ag/Ab, CLIA, 100't - HISCL kit 3
04-00021 Typing Sera, Anti-A, 10ml vial 150
04-00022 Typing Sera, Anti-B, 10ml vial 150
04-00023 Typing Sera, Anti-D, 10ml vial 150

52 03-00278-B
CL. LAB Multisampler needle g.21 disposable box 40
04-00133 Disposable syringe, 5ml/box w/g 23 needle box 12
05-00152 Sheath/diluent reagent for automated urinalysis box 5
04-00200 Stain for Blood Smear box 5

02-00010-A
Amylase reagent, dry method, 60's kit 5
01-00011 CK MB reagent, dry method, 60's kit 7
02-00038 Creatinine reagent, wet method, dimension kit 2
Hemoglobin A1C reagent, Humanex kit 1
 02-00062
Lyse reagent for Hemoglobin/RBC for 5 part analyzer (SLS box 1
04-00024 ASO latex rgt box 6
05-00170 BHCG rgt, Abbott box 2
05-00165 Ferritin rgt, Abbott box 2
AFP rgt, Abbott box 1
TSH rgt, Abbott box 2

53 BLOOD BANK 05-00021 Blood Collecting Bag, Single, 450ml, CPDA-1 pc 1000
05-00023 Blood Collecting Bag, Triple, 450ml, CPDA-1 pc 1000
04-00309 Disposable Tip, Yellow, 1000's pack 20
05-00059 HBsAg, EIA, 480't kit 2
05-00065 HCV Ag/Ab, EIA, 480't kit 2
05-00138 HIV Ag/Ab, EIA, 480't kit 2

54 CL. LAB 04-00158 Evacuated red top , 5ml, glass, 100's box 40
04-00318 Pregnancy test reagent - Serum/ urine box 10

04-00126
Diluent reagent for 5 part hematology analyzer (Cell pack) box 5

02-00062
Lyse Reagent for Hemoglobin/RBC for 5 part analyzer, SLS box 1

04-00244
Lyse reagent for WBC diff. for 5part analyzer (lysercell WNR) box 1

04-00239
Lyse reagent for Basophils for 5 part analyzer, Lysercell WDF box 1
02-00100 SGPT / ALT reagent, wet method, (Siemens) kit 2

02-00010-A
Amylase reagent, dry method, 60's kit 8

04-00037
Bld culture media for both pedia and adult, anaerobic, plastic bot 500
05-00152 Sheath/diluent reagent for automated urinalysis box 3

04-00293-A
Paraffin embedding medium, pellets, 1k kilo 40
04-00270 Microtome blade 50's - S35low box 6
04-00269 Microtome blade 50's - R35high box 2
04-00101 Cover glass 24x 56/100's box 100
04-00180 Glass Slides, Frosted ends box 100

55 CL. LAB 04-00404 Versa tips for chemistry analyzer 1000's box 3
Bilirubin reagent for pedia, dry method, 60's kit 5
02-00036 Creatinine reagent, dry method, 60's kit 5
Uric acid reagent, dry method, vitros kit 5
02-00079 SGPT / ALT reagent, dry method, 50's vitros kit 5
SGOT / AST reagent, wet method, dymension kit 1
04-00383 Total protein reagent, wet method kit 1
04-00337 Reagent for Progesterone Receptor Assay, IHC kit 1

04-00288
Oral Glucose Tolerance Test beverage 75 gms (OGTT) bot 120
04-00456 Diluent reagent for bacteria for automated urinalysis box 1
04-00457 Diluent reagent for sediment for automated urinalysis box 1
Anti- Hbe (Chemilu), 100't (Reagent, Calib, Ctl) (abbott) kit 1
Syphilis, (Chemilu), 100't (Reagent, Calib, Ctl) (abbott) kit 1
HBeAg, (Chemilu), 100't (Reagent, Calib, Ctl) (abbott) kit 1
05-00145 TSH rgt. (Chemilu), FAS kit 2
CD4 rgt. box 1

56 BLOOD BANK HBsAg, CLIA, 100't kit 2

HCV Ag/Ab, CLIA, 100't kit 2
HIV Ag/Ab, CLIA, 100't kit 2
Syphilis, CLIA, 100't kit 1

57 04-00126
CL. LAB Diluent reagent for 5 part hematology analyzer (Cell pack) box 8

04-00512 Stain rgt for NRBC, fully automated hematology,

FLUOROCELL WNR box 1
04-00154 Evacuated lavander top 3ml, 100's box 36
04-00158 Evacuated red top , 5ml, glass, 100's box 36

03-00278-B
Multisampler needle g.21 disposable box 40

04-00267-A
Pediatric Collecting Tube (minicollect 0.5ml), EDTA 50's box 40
04-00310 Plastic tips, yellow, disposable, 1000/bag bag 5
04-00311 Plastic tips, blue, disposable, 250/bag bag 5
04-00351 Sample cups with lid for chemistry analyzer (v) bag 5
04-00197 HDL cholesterol reagent, wet method, Siemens kit 2
 04-00363-A
Troponin I test, qualitative 30's box 2
04-00392 Troponin I test, quantitative, 10's box 5
02-00083 Test for serum magnessium, dry method, 60's kit 5
04-00284 Occult blood reagent kit 2
04-00400 Urine Strip, 10 parameter vial 20
04-00112 Cytocolor reagent, Germany/US kit 1

58 CL. LAB 04-00400 Urine strip, 10 parameter vial 20

05-00152 Sheath/diluent reagent for automated urinalysis box 3
04-00318 Pregnancy test reagent - serum/tube box 20
Grams straining set set 1
Cuvette for chemistry, wet method, siemens box 3
02-00036 Creatinine reagent, dry method, 60's kit 5
02-00012 BUN reagent, dry method, 60's kit 5
Glucose reagent, dry method, 60's kit 10
Test for phospohrous, dry method, 60's kit 5

04-00363-A
Troponin I test, qualitative, 30's box 5
04-00197 HDL cholesterol reagent, wet method, siemens kit 3
SGOT/AST reagent, wet method, siemens kit 1
04-00383 Total protein reagent, wet method, siemens kit 1
04-00479 Lactic Dehydrogenase reagent, wet method, siemens kit 2

04-00239
Lyse reagent for basophils for 5 part analyzer, Lysercell WDF box 1
04-00333 Reagent for Estrogen Receptor Assay, IHC kit 1
Reagent for Polymer Detection Kit for IHC kit 1

59 RADIOLOGY Dryview film 14x17, Carestream box 4

60 RADIOLOGY Dryview film 14x17, Carestream box 20

Recapitulation: Recapitulation:
Quantity UACS Object
Stock No. Item Unit Unit Cost Total Cost
Issued Code

(CEA) Carcinoembryonic Antigen kit 1

04-00421
Activated Partial Thromboplastin Time reagent, Coapreasta vial 10
AFP rgt, Abbott box 1

02-00010-A
Amylase reagent, dry method, 60's kit 13
Anti- Hbe (Chemilu), 100't (Reagent, Calib, Ctl) (abbott) kit 1
Apheresis Set, Extended Plt/Plasma Storage kit 10
04-00024 ASO latex rgt box 6
05-00170 BHCG rgt, Abbott box 2
Bilirubin reagent for pedia, dry method, 60's kit 5

04-00037
Bld culture media for both pedia and adult, anaerobic, plastic bot 500
05-00021 Blood Collecting Bag, Single, 450ml, CPDA-1 pc 1000
05-00023 Blood Collecting Bag, Triple, 450ml, CPDA-1 pc 1000
02-00012 BUN reagent, dry method, 60's kit 5
CaCl2 (Coapresta) vial 10
CD4 rgt. box 1
02-00117 Cholesterol reagent, total, dry method 60's kit 5
01-00011 CK MB reagent, dry method, 60's kit 14
Cleanse reagent/rinse for hematology (5 diff. part), PROBE
CLEANSER box 3
Control rgt for 5 part hematology set 3
04-00101 Cover glass 24x 56/100's box 100
02-00036 Creatinine reagent, dry method, 60's kit 25
02-00038 Creatinine reagent, wet method, dimension kit 2
Cuvette for chemistry, wet method, siemens box 3
04-00112 Cytocolor reagent, Germany/US kit 1

04-00126
Diluent reagent for 5 part hematology analyzer (Cell pack) box 13
04-00456 Diluent reagent for bacteria for automated urinalysis box 1
04-00457 Diluent reagent for sediment for automated urinalysis box 1
04-00133 Disposable syringe, 5ml/box w/g 23 needle box 12
04-00309 Disposable Tip, Yellow, 1000's pack 20
Dryview film 14x17, Carestream box 24
02-00045 Electrolyte Reagent (K), dry method, 50's kit 10
04-00151 ESR Tubes, 200's box 1
04-00154 Evacuated lavander top 3ml, 100's box 36
04-00158 Evacuated red top , 5ml, glass, 100's box 76
05-00165 Ferritin rgt, Abbott box 2
FT4 kit 5
04-00180 Glass slides, frosted ends box 200
Glucose reagent, dry method, 60's kit 5
Grams straining set set 1
05-00169 HAV IgM kit 1
HBeAg, (Chemilu), 100't (Reagent, Calib, Ctl) (abbott) kit 1
HBsAg, CLIA, 100't kit 7
05-00059 HBsAg, EIA, 480't kit 4
HCV Ab, CLIA, 100't - HISCL kit 5
HCV Ag/Ab, CLIA, 100't kit 2
05-00065 HCV Ag/Ab, EIA, 480't kit 4
04-00197 HDL cholesterol reagent, wet method, Siemens kit 5
04-00199 HDL reagent, dry method, 60's kit 5
Hemoglobin A1C reagent, Humanex kit 1
HIV Ag/Ab, CLIA, 100't - HISCL kit 7
05-00138 HIV Ag/Ab, EIA, 480't kit 4
04-00479 Lactic Dehydrogenase reagent, wet method, siemens kit 2
04-00239 Lyse reagent for basophils for 5 part analyzer, LB LYSE bot 8

