DOH Report 2018

1
RHU DRUG U
Fo
Name of Access Site: San Pablo District Health Center
Complete Address: Brgy. San Pablo, Ormoc City, Leyte
M
A
I Source of Balance of
Procurement / Last Month
N Health Program Name of Medicines & Description No. of Target
Funds ei. DOH- Patients
T CO/DOH-RO Delivery Date
E
N
A
N
C (a)
E
Amlodipine 10mg, 30 tablets / treatment
M CO 1 pack (TP) 388 377 2/26/2018
E
D
I Losartan 50mg, 30 tablets / treatment
CO 2
pack (TP) 329 1 2/26/2018
C
I
N CO 3 Metoprolol 50mg, 60 tablets / treatment
E pack (TP)
43 24
S
Metformin 500mg, 90 tablets / treatment
A CO 4 pack (TP)
C 62 15 2/26/2018
C Simvastatin 40mg, 30 tablets / treatment
E CO 5 pack (TP)
SF 0 2/26/2018
AS
M CO 6 Gliclazide
PI 0
RL
Y
O Combined Oral Contraceptive Pills (COC)
G per cycle - Microgynon
P 396 2/17/2018
R 1
A L Combined Oral Contraceptive Pills (COC)
A
M per cycle - Femme
N 45
N(
M I
N
M
G)
2
P
L
A
N
N Progestin Only Pills (POP) per cycle -
I 2
Excluton
N 105 2/17/2018
G
Depo medroxyprogesterone acetate
3
(DMPA) vial
P 334
R
O 4 Intrauterine Device (IUD)
G 9 2-2018
R
A 5 Male Condoms
M 55
(
F
P
)
3
Source of Balance of
Procurement / No. of Target Last Month
Health Program Name of Medicines & Description
E CO/DOH-RO
Delivery Date
X
P
A
N (a)
D
1 Bivalent Oral Polio Vaccine (BOPV)
E 52 2/26/2018
D
2 Inactivated Polio Vaccine (IPV)
33 2/26/2018
P
R 3 BCG Vaccine, 20 doses
42
O
G 4 Hepatitis B vaccine, 10 doses 20
R
A Live attenuated measles, mumps, rubella
5 multidose (MMR) 113 2/26/2018
M
6 MR vaccine, 10 doses
F 29
O
R 7 DPT-HEPB-HIB vaccine 0.5ml (Penta)
231 2/26/2018
I 8 TD vaccine, single dose
240
M
M 9 TD vaccine, 10 doses
0
U
N 10 HPV vaccine 4-valent
I 88
Z 11 Pneumococcal Conjugate Vaccine
A (PCV 13) 332 2/26/2018
T
12 Polysaccharide
I Polyvalent Vaccine (PPV
23) 0
O
N 13 Influenza Vaccine
0
( Vitamin A 100,000 iu, 100 tablets per
E 1 bottle 7
P
NI 2 Vitamin A 200,000 iu, 100 tablets per
U) bottle 32
T
R 3 FeSO4 drops 125mg
I 161
T 4 Iron tablet with Folic acid, 100 tablets per
I bottle 1584
O
Micronutrient powder, sachets
N - Sprinkles 0
5
P Micronutrient powder, sachets
R - Vitamix 6531
O
G 6 Iodine capsules
R 0
A
M 7 Iodine salt test kits
0
O 4
G
R
A
M
8 Ready-to-Use Therapeutic Food (RUTF)

0 Feb-18
CO 1 Regular Insulin 100 iu/ml, 10 ml vial 0
Insulin Medicines Isophane Insulin Human 100 iu/ml, 10 ml
Access Program CO 2 vial
(InMAP) 0
Biphasic Isophane Human Insulin 70/30,
CO 3
100iu/ml , 10 ml vial 5
1 Paracetamol 120mg/5mL
500
Other Programs
2
5
CO/DOH-RO
Delivery Date
(a)
1 Carbamazipine 200mg tablet

0
2 Lithium carbonate 450mg tablet
0
M Valproate Disodium + Valproic acid
E 3 250mg tablet 0
N
T Sodium Valproate+Valproic acid 500mg
4
A controlled release tablet 0
L 5 Biperiden 2mg tablet 0
H 6 Chlorpromazine HCl 200mg tablet
E 0
A 7 Chlorpromazine HCl 100mg tablet
L 0
T 8 Clozapine HCl 25mg tablet
H 0
9 Clozapine HCl 100mg tablet 0
M
E 10 Fluphenazine dec 25mg/ml, 1ml amp
D 0
I 11 Fluphenazine dec 25mg/ml, 10ml vial
C 0
I 12 Diphenhydramine 50mg/ml, 1ml amp
N 0
E 13 Haloperidol 5mg tablet
S 0
14 Haloperidol 20mg tablet 0
A
C 15 Haloperidol 5mg/ml, 1ml amp
C 0
E
S 16 Flupentixol Decanoate 20mg/ml, 1ml amp
0
S
17 Olanzapine 10mg tablet 0
P
R 18 Quetiapine 200mg tablet 0
O
G 19 Quetiapine 300mg tablet 0
R
A 20 Risperidone 1mg tablet 0
M
21 Risperidone 2mg tablet
0
(
M 22 Risperidone 2mg orodispersible tablet
H 0
M
A 0
P
) 24 Escitalopram 10mg tablet
0
H 6
M
A
P
)
25 Fluoxetine 20mg capsule
0
26 Sertraline 50mg tablet
0
IMPORTANT NOTES:
*PLEASE LIST DOWN ALL AVAILABLE MEDICINES PER PROGRAM
*INDICATE TARGET PATIENTS, EXPIRATION DATE AND LOT NUMBER
*INDICATE TOTAL COST/AMOUNT
Prepared by:
LOVELY LYN P. ANO-OS / IRIS L. EMPASIS
Logistics Coordinator/Medicines Access Program Coordinator
7
Republic of the Philippines

Province of Leyte
Municipality of Ormoc City
RHU DRUG UTILIZATION/STOCKS INVENTORY REPORT

For the DOH Procured Medicines
Month of Report: February 16 - Mar
Date of Conduct of Inventory: Marc
Medicines Delivered during the Month
Beginning
Stocks of the
Total Month
Total Cost
Discrepancy
Qty. stated Qty. Received
in the from Other Actual Qty.
Health Facility Unit (tab, Unit Cost
Invoice (other than Received amp, cap,
Receipt Expiry Date Lot No.
DOH), if any pcs, pack
e = b - d OR etc.)
g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
1848 0 1848 0 11-2021 Gt-16255 TP 5.77 10662.96 2225
960 0 960 0 12-2019 L-24102 TP 14.491 13911.36 961
TP 0 24
TP 24.79 14874 615

600 0 600 0 4-2019 M-01407
TP 36.67 3667 100

100 0 100 0 5-2020 170216
TP 0 0
per cycle 0 510

114 0 114 0 7-2018
per cycle 0 45
8
per cycle 0 123

18 0 18 0 6-2018
vial 0 334
7-2019/ per device 0 20

11 6-2020
box by 3's 0 55
9

Beginning
Stocks of the
Month
Total
Qty. Received Total Cost
Discrepancy
Qty. stated in from Other Actual Qty. Unit (tab,
the Invoice Health Facility amp, cap, Unit Cost
Receipt (other than Received Expiry Date Lot No.
DOH), if any e = b - d OR pcs, pack
etc.) g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
54 54 0 5-2019 vial 0 106
27 27 0 9-2019 vial 0 60
vial 0 42
vial 0 20
vial
42 42 0 8-2018 0 155
vial
0 29
vial
714 714 0 5-2019 0 945
amp 0 240
vial 0 0
vial 0 88
vial
560 560 0 3-2020 0 892
vial
0 0
vial 0 0
bottle
0 7
bottle
0 32
bottle
0 161
bottle
0 1584
sachet
0 0
sachet
0 6531
per bottle
0 0
per kit
0 0
10
6/15/201 sachet
2700 2700 8 2416 0 2700
vial
0 0
vial
0 0
vial
0 5
bottle
0 500
0 0
11

