03 - March Rsmi
03 - March Rsmi
03 - March Rsmi
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
MS-2018-02- Pharmacy 03-00172 Intravenous Administration set (Macroset), 20 drops/ml set 1,500
0069 03-00173 Intravenous Administration set (Microset), 60 drops/ml set 1,500
Recapitulation: Recapitulation:
UACS Object
Stock No. Item Unit Quantity Unit Cost Total Cost
Code
ALADIN M. PASCUAL
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
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
MS-2018-03-
0055 CSR 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 180
03-00041 Povidone Iodine antiseptic 10%, Betadine gal 20
03-00059 Cautery Pad pc 300
03-00062 Cautery pencil pc 500
03-00068 Chlorhexidine cleanser, 5liters (Gal) gal 20
Cold sterilant, high level disinfectant- 2% gluteraldehyde only, 30 days bath stability,
03-00073 Cidex/Metricide gal 20
03-00066 Chest leads, Adult, 50's pack 40
03-00159 ID band, Pedia - blue, 100's box 50
03-00159 ID band, Pedia - pink, 100's box 50
NSD kit pc 150
03-00140 Gloves, sterile s-6 ½, 50's box 50
03-00291 Suction Tip fr.10 45cm pc 500
03-00295 Suction Tip fr.18 55cm pc 300
03-00043 Blade, surgical #11,100's, Sharp (Stainless) (Box) box 20
03-00044 Blade, surgical #10, 100's Sharp (Stainless) box 20
03-00046 Blade, surgical #12, 100's Sharp (Stainless) box 5
03-00354 Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box 60
03-00357 Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box 30
0057 MMS 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 3
0058 CASHIER 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 3
0059 CLIN. LAB. 03-00251 Plaster, Surgical Hypoallergenic, Adhesive 1/2”, 24's box 10
03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 36
0060 BLOODBANK 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 36
0061 REHAB. MED. 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 10
03-00377 Tongue Depressor, 100's box 2
0062 OMCC 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 5
0063 PHARMACY 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 4
0064 HRMS 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 2
0065 CSR 03-00134 Absorbent Gauze, unsterile, mesh, 36 x100 yards bolt 60
03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 180
03-00032 Asepto syringe pc 100
03-00056 Bouffant caps, 100's (Box) pack 20
03-00114 Endotracheal Tube 7.0 mm cuffed pc 100
03-00115 Endotracheal Tube 7.5 mm cuffed pc 100
03-00206 Nasal Cannula 02, adult pc 500
03-00207 Nasal Cannula 02, pedia pc 300
03-00215 Nasogastric Tube fr .05, 100cm long pc 300
03-00216 Nasogastric Tube fr .08, 100cm long pc 600
03-00222 Nebulizer Kit pc 300
03-00237 Needles Disposable G.18, 100's box 30
03-00238 Needles Disposable G.19, 100's box 20
03-00239 Needles Disposable G.20, 100's box 30
03-00236 Needles Disposable G.26, 100's box 30
03-00140 Gloves, sterile s-6 ½, 50's box 40
03-00141 Gloves, sterile s-7 ½, 50's box 40
03-00142 Gloves, sterile s-7.0, 50's box 40
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 72
03-00357 Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box 81
03-00359 Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 60
0066 CSR 03-00393 Yankuer Suction Connecting Tube, Double packing with pool drain suction (Universal pc 300
0067 OB-GYNE 03-00165 IV Cannula G-22 with injection port, Delta Ven, 50's pc 50
0068 TRANSPORT 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 2
0070 CSR 03-00134 Absorbent Gauze, unsterile, mesh, 36 x100 yards bolt 19
03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 180
03-00041 Povidone Iodine antiseptic 10%, Betadine gal 20
03-00068 Chlorhexidine cleanser, 5liters (Gal) gal 20