02-00062
Lyse reagent for Hemoglobin/RBC for 5 part analyzer (SLS box 2

04-00244
Lyse reagent for WBC diff. for 5part analyzer (lysercell WNR) box 1
05-00101 Malaria Ag, Rapid, 25't kit 110
04-00269 Microtome blade 50's - R35high box 2
04-00270 Microtome blade 50's - S35low box 6

03-00278-B
Multisampler needle g.21 disposable box 80
04-00284 Occult blood reagent kit 2

04-00288
Oral Glucose Tolerance Test beverage 75 gms (OGTT) bot 120

04-00293-A
Paraffin embedding medium, pellets, 1k kilo 40

04-00267-A
Pediatric Collecting Tube (minicollect 0.5ml), EDTA 50's box 40
04-00311 Plastic tips, blue, disposable, 250/bag bag 5
04-00310 Plastic tips, yellow, disposable, 1000/bag bag 5
04-00318 Pregnancy test reagent - Serum/ urine box 30
04-00333 Reagent for Estrogen Receptor Assay, IHC kit 1
Reagent for Polymer Detection Kit for IHC kit 1
04-00337 Reagent for Progesterone Receptor Assay, IHC kit 1
04-00351 Sample cups with lid for chemistry analyzer (v) bag 5
SGOT / AST reagent, wet method, dymension kit 1
SGOT/AST reagent, wet method, siemens kit 1
02-00076 SGOT/AST, reagent, dry method kit 5
02-00079 SGPT / ALT reagent, dry method, 50's vitros kit 15
02-00100 SGPT / ALT reagent, wet method, (Siemens) kit 2
05-00152 Sheath/diluent reagent for automated urinalysis box 11

Shrink-banded vessels with sodium thiosulfate; 120m/200's box 1

04-00505 Snap pack for rapid E. coli dtermination for 100ml water,
200's/pack box 1
Spike Bag Platelets, 500ml, ACDA pack 10
04-00200 Stain for Blood Smear box 5

04-00512 Stain rgt for NRBC, fully automated hematology,

FLUOROCELL WNR box 1

04-00518
Stain rgt for WBC diff. ct. fully automated hematology, (FD dye) kit 6
Syphilis, (Chemilu), 100't (Reagent, Calib, Ctl) (abbott) kit 1
Syphilis, CLIA, 1000't - HISCL kit 3
05-00119 Syphilis/Trepsure, EIA, 960't - BIORAD kit 2
Test for phospohrous, dry method, 60's kit 5
02-00083 Test for serum magnessium, dry method, 60's kit 5
04-00383 Total protein reagent, wet method kit 2

02-00091-A
Triglyceride reagent, dry method, 60's kit 5

04-00363-A
Troponin I test, qualitative 30's box 7
04-00392 Troponin I test, quantitative, 10's box 5
 TSH rgt, Abbott box 2
05-00145 TSH rgt. (Chemilu), FAS kit 2
04-00021 Typing Sera, Anti-A, 10ml vial 150
04-00022 Typing Sera, Anti-B, 10ml vial 150
04-00023 Typing Sera, Anti-D, 10ml vial 150
Uric acid reagent, dry method, vitros kit 5
04-00400 Urine Strip, 10 parameter vial 40
04-00404 Versa tips for chemistry analyzer 1000's box 3

I hereby certify to the correctness of the above information. Posted by:

HAROLD C. TAMAYAO
Administrative Officer III - OIC Materials Management Section Signature over Printed Name of Designated Date
Accounting Staff
 Republic of the Philippines
MM-007-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIALS MANAGEMENT SECTION

REPORT OF SUPPLIES AND MATERIALS ISSUED

Serial No. :
Fund Cluster: REGULAR AGENCY FUND Date :

To be filled up by the Supply and/or Property Division/Unit To be filled up by the Accounting Division/Unit
Responsibility Center Quantity
RIS No. Code Stock No. Item Unit Unit Cost Amount
Issued
CLS-2018-06- BLOOD BANK
0053 05-00021 Blood Collecting Bag, Single, 450ml, CPDA-1 pc 460

0056 05-00023 Blood Collecting Bag, Triple, 450ml, CPDA-1 pc 1633

Recapitulation: Recapitulation:
Quantity UACS Object
Stock No. Item Unit Unit Cost Total Cost
Code
Issued

05-00021 Blood Collecting Bag, Single, 450ml, CPDA-1 pc 460

05-00023 Blood Collecting Bag, Triple, 450ml, CPDA-1 pc 1633

I hereby certify to the correctness of the above information. Posted by:

HAROLD C. TAMAYAO
Administrative Officer III - OIC Materials Management Section Signature over Printed Name of Designated Date
Accounting Staff
 Republic of the Philippines
MM-007-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIALS MANAGEMENT SECTION

REPORT OF SUPPLIES AND MATERIALS ISSUED

Serial No. :
Fund Cluster: REGULAR AGENCY FUND Date :

To be filled up by the Supply and/or Property Division/Unit To be filled up by the Accounting Division/Unit
Responsibility Center Quantity
RIS No. Code Stock No. Item Unit Unit Cost Amount
Issued
CLS-2018-06- BLOOD BANK

0056 05-00059-B
HBsAg, EIA, 480't kit 2
05-00064 HCV Ag/Ab, EIA, 480't kit 2
HIV Ag/Ab, EIA, 480't kit 2
Syphilis / Trepsure, EIA, EIA, 960't kit 1
04-00258 Malaria Ag, Rapid Test, 25't kit 60

Recapitulation: Recapitulation:
Quantity UACS Object
Stock No. Item Unit Unit Cost Total Cost
Code
Issued

05-00059-B HBsAg, EIA, 480't kit 2

05-00064 HCV Ag/Ab, EIA, 480't kit 2
HIV Ag/Ab, EIA, 480't kit 2
Syphilis / Trepsure, EIA, EIA, 960't kit 1
04-00258 Malaria Ag, Rapid Test, 25't kit 60

I hereby certify to the correctness of the above information. Posted by:

HAROLD C. TAMAYAO
Administrative Officer III - OIC Materials Management Section Signature over Printed Name of Designated Date
Accounting Staff
 Republic of the Philippines
MM-007-1
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao City, Cagayan

MATERIALS MANAGEMENT SECTION

REPORT OF SUPPLIES AND MATERIALS ISSUED

Serial No. :
Fund Cluster: BUSINESS TYPE INCOME Date :

To be filled up by the Supply and/or Property Division/Unit To be filled up by the Accounting Division/Unit
Responsibility Center Quantity
RIS No. Code Stock No. Item Unit Unit Cost Amount
Issued
DM-2018-06-
0033 01-138 Acetylcisteine 600mg - Exflem tablet 1,500
Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam)
vial
00001-28 (as Sodium salt) 2,000
0001-33 Anti-Tetanus Serum (equine) 1,500IU/ml, 1ml (IM) amp/vial 500
Azithromycin 500mg powder (IV infusion) (as base/ as
vial
0001-45 Dihydrate) 30
01-504 Bisacodyl 5mg tablet 100
Capecitabine 500mg - Cetagen 500 tablet 2,000
0001-74 Cefepime 500mg (IM,IV) (as HCl) - Axera vial 100
0001-095 Celecoxib 400mg - Celebrex capsule 960
Cetirizine 1mg/ml syr, 30ml (as Dihydrochloride) - Virlix bottle 15
0001-097 Cetirizine 10mg (as Dihydrochloride) tablet 300

Cetirizine 10mg/ml drops, 10ml (as Dihydrochloride) - Allerkid bottle

0001-098 15
01-107 Ciprofloxacin 2mg/ml, 100ml (as Lactate) IV infusion vial 2,500
01-110 Cisplatin 50mg (IV) - Cisteen vial 50
Clindamycin HCl 300mg capsule 500
01-139 Co-Amoxiclav 625mg (as Trihydrate) tablet 7,000
01-149 Dexamethasone 4mg tablet 200
Dextrose 5% 0.3 NaCl 500ml (Light Blue) set 240
Dextrose 5% 0.9 NaCl 1L (D5NSS) (Yellow) set 120
Dextrose 5% Balanced Multiple Replacement. Sol'n. 1000Ml
set
(D5NR 1L) (Yellow Green) 120
Dextrose 5% in Water 500ml (Red) set 240

Dextrose Plain Lactated Ringers Solution 1000ml (PLRS) (Blue) set

480
Digoxin 50mcg (0.05mg)/ml Elixir, 60ml bottle 10

Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) (Green) vial

01-168 200
Dopamine 40mg/ml, 5ml (IV) (as HCl) (Sterile Dopamine
amp/vial
01-169 200mg/5ml) 500
01-170 Doxycycline 100mg (as Hyclate) capsule 100
Epoetin Alfa 10,000 IU/ ml IV,SC (Recombinant human prefilled
erythropoetin) syrnge 30
Fluconazole 2mg/ml, 100ml (IV infusion) vial 20
01-422 Fluorouracil 50mg/ml, 10ml (IV, IV Infusion) - Fluonco ampule 300
Fondaparinux 2.5mg/0.5ml solution (as Sodium salt) p.syringe 10
01-455 Gemcitabine 1g - Omnicure-1 vial 100
Gemcitabine 200mg - Omnicure vial 50

Hydrocortisone 125mg/ml, 2ml (IV) (as Sodium Succinate) vial

01-211 200
01-224 Hyoscine 20mg/ml, 1ml (IM,IV,SC) (as N-Butyl Bromide) ampule 1,000