Beginning
Stocks of the
Month
Qty. stated Qty. Received Total Total Cost
in the from Other Actual Qty. Discrepancy Unit (tab,
Health Facility amp, cap, Unit Cost
Invoice (other than Received Expiry Date Lot No.
Receipt DOH), if any e = b - d OR pcs, pack
etc.) g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
tab 0 0
tab 0 0
tab
0 0
tab
0 0
tab 0 0
tab 0 0
tab 0 0
tab 0 0
tab 0 0
vial 0 0
vial 0 0
amp 0 0
tab 0 0
tab 0 0
amp 0 0
amp
0 0
tab 0 0
tab 0 0
tab 0 0
tab 0 0
tab 0 0
tab
0 0
tab 0 0
tab 0 0
12
cap 0 0
tab 0 0
Noted by: Monitored/Validated by:
NORLITA P. ARCAMO, MD, MPH

Medical Officer Public Health
13
port: February 16 - March 15,2018
uct of Inventory: March 15, 2018
Number of DOH
Medicines Dispensed
Qty. End of the

Total Cost
Dispensed Month
Qty. of Qty. of
Medicines Expired
Non- Transferred/ Medicines
Beneficiaries Donated
Beneficiaries
n = (k + l + o = h - (k + l
k=i+j m) x f + m)
(i) (j) (k) (l) (m) (n) (o)
125 125 721.25 2100
111 111 1608.501 850
8 8 0 16
58 58 1437.82 557
4 4 146.68 96
0 0 0
148 148 0 362
0 0 45
14
40 40 0 83
39 39 0 295
2 2 0 18
23 23 0 32
15
Number of DOH
Medicines Dispensed
Qty. End of the
Qty. of Total Cost
Dispensed Qty. of Month
Medicines
Expired
Transferred/ Medicines
Beneficiaries Non- Donated
Beneficiaries
n = (k + l + o = h - (k + l
k=i+j m) x f + m)
(i) (j) (k) (l) (m) (n) (o)
8 8 0 98
7 7 0 53
7 7 0 35
0 0 20
24 24 0 131
0 0 29
151 151 0 794
101 101 0 139
0 0 0
0 0 88
216 216 0 676
0 0 0
0 0 0
1 1 0 6
3 3 0 29
30 30 0 131
37 37 0 1547
0 0 0
1540 1540 0 4991
0 0 0
0 0 0
16
145 145 0 2555
0 0 0
0 0 0
0 0 5
7 7 0 493
0 0 0
17
Number of DOH
Medicines Dispensed
Qty. Qty. of End of the
Qty. of Total Cost
Dispensed Medicines Month
Expired
Beneficiaries
n = (k + l + o = h - (k + l
k=i+j m) x f + m)
(i) (j) (k) (l) (m) (n) (o)
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 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
18
0 0 0
0 0 0
lidated by:
Public Health Pharmacist

19
RHU DRUG
F
M
A
E
N
A
N
C (a)
E
M CO 1 pack (TP) 388 2100
E
D
CO 2
pack (TP) 329 850
C
I
E pack (TP)
43 16
S
A CO 4 pack (TP)
C 62 557
E CO 5 pack (TP)
SF 30 96
AS
M CO 6 Gliclazide
PI 10 0
RL
Y
P 934 362
R 1
A
M per cycle - Femme
N 401 45
N(
M I
N
M
G)
20
P
L
A
N
I 2
Excluton
N 171 83
G
3
(DMPA) vial
P 183 295
R
G 25 18
R
A 5 Male Condoms
M 97 32
(
F
P
)
21
E CO/DOH-RO
Delivery Date
X
P
A
N (a)
D
E 148 98
D
42 53
P
50 35
O
G 4 Hepatitis B vaccine, 10 doses 10 20
R
5 multidose (MMR) 80 131
M
F 10 29
O
160 794
50 139
M
0 0
U
I 50 88
A (PCV 13) 200 676
T
12 Polysaccharide
23) 0 0
O
0 0
E 1 bottle 50 6
P
U) bottle 50 29
T
I 25 131
I bottle 50 1547
O
N - Sprinkles 0 0
5
R - Vitamix 30 4991
O
G 6 Iodine capsules
R 0 0
A
0 0
O 22
G
R
A
M

15 2555 3/23/2018
CO 1 Regular Insulin 100 iu/ml, 10 ml vial 0 0
(InMAP) 0 0
CO 3
100iu/ml , 10 ml vial 15 5
150 493
Other Programs
2
23
CO/DOH-RO
Delivery Date
(a)

0
0
E 3 250mg tablet 0
N
4
E 0
L 0
H 0
M
D 0
C 0
N 0
S 0
A
C 0
E
0
S
17 Olanzapine 10mg tablet 0
P
O
R
M
0
(
H 0
M
A 0
P
0
H 24
M
A
P
)
0
0
IMPORTANT NOTES:
Prepared by:
25

Province of Leyte

Month of Report: March 16 -April
Date of Conduct of Inventory: Apr
Beginning
Stocks of the
Total Month
Total Cost
Discrepancy
Qty. Received
the Invoice Health Facility Unit Cost
(other than Received amp, cap,
e = b - d OR etc.)
g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
TP 2100
TP 850
TP 0 16
TP 0 557
TP 0 96
TP 0 0
per cycle 0 362
per cycle 0 45
26
per cycle 0 83
vial 0 295
per device 0 18
box by 3's 0 32
27

Beginning
Stocks of the
Month
Total
Discrepancy
from Other Actual Qty. Unit (tab,
Qty. stated in the Health Facility amp, cap, Unit Cost
Invoice Receipt (other than Received Expiry Date Lot No.
etc.) g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
0 vial 0 98
0 vial 0 53
vial 0 35
vial 0 20
vial
0 131
vial
0 29
vial
0 794
amp 0 139
vial 0 0
vial 0 88
vial
0 676
vial
0 0
vial 0 0
bottle
0 6
bottle
0 29
bottle
0 131
bottle
0 1547
sachet
0 0
sachet
0 4991
per bottle
0 0
per kit
0 0
28
6/15/201 sachet
2700 2700 0 0 8 2416 0 5255
vial
0 0
vial
0 0
vial
0 5
bottle
0 493
0 0
29

Beginning
Stocks of the
Month
Qty. Received Total
Qty. stated in Total Cost
from Other Actual Qty. Discrepancy Unit (tab,
(other than Received Expiry Date Lot No.
Receipt pcs, pack
DOH), if any e = b - d OR
etc.) g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
tab 0 0
tab 0 0
tab
0 0
tab
0 0
tab 0 0
tab 0 0
tab 0 0
tab 0 0
tab 0 0
vial 0 0
vial 0 0
amp 0 0
tab 0 0
tab 0 0
amp 0 0
amp
0 0
tab 0 0
tab 0 0
tab 0 0
tab 0 0
tab 0 0
tab
0 0
tab 0 0
tab 0 0
30
cap 0 0
tab 0 0

Medical Officer Public Heal
31
port: March 16 -April 15,2018
uct of Inventory: April 13, 2018
Number of DOH
Medicines Dispensed
Qty. End of the

