Material Requisition MR No.

: 19-0475
Date Printed: 03/12/2019

Vendor: Required on board: 12/12/2019

Vendor Contact: Requested by Vessel:

MR Details: Technical Account Details:

Description: Medicine required for ENI Project 600pax (Urgent) Maker:
Priority: 2 - Urgent Maker's No:
Department: Medical Model: N/A
PO Status: Requisition Serial No:
Our Reference:
Your Reference: Currency:

MR Instructions:
Medicines required for ENI Project, please supply in TOP URGENT basis. All Medicenes to have maximum Expiry Date
minimum must be over 1 Year.

Item#12. Azithromycin, 500mg required 300 Tabs (3 Tabs/ box)

Item#33. Diazepam 5mg required 120 Tab (20tabs/ box)
Item#41. Sumatriptan , if not available in the market, please supply CAFERGOT.
Item#57. Throat Lozenges prefer to DEGIROL required 192 Tabs.
Item#62. Required for Skin ointment/ cream NOT for eye.
Item#66. Activated charcoal, please donot supply NORIT, if not available in the market prefer to NEW DIATABS.
Item# 73 Prefer to Dexamethasone required 40 Amp.
Item#74 Prefer to Methyl Prednisolone 4 mg, required 210 Tabs.
Item#70. Prefer to ONDANSETRON ampoule, required 20 Amp.
Item#71 Prefer to DOMPERIDONE, required 96 Tabs

# Item Id Item Description Maker's No Ordered Disc. % Unit Price Total Price

1 504.039.001 Cetirizine, 30pcs 10 Box

2 504.039.002 Dexchlorpheniramine - 1ml 60 Ampoule

ampuole (medical)
3 504.039.004 Lidocaine - 10g tube 10 Tube
(medical)
4 504.039.005 Lidocaine - 50ml spray bottle 12 Bottle

5 504.039.006 Lidocaine - 2% amp, 20ml 60 Bottle

6 504.039.008 Flumazenil, 5pcs 22 Box

7 504.039.009 Calcium gluconate HF-antidot 30 Tube

gel (medical)
8 504.039.010 Naloxone(Antidote- reverses 30 Ampoule
opiate overdose) - 1ml/amp (medical)
9 504.039.011 Amoxicillin - 500mg, 30pcs 1 Box

10 504.039.012 Amoxicillin/clavulanate 100 Tablets

potassium - 500/125mg (medical)
11 504.039.013 Amoxicillin/clavulanate 18 Vial
potassium (Powder + solvents (medical)
for iv.use 500/125 mg)
12 504.039.014 Azithromycin, 3pcs 10 Box

13 504.039.015 Benzylpenicillin sodium 30 Vial

(medical)
14 504.039.018 Doxycycline, 10pcs 15 Box

15 504.039.020 Metronidazole, 14pcs 19 Box

16 504.039.021 Nitrofurantoin, 20pcs 5 Box

Star Information Systems AS Page 1 of 4

Material Requisition MR No.: 19-0475
Date Printed: 03/12/2019

Vendor: Required on board: 12/12/2019

Vendor Contact: Requested by Vessel:

# Item Id Item Description Maker's No Ordered Disc. % Unit Price Total Price

17 504.039.022 Phenoxymethylpenicillin, 30pcs 7 Box

18 504.039.023 Adenosine Phosphate 30 Vial

(medical)
19 504.039.024 Adrenaline - 1ml/amp 60 Ampoule
(medical)
20 504.039.025 Adrenaline 120 Piece

21 504.039.026 Amiodarone 30 Ampoule

(medical)
22 504.039.027 Atropine 60 Ampoule
(medical)
23 504.039.028 Clopidogrel, 28pcs 6 Box

24 504.039.029 Furosemide - 2ml/amp 10 Ampoule

(medical)
25 504.039.030 Furosemide Tablet, 30pcs 4 Box

26 504.039.031 Glyceryl trinitrate - spray 3 Piece

27 504.039.032 Metoprolol - 1mg/ml - 5ml/amp 25 Ampoule

(medical)
28 504.039.033 Metoprolol, 30pcs 7 Box

29 504.039.034 Phytomenadione(Vit.K1) 20 Ampoule

(medical)
30 504.039.035 Tranexamic acid 500mg Tablet, 4 Box
50pcs
31 504.039.036 Verapamil hydrochloride, 10pcs 2 Box

32 504.039.038 Codeinta, 30pcs 10 Box

33 504.039.039 Diazepam, 20pcs 6 Box

34 504.039.040 Diazepam - 2ml/amp 20 Ampoule

(medical)
35 504.039.041 Diclofenac - 50mg, 30pcs 100 Box

36 504.039.043 Diclofenac - IV use - 75mg/ml 10 Ampoule

(medical)
37 504.039.044 Ibuprofen - Not more than 15 Box
200mg, 40pcs
38 504.039.045 Haloperidol - 1ml/amp 5 Ampoule
(medical)
39 504.039.046 Morphine - 1ml/amp 20 Ampoule
(medical)
40 504.039.049 Paracetamol - 500ml Supp, 1 Box
10pcs
41 504.039.050 Sumatriptan, 6pcs 10 Box