Ipratropium + Salbutamol UDV 2.5ml/ unit dose - Multivent nebule

01-230 8,995
Methylergometrine Maleate 200mcg/ml, 1ml(IM,IV) (as
ampule
01-283-A Hydrogen Maleate or Maleate) 500
Methylprednisolone 1g/16ml vial 10
Methylprednisolone 500mg/7.7ml vial 10
01-288 Metoclopromide 5mg/ml, 2ml (IM,IV) (as Base & HCl) ampule 1,500
01-295 Metronidazole 5mg/ml, 100ml IV infusion - Cetaz vial 3,000
01-303 Nalbuphine 10mg/ml, 1ml (IM,IV,SC) (as HCl) ampule 1,500
Nifedipine 10mg capsule 300
Norepinephrine 1mg/ml, 4ml (IV infusion) (as Bitartrate) ampule 1,000
Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam)
vial
01-331 (IV Infusion) (as Na) - Piptaz 2,000
01-435 Prednisone 10mg/5ml suspension, 60ml bottle 30
Quetiapine 100mg tablet 600
Somatostatin 3mg (IV, IV infusion) ampule 10
01-381 Tranexamic Acid 100mg/ml, 5ml (IM,IV) ampule 300
 Valproate disodium/ Valproic Acid 250mg (as disodium salt or
tablet
01-403 as valproic acid) 5,000
Vitamin B Complex 100mg+100mg+1mg per 3ml (IV) -
ampule
Sannovit 500

Calcium Carbonate (equiv. to 500mg & 600mg elemental ca) -

tablet 1,080
34 Calvin Plus
Doxorubicin powder 50mg (IV) (as HCl) - Doxvex 50 vial 20
01-306 Nicardipine 1mg/ml, 10ml (IV) (as HCl) - Cardepine ampule 500
01-313 Omeprazole 40mg + 10ml solvent (IV) - Zyom ampule 616
Phenobarbital 15mg (1/4 grain) tablet 2,000
Phenobarbital 60mg (1 grain) tablet 500
Phenobarbital gr 1/2 (30mg) tablet 1,300

35 0001-37 Atracurium Besylate 10mg/ml, 2.5ml (IV) - Acurium ampule 500

Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml(IM,IV) ampule

01-418 100
0001-73 Cefepime 1g (IM,IV) (as HCl) - Sefpime vial 1,000
0001-91 Cefuroxime 750mg (IM,IV) (as Sodium salt) - Harox vial 2,000
Dextrose 5% in Water 1000ml (Red) set 120
Dextrose 5% in Water 500ml (Red) set 240
Doxorubicin powder 10mg (IV) (as HCl) - Adrosal vial 50
01-171 Dydrogesteone 10mg tablet 1,000
01-266 Losartan 100mg (as Potassium salt) - Losacar tablet 1,000
01-386 Morphine 10mg CR (as Sulfate) tablet 1,920
01-387 Morphine 30mg CR (as Sulfate) tablet 1,920
01-438 Nimodipine 30mg - Nimotop tablet 900
Omeprazole 40mg - Zyom capsule 336
Risperidone 2mg - Rispedin-2 tablet 2,000

Salbutamol 2mg/ml, 2.5ml (unit dose) (as Sulfate) - Provexel nebule

6,000
Vinblastin 10mg/10ml bottle 10
Vincristine 1mg/ml, 1ml (IV) (as Sulfate) vial 30

Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4) - Dalacin C ampule 1,000

36 01-118-A

Dextrose Plain Lactated Ringers Solution 1000ml (PLRS) (Blue) set 720

Dextrose 5% in Lactated Ringers 1000ml (D5LRS) (Pink) set 1,200

Dextrose Plain NSS 1000ml (PNSS) (Green) set 2,640

Dextrose 5% in Water 500ml (Red) set 240
Dextrose 5% in Water 1000ml (Red) set 120
Dextrose 5% 0.3 NaCl 500ml (Light Blue) set 240
Dextrose 10% in Water 500ml set 240
Hydrocortisone 50mg/ml, 2ml (IV) (as Sodium Succinate) -
vial 1,000
Hydrovex
Omeprazole 40mg - Zyom capsule 2,800
0001-91 Cefuroxime 750mg vial 800

37 01-423 Allopurinol 300mg - Scheele tablet 300

Amikacin 125mg/ml (250mg/2ml) (IM, IV) (as SO4) - Cinmik amp/vial 200

01-15-B Amlodipine 10mg (as Besylate) - Amlodibloc tablet 4,000

00001-21 Amoxicillin 500mg (as Trihydrate) - Harbimox capsule 3,000
Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam)
vial 2,000
0001-28 (as Sodium salt)
0001-35 Aspirin 80mg - Aspitor tablet 500
Betahistine 24mg - Vert tablet 200
0001-88 Cefuroxime 500mg (as Axetil) - Axefime tablet 1,250
0001-094 Celecoxib 200mg - Coxto capsule 2,940
01-104 Chloramphenicol 500mg - Chlorolem capsule 500
Cilostazol 100mg - Clauden tablet 100
01-121 Clindamycin HCl 150mg - Clindagold capsule 500
01-122 Clindamycin HCl 300mg - Clindagold capsule 3,000

Clobetasol cream 0.05% , 5g (as Propionate) - Clobe-sky tube 50

01-401
01-130 Clopidogrel 75mg - Artheogrel tablet 2,500

Dextrose Plain Lactated Ringers Solution 1000ml (PLRS) (Blue) set 240

Dextrose 5% in Lactated Ringers 1000ml (D5LRS) (Pink) set 240

Dextrose Plain NSS 1000ml (PNSS) (Green) set 4,560

Dextrose 5% in Water 1000ml (Red) set 240
Dextrose 10% in Water 500ml set 240
 Epoetin Alfa 4,000 IU/ 0.4ml, IV,SC (Recombinant human amp/vial/P
300
01-178 erythropoetin) - Epogen FS
01-194 Etoposide 20mg/ml, 5ml (IV) - Etopa amp/vial 10
Hydrocortisone 125mg/ml, 2ml (IV) (as Sodium Succinate) -
vial 300
01-211 Hydrovex
Human Albumin 20%, 50ml - Albumax vial 60
Methylergometrine Maleate 200mcg/ml, 1ml(IM,IV) (as
ampule 250
01-283-A Hydrogen Maleate or Maleate) - Cethergo
01-293 Metronidazole 500mg - Metrozole tablet 3,000
Mupirocin 2%, 5g - Bactriderm tube 100
Omeprazole 40mg - Zyom capsule 1,200
Ondansetron 1mg/ml, 4ml (IM,IV) - Onsia ampule 200
01-315 Oxacillin 500mg - Wydox vial 1,000
01-320 Paracetamol 500mg - Febrile Free tablet 2,000
Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam)
vial 240
01-331 (IV Infusion) (as Na) - Piptaz

Ranitidine 25mg/ml, 2ml(IM,IV, IV infusion) (as HCl) - Zantol ampule 100

01-336
01-338 Ranitidine 300mg (as HCl) - Raniphil tablet 1,000
01-350 Sertraline 50mg (as HCl) - Deperin tablet 500
01-385 Vitamin B Complex - Vitabit tablet 5,000
Water for injection (triple distilled water), 50ml vial (steriile
vial 2,000
water for injection)

Recapitulation: Recapitulation:
UACS Object
Stock No. Item Unit Quantity Unit Cost Total Cost
Code

01-138 Acetylcisteine 600mg - Exflem tablet 1,500

01-423 Allopurinol 300mg - Scheele tablet 300

Amikacin 125mg/ml (250mg/2ml) (IM, IV) (as SO4) - Cinmik amp/vial 200

01-15-B Amlodipine 10mg (as Besylate) - Amlodibloc tablet 4,000

0001-21 Amoxicillin 500mg (as Trihydrate) - Harbimox capsule 3,000
Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam)
vial
0001-28 (as Sodium salt) 4,000
0001-33 Anti-Tetanus Serum (equine) 1,500IU/ml, 1ml (IM) amp/vial 500
0001-35 Aspirin 80mg - Aspitor tablet 500
0001-37 Atracurium Besylate 10mg/ml, 2.5ml (IV) - Acurium ampule 500
Azithromycin 500mg powder (IV infusion) (as base/ as
vial
0001-45 Dihydrate) 30
Betahistine 24mg - Vert tablet 200
01-504 Bisacodyl 5mg tablet 100
Calcium Carbonate (equiv. to 500mg & 600mg elemental ca) -
tablet 1,080
Calvin Plus

Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml(IM,IV) ampule

01-418 100
Capecitabine 500mg - Cetagen 500 tablet 2,000
0001-73 Cefepime 1g (IM,IV) (as HCl) - Sefpime vial 1,000
Cefepime Cefepime 500mg (IM,IV) (as HCl) - Axera vial
500mg 100
0001-88 Cefuroxime 500mg (as Axetil) - Axefime tablet 1,250
0001-91 Cefuroxime 750mg vial 2,800
0001-094 Celecoxib 200mg - Coxto capsule 2,940
0001-095 Celecoxib 400mg - Celebrex capsule 960
0001-097 Cetirizine 10mg (as Dihydrochloride) tablet 300

Cetirizine 10mg/ml drops, 10ml (as Dihydrochloride) - Allerkid bottle

0001-098 15
Cetirizine 1mg/ml syr, 30ml (as Dihydrochloride) - Virlix bottle 15
01-104 Chloramphenicol 500mg - Chlorolem capsule 500
Cilostazol 100mg - Clauden tablet 100
01-107 Ciprofloxacin 2mg/ml, 100ml (as Lactate) IV infusion vial 2,500
01-110 Cisplatin 50mg (IV) - Cisteen vial 50

Clindamycin 150mg/ml, 4ml (IM,IV) (as PO4) - Dalacin C ampule 1,000

01-118
01-121 Clindamycin HCl 150mg - Clindagold capsule 500
01-122 Clindamycin HCl 300mg capsule 3,500