Total Cost
Dispensed Month
Qty. of Qty. of
Medicines Expired
Beneficiaries
n = (k + l + o = h - (k + l
k=i+j m) x f + m)
(i) (j) (k) (l) (m) (n) (o)
207 207 0 1893
135 135 0 715
4 4 0 12
13 13 0 544
15 15 0 81
0 0 0 0
234 234 0 128
8 8 0 37
32
25 25 0 58
54 54 0 241
1 1 0 17
0 0 0 32
33
Number of DOH
Medicines Dispensed
Qty. End of the
Qty. of Total Cost
Medicines
Expired
Beneficiaries
n = (k + l + o = h - (k + l
k=i+j m) x f + m)
(i) (j) (k) (l) (m) (n) (o)
9 9 0 89
5 5 0 48
7 7 0 28
0 0 0 20
20 20 0 111
0 0 0 29
117 117 0 677
70 70 0 69
0 0 0 0
0 0 0 88
181 181 0 495
0 0 0 0
0 0 0 0
0 0 0 6
0 0 0 29
0 0 0 131
0 0 0 1547
0 0 0
0 0 0 4991
0 0 0
0 0 0
34
300 300 0 4955
0 0 0
0 0 0
1 1 0 4
37 37 0 456
0 0 0
35
Number of DOH
Medicines Dispensed
Qty. of Total Cost
Expired
Beneficiaries
n = (k + l + o = h - (k + l
k=i+j m) x f + m)
(i) (j) (k) (l) (m) (n) (o)
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 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
36
0 0 0
0 0 0
lidated by:

37
RHU DRUG
F
M
A
E
N
A
N
C (a)
E
M CO 1 pack (TP) 388 1893
E
D
CO 2
pack (TP) 329 715
C
I
E pack (TP)
43 12
S
A CO 4 pack (TP)
C 62 544
E CO 5 pack (TP)
SF 30 81
AS
M CO 6 Gliclazide
PI 10 0
RL
Y
P 934 128 5/4/2018
R 1
A
M per cycle - Femme
N 401 37
N(
M I
N
M
G)
38
P
L
A
N
I 2
Excluton
N 171 58 4/27/2018
G
3
(DMPA) vial
P 183 241
R
G 25 17
R
A 5 Male Condoms
M 97 32 4/27/2018
(
F
P
)
39
E CO/DOH-RO
Delivery Date
X
P
A
N (a)
D
E 148 89
D
42 48 4/13/2018
P
50 28
O
R
5 multidose (MMR) 80 111 4/13/2018
M
F 10 29
O
160 677
50 69
M
0 0 4/13/2018
U
I 50 88
A (PCV 13) 200 495 4/13/2018
T
12 Polysaccharide
23) 0 0
O
0 0
E 1 bottle 50 6
P
U) bottle 50 29 Apr-18
T
I 25 131
I bottle 50 1547
O
N - Sprinkles 0 0
5
R - Vitamix 30 4991
O
G 6 Iodine capsules
R 0 0
A
0 0
O 40
G
R
A
M

15 4955
(InMAP) 0 0
CO 3
100iu/ml , 10 ml vial 15 4
150 456
Other Programs
2
41
CO/DOH-RO
Delivery Date
(a)

2 0 5-10-218
0
E 3 250mg tablet 0
N
4
E 0
L 5 0 5/10/2018
H 0
M
D 0
C 0
N 0
S 0
A
C 0
E
0
S
17 Olanzapine 10mg tablet 5 0 5/10/2018
P
O
R
M
15 0 5/10/2018
(
H 0
M
A 0
P
0
H 42
M
A
P
)
0
0
IMPORTANT NOTES:
Prepared by:
43

Province of Leyte

Month of Report: April 16 - May 1
Date of Conduct of Inventory: Ma
Beginning
Stocks of the
Total Month
Total Cost
Discrepancy
Qty. Received
e = b - d OR etc.)
g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
TP 1893
TP 715
TP 0 12
TP 0 544
TP 0 81
TP 0 0
per cycle 0 308

180 180 6-2018 393GB
per cycle 0 37
44
per cycle 0 134

76 76 6/2018 798973
vial 0 241
per device 0 17
box by 3's 0 80
48 48 7-2020 L44028
45

Beginning
Stocks of the
Month
Total
Discrepancy
etc.) g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
vial 0 89
14 14 9-2019 vial 0 62
vial 0 28
vial 0 20
vial
60 60 8-2018 0 171
vial
0 29
vial
0 677
amp 0 69
24 24 6-2019 vial 0 24
vial 0 88
vial
252 252 3-2020 0 747
vial
0 0
vial 0 0
bottle
0 6
bottle
48 0 48 0 77
bottle
0 131
bottle
0 1547
sachet
0 0
sachet
0 4991
per bottle
0 0
per kit
0 0
46
sachet
0 4955
vial
0 0
vial
0 0
vial
0 4
bottle
0 456
47

Beginning
Stocks of the
Month
Qty. Received Total
Receipt pcs, pack
etc.) g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
100 100 Sep-20 S14488 tab 0 100

tab 0 0
tab
0 0
tab
0 0
tab 0 0
tab 0 0
05GE16T0
100 100 May-20 1 tab 0 100
tab 0 0
tab 0 0
vial 0 0
vial 0 0
amp 0 0
tab 0 0
tab 0 0
amp 0 0
amp
0 0
150 150 Feb-20 327DE04 tab 0 150

tab 0 0
tab 0 0
tab 0 0
100 100 Jul-19 176011 tab 0 100

tab
0 0
tab 0 0
tab 0 0
48
cap 0 0
tab 0 0

49
port: April 16 - May 15,2018
uct of Inventory: May 15, 2018
Number of DOH
Medicines Dispensed
Qty. End of the

Total Cost
Dispensed Month
Qty. of Qty. of
Medicines Expired
Beneficiaries
n = (k + l + o = h - (k + l
k=i+j m) x f + m)
(i) (j) (k) (l) (m) (n) (o)
211 211 0 1682
206 206 0 509
12 12 0 0
80 80 0 464
5 5 0 76
0 0 0 0
106 106 0 202
0 0 0 37
50
31 31 0 103
29 29 0 212
1 1 0 16
21 21 0 59
51
Number of DOH
Medicines Dispensed
Qty. End of the
Qty. of Total Cost
Medicines
Expired
Beneficiaries
n = (k + l + o = h - (k + l
k=i+j m) x f + m)
(i) (j) (k) (l) (m) (n) (o)
13 13 0 76
8 8 0 54
9 9 0 19
0 0 0 20
39 39 0 132
0 0 0 29
291 291 0 386
41 41 0 28
10 10 0 14
0 0 0 88
29 29 0 718
0 0 0 0
0 0 0 0
0 0 0 6
22 22 0 55
43 43 0 88
291 291 0 1256
0 0 0 0
1836 1836 0 3155
0 0 0 0
0 0 0 0
52
1109 1109 1200 0 2646

0
0 0 0
0 0 0 0
1 1 0 3
4 4 0 452
53
Number of DOH
Medicines Dispensed
Qty. of Total Cost
Expired
Beneficiaries
n = (k + l + o = h - (k + l
k=i+j m) x f + m)
(i) (j) (k) (l) (m) (n) (o)
0 0 100
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 100
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 0 150
0 0 0
0 0 0
0 0 0
0 0 100
0 0 0
0 0 0
0 0 0
54
0 0 0
0 0 0
lidated by:

