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Annex 8

STOCK RECORD CARD

Name of the Health Institution ____________________ Minimum Stock Level_________________ Name Strength and Dosage form of Item ____________Recorder Level_______________________ Maximum Stock Level ___________________________ Unit of Issue ________________ Location ____________ Average monthly consumption ________ Date Document No. (Receiving of Issuing Form No.) Issued to Quantity or Received Issued Received From Unit Price Balance Birr Cent Expiry Date

R

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Annex 9

BIN CARD

Name of the Health Institution /Pharmacy ______________________________________________ Name, Strength and dosage form of Drug _______________________________________________ Unit of issue, ______________________________________________________________________ Date Document number (Receiving or issuing form No.) Received From or Issue to Received Issued Balance

Expir

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Annex 10

PATIENT PRESCRIPTION REGISTRATION
Ser. No Date Patient name or Age Sex Card No Diagnosis Treatment ( Name strength dosage form & dose of Drugs Quantity Issued Birr C. Unit price

Wri or “

N.B The remark column could be used to write remarks for those drugs that are not dispensed.

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Annex 11

INVENTORY SHEET
Name of the pharmacy _______________________ Inventory for the budget year __________________
Stock of the beginning of the budget Year Quantity Received During the Budget Stock At the End of the Budget year

Serial No _____

Ser. No

Item

Unit

Year

Stock Out Period

Unit price ( Average ) Birr C.

Unit price Of the Consumed Birr C.

Inventory done by _________________

Date ___________________

N.B 1. Usually physical inventory is done annually. But it can also be done biannually 2. Budget Year from Hamle 1- Sene _ 30

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