Clobetasol cream 0.05% , 5g (as Propionate) - Clobe-sky tube 50

01-401
01-130 Clopidogrel 75mg - Artheogrel tablet 2,500
01-139 Co-Amoxiclav 625mg (as Trihydrate) tablet 7,000
01-149 Dexamethasone 4mg tablet 200
Dextrose 10% in Water 500ml set 480
Dextrose 5% 0.3 NaCl 500ml (Light Blue) set 480
Dextrose 5% 0.9 NaCl 1L (D5NSS) (Yellow) set 120
 Dextrose 5% Balanced Multiple Replacement. Sol'n. 1000Ml
set
(D5NR 1L) (Yellow Green) 120

Dextrose 5% in Lactated Ringers 1000ml (D5LRS) (Pink) set 1,440

Dextrose 5% in Water 1000ml (Red) set 480

Dextrose 5% in Water 500ml (Red) set 720

Dextrose Plain Lactated Ringers Solution 1000ml (PLRS) (Blue) set

1,440
Dextrose Plain NSS 1000ml (PNSS) (Green) set 7,200
Digoxin 50mcg (0.05mg)/ml Elixir, 60ml bottle 10

Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) (Green) vial

01-168 200
Dopamine 40mg/ml, 5ml (IV) (as HCl) (Sterile Dopamine
amp/vial
01-169 200mg/5ml) 500
Doxorubicin powder 10mg (IV) (as HCl) - Adrosal vial 50
Doxorubicin powder 50mg (IV) (as HCl) - Doxvex 50 vial 20
01-170 Doxycycline 100mg (as Hyclate) capsule 100
01-171 Dydrogesteone 10mg tablet 1,000
Epoetin Alfa 10,000 IU/ ml IV,SC (Recombinant human prefilled
erythropoetin) syrnge 30
Epoetin Alfa 4,000 IU/ 0.4ml, IV,SC (Recombinant human amp/vial/P
300
01-178 erythropoetin) - Epogen FS
Etoposide 20mg/ml, 5ml (IV) - Etopa amp/vial 10
01-194 Fluconazole 2mg/ml, 100ml (IV infusion) vial 20
01-422 Fluorouracil 50mg/ml, 10ml (IV, IV Infusion) - Fluonco ampule 300
01-201 Fondaparinux 2.5mg/0.5ml solution (as Sodium salt) p.syringe 10
01-455 Gemcitabine 1g - Omnicure-1 vial 100
Gemcitabine 200mg - Omnicure vial 50
Human Albumin 20%, 50ml - Albumax vial 60

Hydrocortisone 125mg/ml, 2ml (IV) (as Sodium Succinate) vial

01-211 500
Hydrocortisone 50mg/ml, 2ml (IV) (as Sodium Succinate) -
vial 1,000
Hydrovex
01-224 Hyoscine 20mg/ml, 1ml (IM,IV,SC) (as N-Butyl Bromide) ampule 1,000

Ipratropium + Salbutamol UDV 2.5ml/ unit dose - Multivent nebule

01-230 8,995
01-266 Losartan 100mg (as Potassium salt) - Losacar tablet 1,000
Methylergometrine Maleate 200mcg/ml, 1ml(IM,IV) (as
ampule
01-283-A Hydrogen Maleate or Maleate) 750
Methylprednisolone 1g/16ml vial 10
Methylprednisolone 500mg/7.7ml vial 10
01-288 Metoclopromide 5mg/ml, 2ml (IM,IV) (as Base & HCl) ampule 1,500
01-293 Metronidazole 500mg - Metrozole tablet 3,000
01-295 Metronidazole 5mg/ml, 100ml IV infusion - Cetaz vial 3,000
01-386 Morphine 10mg CR (as Sulfate) tablet 1,920
01-387 Morphine 30mg CR (as Sulfate) tablet 1,920
01-301 Mupirocin 2%, 5g - Bactriderm tube 100
01-303 Nalbuphine 10mg/ml, 1ml (IM,IV,SC) (as HCl) ampule 1,500
01-306 Nicardipine 1mg/ml, 10ml (IV) (as HCl) - Cardepine ampule 500
Nifedipine 10mg capsule 300
01-438 Nimodipine 30mg - Nimotop tablet 900
Norepinephrine 1mg/ml, 4ml (IV infusion) (as Bitartrate) ampule 1,000
Omeprazole 40mg - Zyom capsule 4,336
01-313 Omeprazole 40mg + 10ml solvent (IV) - Zyom ampule 616
Ondansetron 1mg/ml, 4ml (IM,IV) - Onsia ampule 200
01-315 Oxacillin 500mg - Wydox vial 1,000
01-320 Paracetamol 500mg - Febrile Free tablet 2,000
Phenobarbital 15mg (1/4 grain) tablet 2,000
Phenobarbital 60mg (1 grain) tablet 500
Phenobarbital gr 1/2 (30mg) tablet 1,300
Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam)
vial
01-331 (IV Infusion) (as Na) - Piptaz 2,240
01-435 Prednisone 10mg/5ml suspension, 60ml bottle 30
Quetiapine 100mg tablet 600

Ranitidine 25mg/ml, 2ml(IM,IV, IV infusion) (as HCl) - Zantol ampule 100

01-336
01-338 Ranitidine 300mg (as HCl) - Raniphil tablet 1,000
Risperidone 2mg - Rispedin-2 tablet 2,000

Salbutamol 2mg/ml, 2.5ml (unit dose) (as Sulfate) - Provexel nebule

6,000
01-350 Sertraline 50mg (as HCl) - Deperin tablet 500
Somatostatin 3mg (IV, IV infusion) ampule 10
01-381 Tranexamic Acid 100mg/ml, 5ml (IM,IV) ampule 300
Valproate disodium/ Valproic Acid 250mg (as disodium salt or
tablet
01-403 as valproic acid) 5,000
 Vinblastin 10mg/10ml bottle 10
Vincristine 1mg/ml, 1ml (IV) (as Sulfate) vial 30
01-385 Vitamin B Complex - Vitabit tablet 5,000
Vitamin B Complex 100mg+100mg+1mg per 3ml (IV) -
ampule
Sannovit 500
Water for injection (triple distilled water), 50ml vial (steriile
vial 2,000
water for injection)

I hereby certify to the correctness of the above information. Posted by:

HAROLD C. TAMAYAO
Administrative Officer III - OIC Materials Management Section Signature over Printed Name of Designated Date
Accounting Staff
RAF 2018-06-358 OB-GYNE WARD PC
IGI PC
RAF BOT
RAF BOX
RAF ROLL
RAF
RAF REAM

RAF 2018-06-359 EMERGENCY DEPA BOX

RAF CART
RAF REAM
RAF BOOK
RAF BOOK
RAF
RAF REAM
RAF REAM
RAF REAM
RAF REAM
RAF REAM
RAF REAM
RAF REAM
RAF REAM
RAF
RAF REAM
RAF REAM
RAF REAM
RAF REAM

RAF 2018-06-360 CMPS ROLL

RAF 2018-06-361 ADMITTING SECTIOPC

RAF CART
RAF
RAF REAM
RAF REAM
RAF REAM
RAF REAM
RAF REAM

RAF 2018-06-362 PEDIA WARD

RAF 2018-06-362 REAM
RAF 2018-06-362 REAM
RAF 2018-06-362 REAM
RAF 2018-06-362 REAM
RAF 2018-06-362 REAM
RAF 2018-06-362 REAM
RAF 2018-06-362 REAM
RAF 2018-06-362 REAM

RAF 2018-06-363 PEDIA WARD

RAF 2018-06-363 REAM
RAF 2018-06-363 REAM
RAF 2018-06-363 REAM
RAF 2018-06-363 REAM
RAF 2018-06-363 REAM
RAF 2018-06-363
RAF 2018-06-363 REAM

RAF 2018-06-364 ORL-HNS REAM

RAF 2018-06-364 REAM

RAF 2018-06-365 ENT/OPTHA WARD BOX

IGI 2018-06-365 PC
RAF 2018-06-365 PC
RAF 2018-06-365
RAF 2018-06-365 REAM
RAF 2018-06-365 REAM
RAF 2018-06-365 REAM
RAF 2018-06-365 REAM
RAF 2018-06-365 REAM
RAF 2018-06-365 REAM
RAF 2018-06-365 REAM
RAF 2018-06-365 REAM
RAF 2018-06-365 REAM
RAF 2018-06-365 REAM
RAF 2018-06-365 REAM
RAF 2018-06-365 REAM
RAF 2018-06-365 REAM
RAF 2018-06-365 REAM
RAF 2018-06-365 REAM
RAF 2018-06-365 REAM
RAF 2018-06-365 REAM
RAF 2018-06-365 REAM
RAF 2018-06-365
RAF 2018-06-365 REAM
RAF 2018-06-365 REAM
RAF 2018-06-365 REAM

RAF 2018-06-366 ANTIMICROBIAL STEWARDSHIP COMMITTEE

RAF 2018-06-366 REAM
RAF 2018-06-366 REAM
RAF 2018-06-366 REAM

RAF 2018-06-367 PACU REAM

RAF 2018-06-367 REAM
RAF 2018-06-367 BOX
RAF 2018-06-367
RAF 2018-06-367 REAM
RAF 2018-06-367 REAM
RAF 2018-06-367 REAM
RAF 2018-06-367 REAM
RAF 2018-06-367 REAM

RAF 2018-06-368 PSYCHIATRY WARDPC

RAF 2018-06-368 BOX
IGI 2018-06-368 PC
RAF 2018-06-368 REAM
RAF 2018-06-368 REAM
RAF 2018-06-368
RAF 2018-06-368 REAM
RAF 2018-06-368 REAM
RAF 2018-06-368 REAM

RAF 2018-06-369 RADIOLOGY DEPAR REAM

IGI 2018-06-369 PC
RAF 2018-06-369 ROLL

RAF 2018-06-370 BILLING AND CLAIMPC

RAF 2018-06-370 PC
IGI 2018-06-370 PC
IGI 2018-06-370 ROLL
RAF 2018-06-370 BOX
RAF 2018-06-370 CART
RAF 2018-06-370 BOT
RAF 2018-06-370 BOX
RAF 2018-06-370 REAM
RAF 2018-06-370 REAM
RAF 2018-06-370
RAF 2018-06-370 REAM
RAF 2018-06-370
RAF 2018-06-370 REAM
RAF 2018-06-370 REAM
RAF 2018-06-370 REAM