55
RHU DRUG
F
M
A
E
N
A
N
C (a)
E
M CO 1 pack (TP) 397 1682 6/11/2018
E
D
CO 2
pack (TP) 338 509 6/11/2018
C
I
E pack (TP)
43 0
S
A CO 4 pack (TP)
C 64 464 6/11/2018
E CO 5 pack (TP)
SF 30 76
AS
M CO 6 Gliclazide
PI 10 0
RL
Y
P 934 202
R 1
A
M per cycle - Femme
N 401 37
N(
M I
N
M
G)
56
P
L
A
N
I 2
Excluton
N 171 103
G
3
(DMPA) vial
P 183 212
R
G 25 16
R
A 5 Male Condoms
M 97 59
(
F
P
)
57
E CO/DOH-RO
Delivery Date
X
P
A
N (a)
D
E 148 76
D
42 54
P
50 19
O
R
M
F 10 29
O
160 386
50 28
M
0 14
U
I 50 88
A (PCV 13) 200 718 6/8/2018
T
12 Polysaccharide
23) 0 0
O
0 0
E 1 bottle 50 6
P
U) bottle 50 55
T
I 25 88
I bottle 50 1256
O
N - Sprinkles 0 0
5
R - Vitamix 30 3155
O
G 6 Iodine capsules
R 0 0
A
0 0
O 58
G
R
A
M

15 2646
(InMAP) 0 0
CO 3
100iu/ml , 10 ml vial 15 3
150 452
Other Programs
2
59
CO/DOH-RO
Delivery Date
(a)

2 100
0
E 3 250mg tablet 0
N
4
E 0
L 5 100
H 0
M
D 0
C 0
N 0
S 0
A
C 0
E
0
S
17 Olanzapine 10mg tablet 5 150
P
O
R
M
15 100
(
H 0
M
A 0
P
0
H 60
M
A
P
)
0
0
IMPORTANT NOTES:
Prepared by:
61

Province of Leyte

Month of Report: May 16 - June 1
Date of Conduct of Inventory: Jun
Beginning
Stocks of the
Total Month
Total Cost
Discrepancy
Qty. Received
e = b - d OR etc.)
g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
448 448 11-2021 GT-16255 TP 2130
1112 1112 12-2019 L-24102 TP 1621
TP 0 0
TP 0 514
50 50 4-2019 M-01407
TP 0 76
TP 0 0
per cycle 0 202
per cycle 0 37
62
per cycle 0 103
vial 0 212
per device 0 16
box by 3's 0 59
63

Beginning
Stocks of the
Month
Total
Discrepancy
etc.) g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
vial 0 76
vial 0 54
vial 0 19
vial 0 20
vial
0 132
vial
0 29
vial
0 386
amp 0 28
vial 0 14
vial 0 88
vial
20 20 3-20202 T28219 0 738
vial
0 0
vial 0 0
bottle
0 6
bottle
0 55
bottle
0 88
bottle
0 1256
sachet
0 0
sachet
0 3155
per bottle
0 0
per kit
0 0
64
sachet
0 2646
vial
0 0
vial
0 0
vial
0 3
bottle
0 452
65

Beginning
Stocks of the
Month
Qty. Received Total
Receipt pcs, pack
etc.) g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
tab 0 100
tab 0 0
tab
0 0
tab
0 0
tab 0 0
tab 0 0
tab 0 100
tab 0 0
tab 0 0
vial 0 0
vial 0 0
amp 0 0
tab 0 0
tab 0 0
amp 0 0
amp
0 0
tab 0 150
tab 0 0
tab 0 0
tab 0 0
tab 0 100
tab
0 0
tab 0 0
tab 0 0
66
cap 0 0
tab 0 0

67
port: May 16 - June 15,2018
uct of Inventory: June 11, 2018
Number of DOH
Medicines Dispensed
Qty. End of the

Total Cost
Dispensed Month
Qty. of Qty. of
Medicines Expired
Beneficiaries
n = (k + l + o = h - (k + l
k=i+j m) x f + m)
(i) (j) (k) (l) (m) (n) (o)
169 169 0 1961
152 152 0 1469
0 0 0 0
21 21 0 493
6 6 0 70
0 0 0 0
95 95 0 107
2 2 0 35
68
38 38 0 65
30 30 0 182
2 2 0 14
14 14 0 45
69
Number of DOH
Medicines Dispensed
Qty. End of the
Qty. of Total Cost
Medicines
Expired
Beneficiaries
n = (k + l + o = h - (k + l
k=i+j m) x f + m)
(i) (j) (k) (l) (m) (n) (o)
14 14 0 62
0 0 0 54
6 6 0 13
0 0 10 0 10
13 13 0 119
0 0 0 29
48 48 0 338
6 6 0 22
6 6 0 8
0 0 0 88
384 384 0 354
0 0 0 0
0 0 0 0
0 0 0 6
12 12 0 43
35 35 0 53
47 47 0 1209
0 0 0 0
240 240 0 2915
0 0 0 0
0 0 0 0
70
1946 1946 0 700

0
0 0 0
0 0 0 0
0 0 0 3
101 101 0 351

71
Number of DOH
Medicines Dispensed
Qty. of Total Cost
Expired
Beneficiaries
n = (k + l + o = h - (k + l
k=i+j m) x f + m)
(i) (j) (k) (l) (m) (n) (o)
3 3 0 97
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
4 4 0 96
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
1 1 0 149
0 0 0
0 0 0
0 0 0
5 5 0 95
0 0 0
0 0 0
0 0 0
72
0 0 0
0 0 0
lidated by:

73
M
A
E
N
A
N
C (a)
E
M CO 1 pack (TP) 397 1961
E
D
CO 2
pack (TP) 338 1469
C
I
E pack (TP)
43 0
S
A CO 4 pack (TP)
C 64 493
E CO 5 pack (TP)
SF 30 70
AS
M CO 6 Gliclazide
PI 10 0
RL
Y
P 934 107
R 1
A
M per cycle - Femme
N 401 35
N(
M I
N
M
G)
74
P
L
A
N
I 2
Excluton
N 171 65
G
3
(DMPA) vial
P 183 182
R
G 25 14
R
A 5 Male Condoms
from RHU Merida
M 7/11/18
97 45
(
F
P
)
75
E CO/DOH-RO
Delivery Date
X
P
A
N (a)
D
E 148 62 7/6/2018
D
42 54 7/6/2018
P
50 13
O
R
5 multidose (MMR) 80 119 7/6/2018
M
F 10 29
O
160 338 7/6/2018
50 22 7/6/2018
M
0 8
U
I 50 88
A (PCV 13) 200 354 7/6/2018
T
12 Polysaccharide
23) 0 0
O
0 0
E 1 bottle 50 6
P
I N 2 Vitamin A 200,000 iu, 100 tablets per
) U bottle 50 43
T
I 25 53
I bottle 50 1209
O
N - Sprinkles 0 0
5
R - Vitamix 30 2915
O
G 6 Iodine capsules
R 0 0
A
0 0
O 76
G
R
A
M

15 700
9 Calcium Carbonate 1.25g/tab
5 0 3/1/2018
(InMAP) 0 0
CO 3 100iu/ml , 10 ml vial 15 3
150 351
Other Programs
2
77
CO/DOH-RO
Delivery Date
(a)

2 97
0
E 3 250mg tablet 0
N
4
E 0
L 5 96
H 0
M
D 0
C 0
N 0
S 0
A
C 0
E
0
S
P
O
R
M
15 95
(
H 0
M
A 0
P
0
H 78
M
A
P
)
0
0
IMPORTANT NOTES:
Prepared by:
79