42 504.039.051 Zopiclone, 30pcs 2 Box

43 504.039.052 Aciclovir - Cream 18 Tube

(medical)
44 504.039.053 Betamethasone - 0.1%/15g 5 Tube
Cream (medical)
45 504.039.054 Betamethasone - 0.1%/15g 30 Tube
Ointment (medical)
46 504.039.055 Calamine lotion 10 Bottle

47 504.039.056 Chlorhexidine - Klorhexidin 1 5 Bottle

mg/ml disinfection solution -
100ml bottle
48 504.039.059 Hydrocortisone 10 Tube
(medical)
49 504.039.060 Hydrocortisone butyrat - Locoid 10 Tube
0,1 % fat cream 30g (medical)
50 504.039.061 Lubricating jelly 5 Tube
(medical)

Star Information Systems AS Page 2 of 4

Material Requisition MR No.: 19-0475
Date Printed: 03/12/2019

Vendor: Required on board: 12/12/2019

Vendor Contact: Requested by Vessel:

# Item Id Item Description Maker's No Ordered Disc. % Unit Price Total Price

51 504.039.062 Permethrin - Cream 10 Tube

(medical)
52 504.039.063 Povidone Iodine - 100ml 10% 15 Bottle
Solution
53 504.039.064 Silver sulfadiazine - Cream 10 Tube
(medical)
54 504.039.065 Miconazole - Cream 5 Tube
(medical)
55 504.039.066 Zinc oxide preparations - 50g 10 Tube
Ointment (medical)
56 504.039.068 Lidocaine oral gel 20mg/ml - 1 Tube
oral gel (medical)
57 504.039.069 Throat Lozenges, 24pcs 8 Box

58 504.039.070 Insulin 10 Ampoule

(medical)
59 504.039.071 Glucagon 10 Ampoule
(medical)
60 504.039.072 Metformin, 250pcs 1 Box

61 504.039.073 Chloramphenicol - 5mg/ml eye 60 Bottle

drops
62 504.039.076 Fusidic Acid - eye ointment 50 Tube
(medical)
63 504.039.077 Gramicidin/dexamethasone/fra 60 Bottle
mycetin
64 504.039.078 Oxybuprocaine 20 Bottle

65 504.039.079 Sodium chloride 60 Bottle

66 504.039.080 Activated charcoal, 30pcs 10 Box

67 504.039.082 Antacid Tablet 50 Tablets

(medical)
68 504.039.083 Anusol - Ointment 10 g tube 5 Tube
(medical)
69 504.039.085 Bisacodyl, 30pcs 5 Box

70 504.039.087 Metoclopramide - 2ml ampoule 20 Ampoule

(medical)
71 504.039.088 Metoclopramide - 20mg, 6pcs 16 Box

72 504.039.091 Clotrimazole 4 Piece

73 504.039.092 Hydrocortisone - 100mg/amp 40 Ampoule

(medical)
74 504.039.093 Prednisolone, 30pcs 7 Box

75 504.039.095 Glucose - 50ml vial 20 Vial

(medical)
76 504.039.096 Glucose - 500ml 10 Bottle

77 504.039.097 Ringer Lactate 10 Bottle

78 504.039.098 Sodium chloride - 1000ml 10 Bottle

79 504.039.101 Calcium Gluconate, 10pcs 10 Box

80 504.039.102 Oral Rehydration Salt, 12sach 50 Packet

81 504.039.103 Fluticasone propionate - Nose 6 Piece

spray 120 doses inhaler
82 504.039.104 Fluticasone propionate - 6 Piece
Inhalation powder 60 doses
disc
83 504.039.105 Ipratropium bromide, 20pcs 1 Box

84 504.039.106 Salbutamol 15 Piece

85 504.039.107 Sodium chloride 15 Piece

Star Information Systems AS Page 3 of 4

Material Requisition MR No.: 19-0475
Date Printed: 03/12/2019

Vendor: Required on board: 12/12/2019

Vendor Contact: Requested by Vessel:

# Item Id Item Description Maker's No Ordered Disc. % Unit Price Total Price

86 504.039.109 Malarone, 12pcs 17 Box

87 504.039.110 Artemether/lumefantrine, 24pcs 4 Box

88 504.039.111 Quinine 10 Ampoule

(medical)
89 504.039.112 Artesunate 10 Ampoule
(medical)
90 504.039.113 Malaria Diagnostic Test Kit 100 Kit

91 504.039.114 Enoxsaparin 18 Piece

92 504.039.115 Tenecteplase 6 Piece

93 504.039.119 Fastum Gel Ketoprofen 2.5%, 50 Tube

50grm tube (medical)
94 196.001.312 Yellow Petroleum Jelly, 20 Bottle
Vaseline BLUE SEAL
(490g/Bottle)
95 504.039.117 BISOLVON cough syrup 50 Bottle

Totals for Material Requisition 19-0475

Authorized Signature (1) 03-December-2019 Authorized Signature (2)

Star Information Systems AS Page 4 of 4