RAF 2018-06-371 HEMODIALYSIS REAM

RAF 2018-06-371 REAM
RAF 2018-06-371
RAF 2018-06-371 REAM
RAF 2018-06-371 REAM
RAF 2018-06-371
RAF 2018-06-371 REAM

IGI 2018-06-372 PHARMACY PC

RAF 2018-06-372 BOT
RAF 2018-06-372 ROLL
IGI 2018-06-372 ROLL
RAF 2018-06-372 BOX
RAF 2018-06-372 REAM
RAF 2018-06-372 REAM

RAF 2018-06-373 FAMILY AND COMMREAM

IGI 2018-06-373 BOX
RAF 2018-06-373
RAF 2018-06-373 REAM
RAF 2018-06-373 REAM

IGI 2018-06-374 PAY WARD-SAPPHIRPC

RAF 2018-06-374 PC
RAF 2018-06-374 BOX
RAF 2018-06-374 BOX
RAF 2018-06-374
RAF 2018-06-374 REAM
RAF 2018-06-374 REAM
RAF 2018-06-374 REAM
RAF 2018-06-374 REAM
RAF 2018-06-374 REAM
RAF 2018-06-374 REAM
RAF 2018-06-374 REAM
RAF 2018-06-374 REAM
RAF 2018-06-374 REAM
RAF 2018-06-374 REAM
RAF 2018-06-374 REAM
RAF 2018-06-374 REAM
RAF 2018-06-374 REAM
RAF 2018-06-374
RAF 2018-06-374 REAM
RAF 2018-06-374 REAM
RAF 2018-06-374 REAM
RAF 2018-06-374 REAM
RAF 2018-06-375 DELIVERY ROOM PC
RAF 2018-06-375 ROLL
RAF 2018-06-375 PC
RAF 2018-06-375
RAF 2018-06-375 REAM
RAF 2018-06-375 REAM
RAF 2018-06-375 REAM
RAF 2018-06-375 REAM
RAF 2018-06-375 REAM
RAF 2018-06-375 REAM
RAF 2018-06-375 REAM
RAF 2018-06-375 REAM
RAF 2018-06-375 REAM
RAF 2018-06-375 REAM
RAF 2018-06-375 REAM
RAF 2018-06-375 REAM
RAF 2018-06-375
RAF 2018-06-375 REAM

RAF 2018-06-376 LUNG AND HEART UPC

RAF 2018-06-376 REAM
RAF 2018-06-376 BOX

IGI 2018-06-377 PAY WARD-DIAMO PC

RAF 2018-06-377 PC
RAF 2018-06-377 BOX
RAF 2018-06-377 PC
IGI 2018-06-377 BOX
RAF 2018-06-377
RAF 2018-06-377 REAM
RAF 2018-06-377 REAM
RAF 2018-06-377
RAF 2018-06-377 REAM

RAF 2018-06-378 OR
RAF 2018-06-378 REAM
RAF 2018-06-378 REAM
RAF 2018-06-378 REAM
RAF 2018-06-378 REAM

RAF 2018-06-379 ICU BOX

RAF 2018-06-379 REAM
RAF 2018-06-379 REAM
RAF 2018-06-379 PC
RAF 2018-06-379 BOX
RAF 2018-06-380 ICU
RAF 2018-06-380 REAM
RAF 2018-06-380 REAM
RAF 2018-06-380 REAM
RAF 2018-06-380 REAM
RAF 2018-06-380 REAM
RAF 2018-06-380 REAM
RAF 2018-06-380 REAM
RAF 2018-06-380 REAM
RAF 2018-06-380
RAF 2018-06-380 REAM
RAF 2018-06-380 REAM

RAF 2018-06-381 CLINICAL LABORAT PC

RAF 2018-06-381 REAM
RAF 2018-06-381 REAM
RAF 2018-06-381 BOX
IGI 2018-06-381 ROLL
RAF 2018-06-381 ROLL
RAF 2018-06-381 CART
IGI 2018-06-381 CART
IGI 2018-06-381 CART

RAF 2018-06-382 CLINICAL LABORATORY

RAF 2018-06-382 REAM
RAF 2018-06-382 REAM
RAF 2018-06-382 REAM
RAF 2018-06-382 REAM
RAF 2018-06-382 REAM
RAF 2018-06-382
RAF 2018-06-382 REAM

RAF 2018-06-383 DRUG TEST LABOR PC

RAF 2018-06-383 REAM
RAF 2018-06-383 ROLL
RAF 2018-06-383 PC

RAF 2018-06-384 ACCOUNTING SECT REAM

RAF 2018-06-384 REAM
RAF 2018-06-384 PC
RAF 2018-06-384 CART
RAF 2018-06-384 BOX

RAF 2018-06-385 MEDICINE OFFICE CART

RAF 2018-06-385 REAM
RAF 2018-06-385 REAM
RAF 2018-06-385 PC
RAF 2018-06-385 BOX
RAF 2018-06-385 PC
RAF 2018-06-385 PC

IGI 2018-06-386 BLOOD BANK SECTIPC

RAF 2018-06-386 CART
RAF 2018-06-386 CART
IGI 2018-06-386 CART
RAF 2018-06-386 CART
RAF 2018-06-386 REAM
IGI 2018-06-386 PC
RAF 2018-06-386 BOX
RAF 2018-06-386 ROLL

RAF 2018-06-387 OUT PATIENT DEP BOOK

RAF 2018-06-387
RAF 2018-06-387 REAM
RAF 2018-06-387 REAM
RAF 2018-06-387 REAM
RAF 2018-06-387
RAF 2018-06-387 REAM
RAF 2018-06-387 REAM

RAF 2018-06-388 OB-GYNE WARD CART

RAF 2018-06-388 CART
RAF 2018-06-388 REAM
RAF 2018-06-388 REAM

RAF 2018-06-389 INFECTION CONTR REAM

RAF 2018-06-389 REAM
RAF 2018-06-389 PC
RAF 2018-06-389 CART
RAF 2018-06-389 ROLL

RAF 2018-06-390 CMPS CART

RAF 2018-06-391 ADMITTING SECTIOPC

RAF 2018-06-392 FMO II REAM

RAF 2018-06-392 REAM
RAF 2018-06-392 BOX
RAF 2018-06-392 PC
RAF 2018-06-392 PC

IGI 2018-06-393 ENDOSCOPY UNIT PC

RAF 2018-06-393 BOX
RAF 2018-06-393 BOX
RAF 2018-06-393 BOX
RAF 2018-06-393
RAF 2018-06-393 REAM

IGI 2018-06-394 PAYWARD(NEW BLDPC

RAF 2018-06-394 BOX
RAF 2018-06-394 PC
RAF 2018-06-394
RAF 2018-06-394 REAM
RAF 2018-06-394 REAM
RAF 2018-06-394 REAM
RAF 2018-06-394
RAF 2018-06-394 REAM
RAF 2018-06-394 REAM

RAF 2018-06-395 HIMS CART

RAF 2018-06-395 ROLL
RAF 2018-06-395 PC
RAF 2018-06-395 BOT
RAF 2018-06-395 PC
RAF 2018-06-395 BOX
RAF 2018-06-395 ROLL
RAF 2018-06-395 REAM
RAF 2018-06-395 REAM

RAF 2018-06-396 CASHIER SECTION CART

RAF 2018-06-396 PACK
RAF 2018-06-396 BOX

RAF 2018-06-397 SOCIAL SERVICE SE BOOK

RAF 2018-06-397 BOOK

RAF 2018-06-398 EEG UNIT

RAF 2018-06-398 REAM

RAF 2018-06-399 EEG UNIT CART

RAF 2018-06-399 CART

RAF 2018-06-400 SOCIAL SERVICE SE REAM

RAF 2018-06-400 REAM
RAF 2018-06-400 PC
IGI 2018-06-400 PC
RAF 2018-06-400 BOX
RAF 2018-06-400 BOX
RAF 2018-06-400 ROLL
RAF 2018-06-400
RAF 2018-06-400 REAM
RAF 2018-06-400 REAM
RAF 2018-06-400 REAM

RAF 2018-06-401 BILLING AND CLAIMBOX

RAF 2018-06-401 CART
RAF 2018-06-401 REAM
RAF 2018-06-401 REAM
RAF 2018-06-401
RAF 2018-06-401 REAM
RAF 2018-06-401
RAF 2018-06-401 REAM
RAF 2018-06-401 REAM
RAF 2018-06-401 REAM

RAF 2018-06-402 MEDICAL WARD REAM

RAF 2018-06-402 REAM
RAF 2018-06-402 PC
RAF 2018-06-402 BOX
RAF 2018-06-402 BOX
RAF 2018-06-402 PC
RAF 2018-06-402 BOOK
RAF 2018-06-402 BOOK
RAF 2018-06-402
RAF 2018-06-402 REAM
RAF 2018-06-402 REAM
RAF 2018-06-402 REAM
RAF 2018-06-402 REAM
RAF 2018-06-402 REAM
RAF 2018-06-402 REAM
RAF 2018-06-402 REAM
RAF 2018-06-402 REAM
RAF 2018-06-402 REAM
RAF 2018-06-402 REAM
RAF 2018-06-402 REAM
RAF 2018-06-402 REAM
RAF 2018-06-402
RAF 2018-06-402 REAM
RAF 2018-06-402 REAM
RAF 2018-06-402 REAM
RAF 2018-06-402 REAM