Province of Leyte
Month of Report: June 16 - July 15
Date of Conduct of Inventory: July
Beginning
Stocks of the
Total Month
Total Cost
Discrepancy
Qty. Received
e = b - d OR etc.)
g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
TP 1961
TP 1469
TP 0 0
TP 0 493
TP 0 70
TP 0 0
per cycle 0 107
per cycle 0 35
80
per cycle 0 65
vial 0 182
per device 0 14
rom RHU Merida box by 3's 0 765

7/11/18
720 12-2018 J42C001
81

Beginning
Stocks of the
Month
Total
Discrepancy
etc.) g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)

68cv052171
53 53 May 2019 03 vial 0 115
10 10 Dec. 2019
P3A49 vial 0 64
vial 0 13
vial 0 10
015M7007 vial
48 48 June 2019 B 0 167
vial
0 29
279X7014E vial
504 504 May 2019 0 842
Sept. 258Q6018
210 210 2019 AE amp 0 232
vial 0 8
vial 0 88
T28217 vial
454 454 June 2020 0 808
vial
0 0
vial 0 0
bottle
0 6
bottle
0 43
bottle
0 53
bottle
0 1209
sachet
0 0
sachet
0 2915
per bottle
0 0
per kit
0 0
82
sachet
0 700
6/25/202 tablet
5040 5040 0 LCT1717 0 5040
vial
0 0
vial
0 0
vial
0 3
bottle
0 351
83

Beginning
Stocks of the
Month
Qty. Received Total
Receipt pcs, pack
etc.) g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
tab 0 97
tab 0 0
tab
0 0
tab
0 0
tab 0 0
tab 0 0
tab 0 96
tab 0 0
tab 0 0
vial 0 0
vial 0 0
amp 0 0
tab 0 0
tab 0 0
amp 0 0
amp
0 0
tab 0 149
tab 0 0
tab 0 0
tab 0 0
tab 0 95
tab
0 0
tab 0 0
tab 0 0
84
cap 0 0
tab 0 0

85
port: June 16 - July 15,2018
uct of Inventory: July 16, 2018
Number of DOH
Medicines Dispensed
Qty. End of the

Total Cost
Dispensed Month
Qty. of Qty. of
Medicines Expired
Beneficiaries
n = (k + l + o = h - (k + l
k=i+j m) x f + m)
(i) (j) (k) (l) (m) (n) (o)
241 241 0 1720
193 193 0 1276
0 0 0 0
32 32 0 461
7 7 0 63
0 0 0 0
64 64 0 43
2 2 0 33
86
38 38 0 27
12 12 0 170
2 2 0 12
4 4 0 761
87
Number of DOH
Medicines Dispensed
Qty. End of the
Qty. of Total Cost
Medicines
Expired
Beneficiaries
n = (k + l + o = h - (k + l
k=i+j m) x f + m)
(i) (j) (k) (l) (m) (n) (o)
0 0 0 115
10 10 0 54
13 13 0 0
1 1 0 9
35 35 0 132
0 0 0 29
177 177 0 665
35 35 0 197
8 8 0 0
0 0 0 88
292 292 0 516
0 0 0 0
0 0 0 0
1 1 0 5
1 1 0 42
13 13 0 40
48 48 0 1161
0 0 0 0
120 120 0 2795
0 0 0 0
0 0 0 0
88
700 700 0 0
520 520 0 4520

0
0 0 0
0 0 0 0
3 3 0 0
174 174 0 177

89
Number of DOH
Medicines Dispensed
Qty. of Total Cost
Expired
Beneficiaries
n = (k + l + o = h - (k + l
k=i+j m) x f + m)
(i) (j) (k) (l) (m) (n) (o)
97 97 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
96 96 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
59 59 0 90
0 0 0
0 0 0
0 0 0
35 35 0 60
0 0 0
0 0 0
0 0 0
90
0 0 0
0 0 0
lidated by:

91
M
A
E
N
A
N
C (a)
E
M CO 1 pack (TP) 397 1720
E
D
CO 2
pack (TP) 338 1276
C
I
E pack (TP)
43 0
S
A CO 4 pack (TP)
C 64 461
E CO 5 pack (TP)
S 30 63
SF
A CO 6 Gliclazide
P
M 10 0
RI
L per cycle - Microgynon
G
Y 934 43
R 1
A
P
M L
A
N(
M
N
M I
N)
F
A 92
M
I
L
Y 1
P Combined Oral Contraceptive Pills (COC)
L per cycle - Femme
401 33
A
2
N Excluton
171 27
I
N 3 Depo medroxyprogesterone acetate
G (DMPA) vial
183 170
P Progestin Subdermal Implant (Implanon
R 4 NXT)
O 10 0 Jul-18
G
R 5 Intrauterine Device (IUD)
A 25 12
M
6 Male Condoms
( 97 761
F
P
)
93
E CO/DOH-RO
Delivery Date
X
P
A
N (a)
D
E 148 115
D
42 54
P
50 0 8/2/2018
O
R
M
F 10 29
O
160 665
50 197
M
0 0
U
I 50 88
A (PCV 13) 200 516 8/2/2018
T
12 Polysaccharide
23) 0 0
O
0 0
E 1 bottle 50 5
P
) U bottle 50 42
T
I 25 40
I bottle 50 1161
O
N - Sprinkles 0 0
5
R - Vitamix 30 2795
O
G 6 Iodine capsules
R 0 0
A
0 0
O 94
G
R
A
M

15 0
5 4520
(InMAP) 0 0
CO 3 100iu/ml , 10 ml vial 15 0
150 177
Other Programs
2
95
CO/DOH-RO
Delivery Date
(a)

2 0
0
E 3 250mg tablet 0
N
4
E 0
L 5 0
H 0
M
D 0
C 0
N 0
S 0
A
C 0
E
0
S
P
O
R
M
15 60
(
H 0
M
A 0
P
0
H 96
M
A
P
)
0
0
IMPORTANT NOTES:
Prepared by:
LOVELY LYN P. ANO-OS / IRIS L. EMPASIS,RN
97

Province of Leyte
Month of Report: July 16 - Augus
Date of Conduct of Inventory: Aug
Beginning
Stocks of the
Total Month
Total Cost
Discrepancy
Qty. Received
e = b - d OR etc.)
g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
TP 1720
TP 1276
TP 0 0
TP 0 461
TP 0 63
TP 0 0
per cycle 0 43
98
per cycle 0 33
3/2020
per cycle 0 27
9/2019 vial 0 170

8/2020
696197/7 per 0 130

96752 device
130 130 9/2019
per device 0 12
7/2019
box by 3's 0 761

12-2018
99

Beginning
Stocks of the
Month
Total
Discrepancy
etc.) g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) 4/2019 (f) (g) (h)

5/2019
10/2018 vial 0 115
9/2019
12/2019 vial 0 54
10 10 9/2019 037G6267 vial 0 10

vial 0 9
8/2018 vial
6/2019 0 132
vial
0 29
vial
5/2019 0 665
9/2019 amp 0 197

vial 0 0
8/6/2018 vial 0 88
T76906 vial
76 76 6/2020 0 592
vial
0 0
vial 0 0
bottle
0 5
bottle
0 42
bottle
0 40
bottle
0 1161
sachet
0 0
sachet
0 2795
per bottle
0 0
per kit
0 0
100
sachet
0 0
6/25/202 tablet
0 0 4520
vial
0 0
vial
0 0
vial
0 0
bottle
0 177
101