RAF 2018-06-403 EMERGENCY DEPA BOX

RAF 2018-06-403 CART
RAF 2018-06-403 REAM
RAF 2018-06-403
RAF 2018-06-403 REAM
RAF 2018-06-403 REAM
RAF 2018-06-403 REAM
RAF 2018-06-403 REAM
RAF 2018-06-403 REAM
RAF 2018-06-403 REAM
RAF 2018-06-403 REAM
RAF 2018-06-403 REAM
RAF 2018-06-403 REAM
RAF 2018-06-403 REAM
RAF 2018-06-403
RAF 2018-06-403 REAM
RAF 2018-06-403 REAM
RAF 2018-06-403 REAM
RAF 2018-06-403 REAM

RAF 2018-06-404 OUT PATIENT DEPARTMENT

RAF 2018-06-404 REAM

RAF 2018-06-405 OUT PATIENT DEPARTMENT

RAF 2018-06-405 REAM

RAF 2018-06-406 OUT PATIENT DEPARTMENT

RAF 2018-06-406 REAM

2018-06-407 OUT PATIENT DEPARTMENT

RAF 2018-06-407 REAM

RAF 2018-06-408 OUT PATIENT DEPARTMENT

RAF 2018-06-408 REAM

RAF 2018-06-409 OUT PATIENT DEPARTMENT

RAF 2018-06-409 REAM

IGI 2018-06-410 ANESTHESIOLOGY PC

RAF 2018-06-410 REAM
RAF 2018-06-410 REAM
RAF 2018-06-410 PC
RAF 2018-06-410 PC
RAF 2018-06-410 PC
RAF 2018-06-410
RAF 2018-06-410 REAM
RAF 2018-06-410 REAM
RAF 2018-06-410
RAF 2018-06-410 REAM
RAF 2018-06-410 REAM
RAF 2018-06-410 REAM

RAF 2018-06-411 ADMITTING SECTIOREAM

RAF 2018-06-411 REAM

RAF 2018-06-412 HRMS PC

RAF 2018-06-413 MATERIALS MANAGCART

RAF 2018-06-413 PC
RAF 2018-06-413 BOX
RAF 2018-06-413 PC
IGI 2018-06-413 PC
IGI 2018-06-413 ROLL
RAF 2018-06-413 PC
RAF 2018-06-413 ROLL
RAF 2018-06-413 PC
RAF 2018-06-413 ROLL

RAF 2018-06-414 OB OFFICE REAM

RAF 2018-06-414 REAM
RAF 2018-06-414 PC

RAF 2018-06-415 HRMS REAM

RAF 2018-06-416 ACCOUNTING SECT PC

IGI 2018-06-416 PC
RAF 2018-06-416
RAF 2018-06-416 REAM

RAF 2018-06-417 EMERGENCY DEPARTMENT

RAF 2018-06-417 REAM

RAF 2018-06-418 SURGERY WARD

RAF 2018-06-418 REAM
RAF 2018-06-418 REAM
RAF 2018-06-418 REAM
RAF 2018-06-418 REAM
RAF 2018-06-418 REAM
RAF 2018-06-418 REAM
RAF 2018-06-418 REAM
RAF 2018-06-418 REAM
RAF 2018-06-418 REAM
RAF 2018-06-418 REAM
RAF 2018-06-418 REAM
RAF 2018-06-418 REAM
RAF 2018-06-418 REAM
RAF 2018-06-418 REAM
RAF 2018-06-418 REAM
RAF 2018-06-418 REAM
RAF 2018-06-418 REAM
RAF 2018-06-418 REAM
RAF 2018-06-418 REAM
RAF 2018-06-418
RAF 2018-06-418 REAM
RAF 2018-06-418 REAM
RAF 2018-06-418 REAM
RAF 2018-06-418 REAM

RAF 2018-06-419 OB-GYNE WARD

RAF 2018-06-419 REAM
RAF 2018-06-419 REAM
RAF 2018-06-419 REAM
RAF 2018-06-419 REAM
RAF 2018-06-419 REAM
RAF 2018-06-419 REAM
RAF 2018-06-419 REAM
RAF 2018-06-419 REAM
RAF 2018-06-419 REAM
RAF 2018-06-419 REAM
RAF 2018-06-419 REAM
RAF 2018-06-419 REAM
RAF 2018-06-419 REAM
RAF 2018-06-419 REAM
RAF 2018-06-419 REAM
RAF 2018-06-419 REAM
RAF 2018-06-419 REAM

RAF 2018-06-420 RADIOLOGY DEPAR REAM

RAF 2018-06-420 BOX
RAF 2018-06-420 CART
RAF 2018-06-420 BOOK
RAF 2018-06-420 BOX
RAF 2018-06-420 ROLL

RAF 2018-06-421 PEDIA WARD

RAF 2018-06-421 REAM
RAF 2018-06-421 REAM
RAF 2018-06-421 REAM
RAF 2018-06-421 REAM
RAF 2018-06-421 REAM
RAF 2018-06-421 REAM
RAF 2018-06-421 REAM

RAF 2018-06-422 FMO II

RAF 2018-06-422 REAM

RAF 2018-06-423 NICU

RAF 2018-06-423 REAM
RAF 2018-06-423 REAM
RAF 2018-06-423 REAM
RAF 2018-06-423 REAM
RAF 2018-06-423 REAM
RAF 2018-06-423 REAM
RAF 2018-06-423 REAM
RAF 2018-06-423 REAM
RAF 2018-06-423 REAM
RAF 2018-06-423
RAF 2018-06-423 REAM

IGI 2018-06-424 RADIOLOGY DEPAR PC

RAF 2018-06-424 PC
RAF 2018-06-424 ROLL

RAF 2018-06-425 ORTHO/ENT/OPTHA

RAF 2018-06-425 REAM
RAF 2018-06-425 REAM
RAF 2018-06-425 REAM
RAF 2018-06-425 REAM
RAF 2018-06-425 REAM
RAF 2018-06-425 REAM
RAF 2018-06-425 REAM
RAF 2018-06-425 REAM
RAF 2018-06-425 REAM
RAF 2018-06-425 REAM
RAF 2018-06-425 REAM

RAF 2018-06-426 ORTHO/ENT/OPTHAPC

RAF 2018-06-426 REAM
RAF 2018-06-426 PC
IGI 2018-06-426 BOOK
RAF 2018-06-426 REAM
RAF 2018-06-426 PC
RAF 2018-06-426 BOX

RAF 2018-06-427 PACU REAM

RAF 2018-06-427
RAF 2018-06-427 REAM
RAF 2018-06-427
RAF 2018-06-427 REAM

RAF 2018-06-428 HRMS BOX

RAF 2018-06-428 BOX
RAF 2018-06-428 ROLL
RAF 2018-06-428 REAM
RAF 2018-06-428 CART
RAF 2018-06-428 PC

RAF 2018-06-429 PHARMACY SECTIOBOOK

IGI 2018-06-429 PC
RAF 2018-06-429 BOT
RAF 2018-06-429 PC
RAF 2018-06-429 ROLL
IGI 2018-06-429 ROLL
RAF 2018-06-429 BOX
RAF 2018-06-429 REAM
RAF 2018-06-429 REAM
IGI 2018-06-429 BOX
RAF 2018-06-429 BOX

RAF 2018-06-430 OPD MEDICAL RECOCART

RAF 2018-06-430 BOX
RAF 2018-06-430 REAM
RAF 2018-06-430 PC
RAF 2018-06-430 REAM
RAF 2018-06-430 PC
IGI 2018-06-430 ROLL
RAF 2018-06-430 BOX
RAF 2018-06-430
RAF 2018-06-430 REAM

RAF 2018-06-431 OUT PATIENT DEPARTMENT

RAF 2018-06-431 REAM
RAF 2018-06-432 OUT PATIENT DEPARTMENT
RAF 2018-06-432 REAM

RAF 2018-06-433 OMCC ROLL

RAF 2018-06-433 CART
RAF 2018-06-433 REAM
RAF 2018-06-433 PC
RAF 2018-06-433 PC
RAF 2018-06-433 PC
RAF 2018-06-433 BOX

IGI 2018-06-434 OPD PSYCHIATRY PC

RAF 2018-06-434 REAM
RAF 2018-06-434 PC
RAF 2018-06-434
RAF 2018-06-434 REAM

RAF 2018-06-435 DENTAL SECTION REAM

RAF 2018-06-435 PC
RAF 2018-06-435 ROLL
PEN, WHITEBOARD 3
FOLDER,TAGBOARD LEGAL 50
GLUE 1
STAPLE WIRE NO. 35 1
TAPE, MASKING 1" 1
PAPER, MULTI PURPOSE LEGAL
LOGBOOKS 14

STAPLE WIRE NO. 35 5

TONER CART HP CE285A BLA 1
PAPER, COPY A4 5
RECORD BOOK 300PP 10
RECORD BOOK 500PP 10
PAPER, MULTI PURPOSE A4
CONSENT FORM 5
ED DOCUMENTATION 5
NURSES NOTES 5
PE 5
DOCTORS ORDER 5
TAGUBILIN FORM 3
PATIENTS RIGHT 5
HISTORY 8
PAPER, MULTI PURPOSE LEGAL
LAB REQUEST LOGBOOK 3
HOSPITAL CHARGE FORM 3
BLOOD PRODUCT REQUISITI 3
DISCHARGE CLEARANCE SLIP 1

TISSUE ROLL 12

PEN, WHITEBOARD 10
TONER CART HP CE285A BLA 5
PAPER, MULTI PURPOSE A4
BLOOD PROCUREMENT FOR 5
IV THERAPY SHEET 5
MEDICATION SHEET 5
CERT. OF CONFINEMENT 5
AGREEMENT FORM 7

PAPER, MULTI PURPOSE LEGAL

ATTENDANCE LOGBOOG 1
IMMUNIZATION LOGBOOK 1
ANCILLARY REQUEST LOGBO 1
LABORATORY REQUEST LOG 1
PRESCRIPTION LOGBOOK 1
ADMISSION LOGBOOK 1
DISCHARGE LOGBOOK 1
NEWBORN SCREENING LOGB 1