Beginning
Stocks of the
Month
Qty. Received Total
Receipt pcs, pack
etc.) g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
tab 0 0
tab 0 0
tab
0 0
tab
0 0
tab 0 0
tab 0 0
tab 0 0
tab 0 0
tab 0 0
vial 0 0
vial 0 0
amp 0 0
tab 0 0
tab 0 0
amp 0 0
amp
0 0
tab 0 90
tab 0 0
tab 0 0
tab 0 0
tab 0 60
tab
0 0
tab 0 0
tab 0 0
102
cap 0 0
tab 0 0

Medical Officer Public Healt
103
port: July 16 - August 15,2018
uct of Inventory: August 15, 2018
Number of DOH
Medicines Dispensed
Qty. Total Cost End of the Month

Dispensed
Qty. of Qty. of
Medicines Expired
Beneficiaries
n = (k + l +
k=i+j o = h - (k + l + m)
m) x f
(i) (j) (k) (l) (m) (n) (o)
234 234 0 1486
181 181 0 1095
0 0 0 0
36 36 0 425
6 6 0 57
0 0 0 0
43 43 0 0
104
5 5 0 28
27 27 0 0
14 14 0 156
21 21 0 109
0 0 0 12
151 151 0 610

105
Number of DOH
Medicines Dispensed
Qty.
Qty. of Total Cost End of the Month
Dispensed Qty. of
Medicines
Expired
Beneficiaries
n = (k + l +
k=i+j o = h - (k + l + m)
m) x f
(i) (j) (k) (l) (m) (n) (o)
7 7 0 108
4 4 0 50
1 1 0 9
0 0 0 9
26 26 0 106
0 0 0 29
152 152 0 513
78 78 0 119
0 0 0 0
11 11 77 0 0
121 121 0 471
0 0 0 0
0 0 0 0
2 2 0 3
0 0 0 42
40 40 0 0
131 131 0 1030
0 0 0 0
400 400 0 2395
0 0 0 0
0 0 0 0
106
0 0 0 0
0 0 0 4520
0
0 0 0
0 0 0 0
0 0 0 0
155 155 0 22
107
Number of DOH
Medicines Dispensed
Qty. Qty. of Qty. of Total Cost End of the Month
Dispensed Medicines Expired
Beneficiaries
n = (k + l +
k=i+j o = h - (k + l + m)
m) x f
(i) (j) (k) (l) (m) (n) (o)
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 0
0 0 0
30 30 0 60
0 0 0
0 0 0
0 0 0
0 0 0 60
0 0 0
0 0 0
0 0 0
108
0 0 0
0 0 0
lidated by:

109
M
A
E
N
A
N
C (a)
E
M CO 1 pack (TP) 397 1486
E
D
CO 2
pack (TP) 338 1095
C
I
E pack (TP)
43 0
S
A CO 4 pack (TP)
C 64 425
E CO 5 pack (TP)
S 30 57
SF
A CO 6 Gliclazide
P
M 10 0
RI
G
Y 934 0
R 1
A
P
M L
A
N(
M
N
M I
N)
F
A 110
M
I
L
Y 1
L per cycle - Femme
401 28
A
2
N Excluton
171 0
I
G (DMPA) vial
183 156 8/9/2018
R 4 NXT)
O 10 109
G
A 25 12
M
6 Male Condoms
( 97 610
F
P
)
111
E CO/DOH-RO
Delivery Date
X
P
A
N (a)
D
E 148 108
D
42 50
P
50 9
O
R
5 multidose (MMR) 80 106 9/10/2018
M
F 10 29
O
160 513
50 119
M
0 0 9/10/2018
U
I 50 0 9/10/2018
A (PCV 13) 200 395
T
12 Polysaccharide
23) 0 0
O
0 0
E 1 bottle 50 3
P
) U bottle 50 42
T
I 25 0
I bottle 150 1030 8/7/2018
O
N - Sprinkles 0 0
5
R - Vitamix 30 2395
O
G 6 Iodine capsules
R 0 0
A
0 0
O 112
G
R
A
M

15 0
5 4520
(InMAP) 0 0
CO 3 100iu/ml , 10 ml vial 15 0 8/30/2018
150 22
Other Programs
2
113
CO/DOH-RO
Delivery Date
(a)

2 0
0
E 3 250mg tablet 0
N
4
E 0
L 5 0
H 0
M
D 0
C 0
N 0
S 0
A
C 0
E
0
S
P
O
R
M
15 60
(
H 0
M
A 0
P
0
H 114
M
A
P
)
0
0
IMPORTANT NOTES:
Prepared by:
115

Province of Leyte
Month of Report: August 16 - Sep
Date of Conduct of Inventory: Sep
Beginning
Stocks of the
Total Month
Total Cost
Discrepancy
Qty. Received
e = b - d OR etc.)
g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
TP 1486
TP 1095
TP 0 0
TP 0 425
TP 0 57
TP 0 0
per cycle 0 0
116
per cycle 0 28
per cycle 0 0
7/2020
586005 vial 0 264
8/2020
108 108 585982
per 0 109
device
per device 0 12
box by 3's 0 610

117

Beginning
Stocks of the
Month
Total
Discrepancy
etc.) g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
vial 0 108
vial 0 50
vial 0 9
vial 0 9
vial
200 200 8/2019 015M7020 0 306
vial
0 29
vial
0 513
amp 0 119
22150021
144 144 1/2020 7B vial 0 144
5/26/201
200 200 9 N021148 vial 0 200
vial
0 395
vial
0 0
vial 0 0
bottle
0 3
bottle
0 42
bottle
0 0
bottle
584 584 4/2019 FSTT-79 0 1614
sachet
0 0
sachet
0 2395
per bottle
0 0
per kit
0 0
118
sachet
0 0
tablet
0 4520
vial
0 0
vial
0 0
vial
19 19 4/2019 GS62C46 0 19
bottle
0 22
119

Beginning
Stocks of the
Month
Qty. Received Total
Receipt pcs, pack
etc.) g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
tab 0 0
tab 0 0
tab
0 0
tab
0 0
tab 0 0
tab 0 0
tab 0 0
tab 0 0
tab 0 0
vial 0 0
vial 0 0
amp 0 0
tab 0 0
tab 0 0
amp 0 0
amp
0 0
tab 0 60
tab 0 0
tab 0 0
tab 0 0
tab 0 60
tab
0 0
tab 0 0
tab 0 0
120
cap 0 0
tab 0 0

121
port: August 16 - September 15,2018
uct of Inventory: September 14, 2018
Number of DOH
Medicines Dispensed

Dispensed
Qty. of Qty. of
Medicines Expired
Beneficiaries
n = (k + l +
k=i+j o = h - (k + l + m)
m) x f
(i) (j) (k) (l) (m) (n) (o)
236 236 0 1250
204 204 0 891
0 0 0 0
31 31 0 394
2 2 0 55
0 0 0 0
0 0 0 0
122
27 27 0 1
0 0 0 0
26 26 0 238
0 0 0 109
1 1 0 11
177 177 0 433

123
Number of DOH
Medicines Dispensed
Qty.
Dispensed Qty. of
Medicines
Expired
Beneficiaries
n = (k + l +
k=i+j o = h - (k + l + m)
m) x f
(i) (j) (k) (l) (m) (n) (o)
10 10 0 98
5 5 0 45
3 3 0 6
0 0 0 9
25 25 51 0 230 (41) 015N6014 ,(10) 015N6017 (8/2018)
17 17 0 12
135 135 0 378
68 68 0 51
0 0 0 144
0 0 0 200
26 26 0 369
0 0 0 0
0 0 0 0
1 1 0 2
13 13 0 29
0 0 0 0
153 153 0 1461
0 0 0 0
785 785 0 1610
0 0 0 0
0 0 0 0
124
0 0 0 0
100 100 0 4420

0
0 0 0
0 0 0 0
5 5 0 14
22 22 0 0
125
Number of DOH
Medicines Dispensed
Beneficiaries
n = (k + l +
k=i+j o = h - (k + l + m)
m) x f
(i) (j) (k) (l) (m) (n) (o)
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 0
0 0 0
0 0 0 60
0 0 0
0 0 0
0 0 0
0 0 0 60
0 0 0
0 0 0
0 0 0
126
0 0 0
0 0 0
lidated by:

127
N6017 (8/2018)
128
M
A
E
N
A
N
C (a)
E
M CO 1 pack (TP) 397 1250 10/10/2018
E
D
CO 2
pack (TP) 338 891 10/10/2018
C
I
E pack (TP)
43 0
S
A CO 4 pack (TP)
C 64 394
E CO 5 pack (TP)
S 30 55 10/9/2018
SF Gliclazide 30 mg, 30 tablets/ treatment
A CO 6 pack (TP)
P
M 10 0 10/9/2018
RI
G
Y 934 0
R 1
A
P
M L
A
N(
M
N
M I
N)
F
A 129
M
I
L
Y 1
L per cycle - Femme
401 1 9/10/2018
A
2
N Excluton
171 0
I
G (DMPA) vial
183 238
R 4 NXT)
O 10 109
G
A 25 11
M
6 Male Condoms 9/10/2018
( 97 433
F
P
)
130
E CO/DOH-RO
Delivery Date
X
P
A
N (a)
D
E 148 98
D
42 45
P
50 6
O
R
5 multidose (MMR) 80 230 10/2/2018
M
F 10 12
O
160 378
50 51
M
0 144
U
I 50 200
A (PCV 13) 200 369 10/12/2018
T
12 Polysaccharide
23) 0 0
O
0 0
E 1 bottle 50 2
P
) U bottle 50 29
T
I 25 0
I bottle 150 1461
O
N - Sprinkles 0 0
5
R - Vitamix 30 1610
O
G 6 Iodine capsules
R 0 0
A
0 0
O 131
G
R
A
M

15 0
5 4420
(InMAP) 0 0
CO 3 100iu/ml , 10 ml vial 15 14
150 0
Other Programs
2
132
CO/DOH-RO
Delivery Date
(a)

2 0
0
E 3 250mg tablet 0
N
4
E 0
L 5 0
H 0
M
D 0
C 0
N 0
S 0
A
C 0
E
0
S
P
O
R
M
15 60
(
H 0
M
A 0
P
0
H 133
M
A
P
)
0
0
IMPORTANT NOTES:
Prepared by:
134

Province of Leyte
Month of Report: September 16 -
Date of Conduct of Inventory: Oct
Beginning
Stocks of the
Total Month
Total Cost
Discrepancy
Qty. Received
e = b - d OR etc.)
g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
325 325 7/2020 A-57001 TP 1575
325 325 6/2020 L-12026 TP 1216
TP 0 0
TP 0 394
TP 36.67 3667 155

100 100 12/2020 180006
TP 2962 100
100 100 1/2020 8A140A 29.62
per cycle 0 0
135
per cycle 0 248

247 247 11/2020 15K23
per cycle 0 0
vial 0 238
per 0 109
device
per device 0 11
96 96 7/2020 L44013 box by 3's 0 529

136

Beginning
Stocks of the
Month
Total
Discrepancy
etc.) g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
vial 0 98
vial 0 45
vial 0 6
vial 0 9
vial
400 400 12/2019 015N7025 0 630
vial
0 12
vial
0 378
amp 0 51
vial 0 144
vial 0 200
T76906 vial
100 100 6/2020 0 469
vial
0 0
vial 0 0
bottle
0 2
bottle
0 29
bottle
0 0
bottle
0 1461
sachet
0 0
sachet
0 1610
per bottle
0 0
per kit
0 0
137
sachet
0 0
tablet
0 4420
vial
0 0
vial
0 0
vial
0 14
bottle
0 0
138

Beginning
Stocks of the
Month
Qty. Received Total
Receipt pcs, pack
etc.) g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
tab 0 0
tab 0 0
tab
0 0
tab
0 0
tab 0 0
tab 0 0
tab 0 0
tab 0 0
tab 0 0
vial 0 0
vial 0 0
amp 0 0
tab 0 0
tab 0 0
amp 0 0
amp
0 0
tab 0 60
tab 0 0
tab 0 0
tab 0 0
tab 0 60
tab
0 0
tab 0 0
tab 0 0
139
cap 0 0
tab 0 0

140
port: September 16 - October 15,2018
uct of Inventory: October 15, 2018
Number of DOH
Medicines Dispensed

Dispensed
Qty. of Qty. of
Medicines Expired
Beneficiaries
n = (k + l +
k=i+j o = h - (k + l + m)
m) x f
(i) (j) (k) (l) (m) (n) (o)
192 192 0 1383
185 185 0 1031
0 0 0 0
30 30 0 364
8 8 293.36 147
0 0 0 100
0 0 0 0
141
23 23 0 225
0 0 0 0
13 13 0 225
0 0 0 109
0 0 0 11
70 70 0 459
142
Number of DOH
Medicines Dispensed
Qty.
Dispensed Qty. of
Medicines
Expired
Beneficiaries
n = (k + l +
k=i+j o = h - (k + l + m)
m) x f
(i) (j) (k) (l) (m) (n) (o)
17 17 0 81
4 4 0 41
3 3 0 3
0 0 9 0 0 donated to Mother Angel Birthing Center
395 395 0 235
12 12 0 0
140 140 0 238
20 20 0 31
40 40 0 104
97 97 0 103
180 180 0 289
0 0 0 0
0 0 0 0
0 0 0 2
0 0 0 29
0 0 0 0
134 134 0 1327
0 0 0 0
260 260 0 1350
0 0 0 0
0 0 0 0
143
0 0 0 0
0 0 0 4420
0
0 0 0
0 0 0 0
2 2 0 12
0 0 0 0
144
Number of DOH
Medicines Dispensed
Beneficiaries
n = (k + l +
k=i+j o = h - (k + l + m)
m) x f
(i) (j) (k) (l) (m) (n) (o)
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 0
0 0 0
0 0 0 60
0 0 0
0 0 0
0 0 0
0 0 0 60
0 0 0
0 0 0
0 0 0
145
0 0 0
0 0 0
lidated by:

146
l Birthing Center
147
M
A
E
N
A
N
C (a)
E
M CO 1 pack (TP) 397 1250 10/10/2018
E
D
CO 2
pack (TP) 338 891 10/10/2018
C
I
E pack (TP)
43 0
S
A CO 4 pack (TP)
C 64 394
E CO 5 pack (TP)
S 30 55 10/9/2018
SF Gliclazide 30 mg, 30 tablets/ treatment
A CO 6 pack (TP)
P
M 10 0 10/9/2018
RI
G
Y 934 0
R 1
A
P
M L
A
N(
M
N
M I
N)
F
A 148
M
I
L
Y 1
L per cycle - Femme
401 225 10/4/2018
A
2
N Excluton
171 0 10/4/2018
I
G (DMPA) vial
183 225
R 4 NXT)
O 10 109
G
A 25 11
M
6 Male Condoms
( 97 459
F
P
)
149
E CO/DOH-RO
Delivery Date
X
P
A
N (a)
D
E 148 98
D
42 45
P
50 6
O
R
5 multidose (MMR) 80 230 10/2/2018
M
F 10 12
O
160 378
50 51
M
0 144
U
I 50 200
A (PCV 13) 200 369 10/12/2018
T
12 Polysaccharide
23) 0 0
O
0 0
E 1 bottle 50 2
P
) U bottle 50 29
T
I 25 0
I bottle 150 1461
O
N - Sprinkles 0 0
5
R - Vitamix 30 1610
O
G 6 Iodine capsules
R 0 0
A
0 0
O 150
G
R
A
M