PAPER, MULTI PURPOSE A4

DIET LIST 2
DOCTORS ORDER 2
NURSES NOTES 2
TAGUBILIN FORM 2
DAMA FORM 1
PAPER, MULTI PURPOSE LEGAL
DIAGNOSTIC IMAGING REQU 1

PAPER, COPY A4 5
PAPER, COPY LEGAL 3

DATA FILE BOX 10

FOLDER,TAGBOARD LEGAL 15
CARTOLINA 10
PAPER, MULTI PURPOSE A4
NURSES NOTES 1
DOCTORS ORDER 1
MEDICATION SHEET 1
IV THERAPY SHEET 1
TPR 1
VITAL SIGN MONITORING 1
REFERRAL FORM 1
DAILY FLOOR CENSUS 1
BLOOD TRANSFUSION SHEET 1
INFORMED CONSENT 1
CONSENT FOR BT 1
DAMA FORM 1
TRANSFER OF SERVICE 1
THOC FORM 1
KARDEX 1
DIET LIST 1
AMBULANCE FORM 1
TAGUBILIN FORM 1
PAPER, MULTI PURPOSE LEGAL
BED TAG 1
PHARMACY CLAIM STUB 1
IV TAG 1

PAPER, MULTI PURPOSE LEGAL

RESTRICTED ANTIMICROBIAL 2
7TH DAY ANTINICROBIAL FO 1
ANTIBIOTIC USE MONITORIN 2

PAPER, COPY A4 1
PAPER, COPY LEGAL 2
STAPLE WIRE NO. 35 2
PAPER, MULTI PURPOSE A4
PACU FLOWSHEET 2
NURSES NOTES 2
DOCTORS ORDER 2
MEDICATION SHEET 2
IV THERAPY SHEET 2

PEN, WHITEBOARD 6
STAPLE WIRE NO. 35 3
FOLDER,TAGBOARD LEGAL 20
PAPER, COPY A4 2
PAPER, COPY LEGAL 2
PAPER, MULTI PURPOSE A4
VITAL SIGN MONITORING 2
MEDICATION SHEET 2
DIET LIST 1

PAPER, COPY A4 10
DVD-REWRITABLE 4.7 GB 90
TISSUE ROLL 60

CARTOLINA 10
CORRECTION TAPE 5
FOLDER,TAGBOARD LEGAL 30
TAPE, PACKAGING 2" 2
STAPLE WIRE NO. 35 6
TONER CART HP CE285A BLA 4
GLUE 1
FASTENER FOR PAPER 3
PAPER, COPY A4 10
PAPER, COPY LEGAL 20
PAPER, MULTI PURPOSE A4
PMRF 3
PAPER, MULTI PURPOSE LEGAL
CF1 5
PROMISORY NOTE 1
DISCHARGE CLEARANCE SLIP 1

PAPER, COPY A4 1
PAPER, COPY LEGAL 2
PAPER, MULTI PURPOSE A4
WHO FORM 3
OR RECORD 3
PAPER, MULTI PURPOSE LEGAL
CHARGE SLIP 2

FOLDER,TAGBOARD LEGAL 50
GLUE 10
TAPE, MASKING 1" 2
TAPE, PACKAGING 2" 2
STAPLE WIRE NO. 35 4
PAPER, COPY A4 4
PAPER, COPY LEGAL 6

PAPER, COPY A4 5
PAPER CLIP BIG 3
PAPER, MULTI PURPOSE A4
MEDICAL CERTIFICATE 5
SOCIAL SERVICE FORM 3

FOLDER,TAGBOARD LEGAL 20
PEN, WHITEBOARD 20
STAPLE WIRE NO. 35 4
FASTENER FOR PAPER 2
PAPER, MULTI PURPOSE A4
BLOOD TRANSFUSION SHEET 1
CBG 1
CONSENT FOR BT 1
DOCTORS ORDER 1
FETAL HEART MONITORING R 1
IV THERAPY SHEET 1
MEDICATION SHEET 1
OXYGEN SATURATION 1
OXYGEN CONSUMPTION 1
PRE OP CHECKLIST 1
TPR 1
VITAL SIGN MONITORING 1
KARDEX 1
PAPER, MULTI PURPOSE LEGAL
CONSENT FOR ANESTHESIA 1
PHARMACY CLAIM STUB 1
LABORATORY REQUEST 1
PF FEE FORM 1
PEN, WHITEBOARD 5
TAPE, MASKING 1" 6
PENCIL 5
PAPER, MULTI PURPOSE A4
DAILY FLOOR CENSUS 1
DOCTORS ORDER 4
PRE OP CHECKLIST 1
SURGICAL PATHOLOGY CONS 1
INFORMED CONSENT 1
CONSENT FOR ANESTHESIA 1
OR REQUEST 1
NEWBORN INFORMATION SH 1
DR CHARGE FORM 1
TPR 1
VITAL SIGN MONITORING 1
FETAL HEART MONITORING R 1
PAPER, MULTI PURPOSE LEGAL
LABORATORY REQUEST 1

PEN, WHITEBOARD 5
PAPER, COPY A4 1
STAPLE WIRE NO. 35 2

FOLDER,TAGBOARD LEGAL 20
PEN, WHITEBOARD 10
STAPLE WIRE NO. 35 4
CARTOLINA 20
PAPER CLIP BIG 1
PAPER, MULTI PURPOSE A4
DOCTORS ORDER 1
DANGEROUS DRUG FORM 1
PAPER, MULTI PURPOSE LEGAL
PF FORM 1

PAPER, MULTI PURPOSE A4

SUPPLY MONITORING SHEET 1
SUPPLY REQUEST SLIP 1
WHO FORM 1
INSTRUMENT AND SURGICAL 1

STAPLE WIRE NO. 35 2

PAPER, COPY A4 2
PAPER, COPY LEGAL 2
CARTOLINA 20
FASTENER FOR PAPER 2
PAPER, MULTI PURPOSE A4
CONSENT FOR BT 2
DIET LIST 2
DOCTORS ORDER 2
DAILY FLOOR CENSUS 2
KARDEX 2
NEURO V/S 2
NURSES NOTES 2
OXYGEN CONSUMPTION 2
PAPER, MULTI PURPOSE LEGAL
PHARMACY CLAIM STUB 2
LABORATORY REQUEST 2

PENCIL 12
PAPER, COPY A4 40
PAPER, COPY LEGAL 10
STAPLE WIRE NO. 35 3
TAPE, PACKAGING 2" 7
TAPE, MASKING 1" 7
INK CART, EPSON CYAN 2
INK CART, EPSON MAGENTA 2
INK CART, EPSON YELLOW 2

PAPER, MULTI PURPOSE A4

MISCELANEOUS REPORT FOR 3
URINALYSIS RESULT FORM 2
PARASITOLOGY REPORT FOR 2
CLINICAL CHEMISTRY FORM 5
SURGICAL PATHOLOGY CONS 5
PAPER, MULTI PURPOSE LEGAL
LABORATORY REQUEST 5

PENCIL 12
PAPER, COPY LEGAL 4
TAPE, MASKING 1" 5
CORRECTION TAPE 1

PAPER, COPY A4 15
PAPER, COPY LEGAL 5
CORRECTION TAPE 5
TONER CART HP CE278A BLA 3
STAPLE WIRE NO. 35 3

TONER CART HP CE285A BLA 2

PAPER, COPY A4 5
PAPER, COPY LEGAL 5
ENVELOPE DOCUMENTARY LE 50
STAPLE WIRE NO. 35 1
CORRECTION TAPE 2
PUNCHER 1

BLOOD DONOR CARD/CIKAB 15000

INK CART, EPSON CYAN 2
INK CART, EPSON MAGENTA 2
INK CART, EPSON YELLOW 1
INK CART, EPSON YELLOW 1
PAPER, COPY A4 5
FOLDER,TAGBOARD LEGAL 10
FASTENER FOR PAPER 3
TISSUE ROLL 12

RECORD BOOK 500PP 10

PAPER, MULTI PURPOSE A4
PATIENTS RIGHT 2
RED CARD 2
GREEN CARD 2
PAPER, MULTI PURPOSE LEGAL
DIAGNOSTIC IMAGING REQU 4
CONSULTAION CHECKLIST 5

INK CART HP 680 BLACK 2

INK CART HP 680 COLORED 2
PAPER, COPY A4 3
PAPER, COPY LEGAL 2

PAPER, COPY A4 4
PAPER, COPY LEGAL 2
FOLDER,EXPANDED 10
TONER CART HP CE285A BLA 1
TAPE, TRANSPARENT 1" 1

TONER CART HP CE285A BLA 2

FLASHDRIVE 16GB 1

PAPER, COPY A4 5
PAPER, COPY LEGAL 1
STAPLE WIRE NO. 35 2
ENVELOPE DOCUMENTARY LE 15
CORRECTION TAPE 2

FOLDER,TAGBOARD LEGAL 20
DATA FILE BOX 10
STAPLE WIRE NO. 35 2
FASTENER FOR PAPER 2
PAPER, MULTI PURPOSE LEGAL
CHARGE SLIP 1

FOLDER,TAGBOARD LEGAL 20
FASTENER FOR PAPER 2
PEN, WHITEBOARD 12
PAPER, MULTI PURPOSE A4
MEDICATION SHEET 1
OXYGEN SATURATION 1
DIET LIST 1
PAPER, MULTI PURPOSE LEGAL
PF FORM 1
ECG FORM 1

TONER CART HP CE285A BLA 5

TAPE, MASKING 1" 10
CARTOLINA 10
GLUE 5
PENCIL 12
STAPLE WIRE NO. 35 5
PLASTIC TWINE 2
PAPER, COPY A4 8
PAPER, COPY LEGAL 10