15 0
5 4420
(InMAP) 0 0
CO 3 100iu/ml , 10 ml vial 15 14
150 0
Other Programs
2
151
CO/DOH-RO
Delivery Date
(a)

2 0
0
E 3 250mg tablet 0
N
4
E 0
L 5 0
H 0
M
D 0
C 0
N 0
S 0
A
C 0
E
0
S
P
O
R
M
15 60
(
H 0
M
A 0
P
0
H 152
M
A
P
)
0
0
IMPORTANT NOTES:
Prepared by:
153

Province of Leyte
Month of Report: October 16,201
Date of Conduct of Inventory: Nov
Beginning
Stocks of the
Total Month
Total Cost
Discrepancy
Qty. Received
e = b - d OR etc.)
g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
325 325 7/2020 A-57001 TP 1575
325 325 6/2020 L-12026 TP 1216
TP 0 0
TP 0 394
TP 36.67 3667 155

100 100 12/2020 180006
TP 2962 100
100 100 1/2020 8A140A 29.62
per cycle 0 0
154
per cycle 0 1525

1300 1300 6/2021 16F22
per cycle 0 65
65 65 10/2020 246635
vial 0 225
per 0 109
device
per device 0 11
box by 3's 0 459

155

Beginning
Stocks of the
Month
Total
Discrepancy
etc.) g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
vial 0 98
vial 0 45
vial 0 6
vial 0 9
vial
400 400 12/2019 015N7025 0 630
vial
0 12
vial
0 378
amp 0 51
vial 0 144
vial 0 200
T76906 vial
100 100 6/2020 0 469
vial
0 0
vial 0 0
bottle
0 2
bottle
0 29
bottle
0 0
bottle
0 1461
sachet
0 0
sachet
0 1610
per bottle
0 0
per kit
0 0
156
sachet
0 0
tablet
0 4420
vial
0 0
vial
0 0
vial
0 14
bottle
0 0
157

Beginning
Stocks of the
Month
Qty. Received Total
Receipt pcs, pack
etc.) g=dxf h=a+c+d
e=c-d
(b) (c) (d) (e) (f) (g) (h)
tab 0 0
tab 0 0
tab
0 0
tab
0 0
tab 0 0
tab 0 0
tab 0 0
tab 0 0
tab 0 0
vial 0 0
vial 0 0
amp 0 0
tab 0 0
tab 0 0
amp 0 0
amp
0 0
tab 0 60
tab 0 0
tab 0 0
tab 0 0
tab 0 60
tab
0 0
tab 0 0
tab 0 0
158
cap 0 0
tab 0 0

159
port: October 16,2018 - November 15,2018
uct of Inventory: November 15, 2018
Number of DOH
Medicines Dispensed

Dispensed
Qty. of Qty. of
Medicines Expired
Beneficiaries
n = (k + l +
k=i+j o = h - (k + l + m)
m) x f
(i) (j) (k) (l) (m) (n) (o)
192 192 0 1383
185 185 0 1031
0 0 0 0
30 30 0 364
8 8 293.36 147
0 0 0 100
0 0 0 0
160
116 116 0 1409
11 11 0 54
4 4 0 221
5 5 0 104
1 1 0 10
33 33 0 426
161
Number of DOH
Medicines Dispensed
Qty.
Dispensed Qty. of
Medicines
Expired
Beneficiaries
n = (k + l +
k=i+j o = h - (k + l + m)
m) x f
(i) (j) (k) (l) (m) (n) (o)
17 17 0 81
4 4 0 41
3 3 0 3
0 0 9 0 0 donated to Mother Angel Birthing Center
395 395 0 235
12 12 0 0
140 140 0 238
20 20 0 31
40 40 0 104
97 97 0 103
180 180 0 289
0 0 0 0
0 0 0 0
0 0 0 2
0 0 0 29
0 0 0 0
134 134 0 1327
0 0 0 0
260 260 0 1350
0 0 0 0
0 0 0 0
162
0 0 0 0
0 0 0 4420
0
0 0 0
0 0 0 0
2 2 0 12
0 0 0 0
163
Number of DOH
Medicines Dispensed
Beneficiaries
n = (k + l +
k=i+j o = h - (k + l + m)
m) x f
(i) (j) (k) (l) (m) (n) (o)
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 0
0 0 0
0 0 0 60
0 0 0
0 0 0
0 0 0
0 0 0 60
0 0 0
0 0 0
0 0 0
164
0 0 0
0 0 0
lidated by:

165
l Birthing Center

DOH Report 2018

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DOH Report 2018

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1

Name of Access Site: San Pablo District Health Center

Complete Address: Brgy. San Pablo, Ormoc City, Leyte

8 Ready-to-Use Therapeutic Food (RUTF)

1 Carbamazipine 200mg tablet

Republic of the Philippines

RHU DRUG UTILIZATION/STOCKS INVENTORY REPORT

Month of Report: February 16 - Mar

Date of Conduct of Inventory: Marc

Medicines Delivered during the Month

(b) (c) (d) (e) (f) (g) (h)

1848 0 1848 0 11-2021 Gt-16255 TP 5.77 10662.96 2225

960 0 960 0 12-2019 L-24102 TP 14.491 13911.36 961

TP 24.79 14874 615

TP 36.67 3667 100

per cycle 0 510

per cycle 0 123

7-2019/ per device 0 20

Medicines Delivered during the Month

(b) (c) (d) (e) (f) (g) (h)

54 54 0 5-2019 vial 0 106

Medicines Delivered during the Month

Noted by: Monitored/Validated by:

NORLITA P. ARCAMO, MD, MPH

port: February 16 - March 15,2018

uct of Inventory: March 15, 2018

Qty. End of the

(i) (j) (k) (l) (m) (n) (o)

125 125 721.25 2100

111 111 1608.501 850

148 148 0 362

(i) (j) (k) (l) (m) (n) (o)

151 151 0 794

101 101 0 139

216 216 0 676

1540 1540 0 4991

145 145 0 2555

Public Health Pharmacist

Name of Access Site: San Pablo District Health Center

Complete Address: Brgy. San Pablo, Ormoc City, Leyte

8 Ready-to-Use Therapeutic Food (RUTF)

1 Carbamazipine 200mg tablet

Republic of the Philippines

RHU DRUG UTILIZATION/STOCKS INVENTORY REPORT

Month of Report: March 16 -April

Date of Conduct of Inventory: Apr

Medicines Delivered during the Month

(b) (c) (d) (e) (f) (g) (h)

per cycle 0 362

Medicines Delivered during the Month

(b) (c) (d) (e) (f) (g) (h)

Medicines Delivered during the Month

Noted by: Monitored/Validated by:

NORLITA P. ARCAMO, MD, MPH

port: March 16 -April 15,2018

uct of Inventory: April 13, 2018

Qty. End of the

(i) (j) (k) (l) (m) (n) (o)

207 207 0 1893

135 135 0 715

234 234 0 128

(i) (j) (k) (l) (m) (n) (o)

117 117 0 677