TONER CART HP CE285A BLA 3

BATTERY DRY CELL AAA 5
PAPER CLIP BIG 5

RECORD BOOK 500PP 10

RECORD BOOK 300PP 10

PAPER, MULTI PURPOSE A4

EEG REQUEST FORM 1

INK CARTRIDGE HP 704 BLAC 1

INK CARTRIDGE HP 704 COLO 1

PAPER, COPY A4 5
PAPER, COPY LEGAL 5
FOLDER,TAGBOARD A4 50
FOLDER,TAGBOARD LEGAL 50
STAPLE WIRE NO. 35 5
FASTENER FOR PAPER 5
TAPE, TRANSPARENT 1" 3
PAPER, MULTI PURPOSE A4
ASSESTMENT TOOL 10
MAPF FORM 10
ELEGIBILITY FORM 10

STAPLE WIRE NO. 35 8

TONER CART HP CE285A BLA 5
PAPER, COPY A4 10
PAPER, COPY LEGAL 15
PAPER, MULTI PURPOSE A4
PMRF 2
PAPER, MULTI PURPOSE LEGAL
CF2 1
CF1 1
DISCHARGE CLEARANCE SLIP 1

PAPER, COPY LEGAL 6

PAPER, COPY A4 4
CARTOLINA 100
STAPLE WIRE NO. 35 5
FASTENER FOR PAPER 3
PEN, WHITEBOARD 12
RECORD BOOK 500PP 10
RECORD BOOK 300PP 10
PAPER, MULTI PURPOSE A4
DOCTORS ORDER 5
EVERY SHIFT I & O 5
MEDICATION SHEET 5
NEURO V/S 2
KARDEX 3
NURSES NOTES 5
TPR 4
VITAL SIGN MONITORING 2
TAGUBILIN FORM 4
REFFERAL FORM 4
EVERY HOUR I & O 3
EEG REQUEST FORM 2
PAPER, MULTI PURPOSE LEGAL
ECG FORM 2
LABORATORY REQUEST 5
BLOOD PRODUCT REQUISITI 3
LUNG AND HEART REQUEST 3

STAPLE WIRE NO. 35 5

TONER CART HP CE285A BLA 1
PAPER, COPY A4 3
PAPER, MULTI PURPOSE A4
NURSES NOTES 5
ED DOCUMENTATION 5
NURSES NOTES 5
PHYSICAL EXAMINATION 3
DOCTORS ORDER 5
PATIENTS RIGHT 3
HISTORY 5
REFERRAL FORM 3
ADMISSION SLIP 2
OR REQUEST FORM 1
PAPER, MULTI PURPOSE LEGAL
LABORATORY REQUEST 7
HOSPITAL CHARGE FORM 3
DIAGNOSTIC IMAGING REQU 7
IV LABEL 1

PAPER, MULTI PURPOSE LEGAL

MINOR OR SCHEDULING LGO 5

PAPER, MULTI PURPOSE LEGAL

MAJOR OR SCHEDULING LGO 1

PAPER, MULTI PURPOSE LEGAL

CALL AND SMS LOGBOOK 1

PAPER, MULTI PURPOSE LEGAL

TRIAGE MONITORING LOGBO 1

PAPER, MULTI PURPOSE LEGAL

FM DAILY PATIENTS LOGBOO 2

PAPER, MULTI PURPOSE LEGAL

MINOR OR LOGBOOK 2

FOLDER,TAGBOARD LEGAL 50
PAPER, COPY A4 2
PAPER, COPY LEGAL 2
PEN, WHITEBOARD 3
ENVELOPE DOCUMENTARY A 50
FOLDER,TAGBOARD A4 30
PAPER, MULTI PURPOSE A4
CONSENT FORM 2
CENSUS FORM 2
PAPER, MULTI PURPOSE LEGAL
ANESTHESIA RECORD FORM 2
DANGEROUS DRUG FORM 2
PRE OP FORM 2

COPY PAPER YELLOW 5

COPY PAPER BLUE 10

CARTOLINA 150

TONER CART HP CE285A BLA 4

CORRECTION TAPE 5
FASTENER FOR PAPER 3
FLASHDRIVE 16GB 4
FOLDER,TAGBOARD LEGAL 30
TAPE, PACKAGING 2" 3
PENCIL 12
PLASTIC TWINE 2
PUNCHER 5
TISSUE ROLL 24

PAPER, COPY A4 4
PAPER, COPY LEGAL 2
FOLDER,TAGBOARD LEGAL 24

PAPER, COPY LEGAL 10

FLASHDRIVE 16GB 2
SUBSIDIARY LEDGER 1000
PAPER, MULTI PURPOSE LEGAL
BIR FORM 1

PAPER, MULTI PURPOSE A4

ER FORM 1

PAPER, MULTI PURPOSE A4

NURSES NOTES 2
DOCTORS ORDER 2
TAGUBILIN FORM 2
PRE OP FORM 1
IV THERAPY SHEET 1
EVERY SHIFT I & O 1
NEURO V/S 2
MEDICATION SHEET 2
VITAL SIGN MONITORING 1
REFERRAL FORM 2
INFORMED REFUSSAL FORM 1
DAMA 1
AMBULANCE FORM 1
BLOOD TRANSFUSSION SHEE 1
CBG 1
DIET LIST 1
TPR 1
DNR FORM 1
EVERY HOUR I & O 1
PAPER, MULTI PURPOSE LEGAL
BLOOD REQUEST FORM 1
LABORATORY REQUEST 2
IV LABEL 1
BED TAG 1

PAPER, MULTI PURPOSE A4

DOCTORS ORDER 3
NURSES NOTES 3
TAGUBILIN FORM 3
TPR 3
LABOR SUMMARY A & B 6
MEDICATION SHEET 3
OR REQUEST FORM 2
NEWBORN DISCHARGE SUM 2
DIET LIST 3
BLOOD TRANSFUSSION SHEE 2
INFORMED REFUSSAL FORM 2
CONSENT FOR BT 2
INFORMED CONSENT 2
FORMS FOR LOGBOOK 9
REFERRAL FORM 2
PAPER, MULTI PURPOSE LEGAL
BED TAG 2

PAPER, COPY A4 5
FASTENER FOR PAPER 6
INK CART HP 704 BLACK 4
RECORD BOOK 300PP 20
STAPLE WIRE NO. 35 5
TISSUE ROLL 72

PAPER, MULTI PURPOSE A4

DOCTORS ORDER 4
MEDICATION SHEET 2
NURSES NOTES 2
EVERY SHIFT I & O 2
BLOOD REQUEST FORM 2
DOCTORS ORDER 2
NICU HOME MEDICATION SH 2

PAPER, MULTI PURPOSE A4

SUPPORTING DOCUMENT CHE 1

PAPER, MULTI PURPOSE A4

BALLARDS SCORE 3
DOCTORS ORDER 5
NICU IV TAG 1
NEWBORN RECORD 3
WEIGHT AND NEWBORN ME 1
NURSES NOTES 1
NON EINC 1
DISCHARGE CLEARANCE SLIP 1
DIET LIST 1
PAPER, MULTI PURPOSE LEGAL
LABORATORY REQUEST 1

FOLDER,TAGBOARD LEGAL 15
PEN, WHITEBOARD 5
TISSUE ROLL 6

PAPER, MULTI PURPOSE A4

NURSES NOTES 2
DOCTORS ORDER 2
MEDICATION SHEET 2
TPR 2
VITAL SIGN MONITORING 2
KARDEX 2
DIET LIST 2
OR REQUEST FORM 2
PAPER, MULTI PURPOSE LEGAL
LABORATORY REQUEST 2
PHARMACY CLAIM STUB 2

CARTOLINA 20
PAPER, COPY A4 2
FOLDER,TAGBOARD LEGAL 10
RECORD BOOK 500PP 10
PAPER, COPY LEGAL 2
PEN, WHITEBOARD 3
FASTENER FOR PAPER 2

PAPER, COPY A4 3
PAPER, MULTI PURPOSE A4
NEURO V/S 1
PAPER, MULTI PURPOSE LEGAL
PACU RECORD 2

STAPLE WIRE NO. 35 5

CCF 3 PLY 280mm x 241mm 5
TAPE, MASKING 1" 3
PAPER, COPY A4 10
TONER CART HP CE285A BLA 4
FLASHDRIVE 16GB 1

RECORD BOOK 300PP 6

FOLDER,TAGBOARD LEGAL 100
GLUE 5
PEN, WHITEBOARD 10
TAPE, MASKING 1" 6
TAPE, PACKAGING 2" 3
STAPLE WIRE NO. 35 4
PAPER, COPY A4 3
PAPER, COPY LEGAL 5
PAPER CLIP BIG 3
FASTENER FOR PAPER 6

TONER CART HP CE285A BLA 4

STAPLE WIRE NO. 35 5
PAPER, COPY A4 3
FOLDER,TAGBOARD LEGAL 100
PAPER, COPY LEGAL 5
PENCIL 24
TAPE, PACKAGING 2" 3
FASTENER FOR PAPER 5
PAPER, MULTI PURPOSE LEGAL
OPD CLINICAL REFERRAL FO 30

PAPER, MULTI PURPOSE LEGAL

OFFICIAL RECEIPT LOGBOOK 11
PAPER, MULTI PURPOSE LEGAL
DAILY PATIENTS LOGBOOK 11

TISSUE ROLL 12
TONER CART HPQ2612A BLAC 1
PAPER, COPY A4 4
CORRECTION TAPE 2
ENVELOPE DOCUMENTARY A 10
ENVELOPE DOCUMENTARY LE 10
FASTENER FOR PAPER 1

FOLDER,TAGBOARD LEGAL 25
PAPER, MULTI PURPOSE A4 4
ENVELOPE DOCUMENTARY LE 15
PAPER, MULTI PURPOSE A4
FOLLOW UP CONSULTATION 2

PAPER, MULTI PURPOSE A4 3

CORRECTION TAPE 2
TISSUE ROLL 12