03-00114 Endotracheal Tube 7.0 mm cuffed pc 100
03-00115 Endotracheal Tube 7.5 mm cuffed pc 100
03-00126 Foley Catheter, 2-way, siliconized, latex Fr.18 pc 500
03-00187 Lubricating Gel, Sterile 3 gms 100/Box box 40
03-00192 Mask, Surgical, N-95/ particulate/20s box 340
03-00232 Spinal needle G. 25 pc 500
03-00140 Gloves, sterile s-6 ½, 50's box 40
03-00142 Gloves, sterile s-7.0, 50's box 40
03-00141 Gloves, sterile s-7 ½, 50's box 40
03-00428 Gloves for Ortho 7.5, 50's box 4
03-00354 Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box 48
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 81
03-00359 Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 60
0072 DENTAL 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 10
03-00534 Chromic 3.0 Round Needle, 12's doz 2
03-00075 Cotton absorbent, 400 grms. Unsterile roll 5
03-00140 Gloves, sterile s-6 ½, 50's box 5
03-00142 Gloves, sterile s-7, 50's box 5
0075 CSR 03-00412 Absorbent Gauze with X- Ray detector, unsterile, mesh 36 x100 yards bolt 36
03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 180
03-00041 Povidone Iodine antiseptic 10%, Betadine gal 20
03-00053 Bone Wax box 5
03-00056 Bouffant caps, 100's (Box) pack 20
03-00068 Chlorhexidine cleanser, 5liters (Gal) gal 20
03-00077 Cotton Balls pack 600
03-00115 Endotracheal Tube 7.5 mm cuffed pc 200
03-00118 Epidural set G. 18 pc 80
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
03-00138 Gloves, surgical, sterile long cuff s-7 ½, 50's box 30
03-00354 Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box 60
03-00357 Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box 81
03-00359 Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 60
03-00371 Thermometer, Digital pc 300
03-00392 Wound Drainage 150cc capacity pc 70
0077 DRUGTEST 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 3
0078 RADIOLOGY 03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 15
03-00075 Cotton absorbent, 400 grms. Unsterile roll 5
01-00049 Thermal Paper, Ultrasound roll 10
0079 CLIN. LAB. 03-00075 Cotton absorbent, 400 grms. Unsterile roll 12
03-00355 Syringe w/ Needle (Luer Lock) 1cc, Disposable (100's) box 6
03-00411 Syringe, Disposable, 5ml, terumo box 24
Recapitulation: Recapitulation:
UACS Object
Stock No. Item Unit Quantity Unit Cost Total Cost
Code
03-00412 Absorbent Gauze with X- Ray detector, unsterile, mesh 36 x100 yards bolt 36
03-00134 Absorbent Gauze, unsterile, mesh, 36 x100 yards bolt 79
03-00005 Airway oral no.1 (oropharyngeal) white 70mm pc 100
03-00399 Airway oral no.2 (oropharyngeal) red 80mm pc 100
03-00397 Airway oral no.3 (oropharyngeal) yellow 90mm pc 100
03-00398 Airway oral no.4 (oropharyngeal) red 100mm pc 100
03-00445 Airway oral no.5 (oropharyngeal) blue 110mm pc 100
03-00006 Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot 849
03-00032 Asepto syringe pc 100
03-00044 Blade, surgical #10, 100's Sharp (Stainless) box 40
03-00043 Blade, surgical #11,100's, Sharp (Stainless) (Box) box 20
03-00046 Blade, surgical #12, 100's Sharp (Stainless) box 5
03-00451 Blade, surgical #15,100's, Sharp (Stainless) (Box) box 20
03-00046 Blade, surgical #22,100's, Sharp (Stainless) (Box) box 2
03-00051 Blood Transfusion set set 3,750
03-00053 Bone Wax box 5
03-00056 Bouffant caps, 100's (Box) pack 60
03-00059 Cautery Pad pc 300
03-00062 Cautery pencil pc 500
03-00488 Cervical Collar - Large pc 9
03-00489 Cervical Collar - Medium pc 9
03-00490 Cervical Collar - Small pc 3
03-00066 Chest leads, Adult, 50's pack 80
03-00068 Chlorhexidine cleanser, 5liters (Gal) gal 60
03-00534 Chromic 3.0 Round Needle, 12's doz 2
Cold sterilant, high level disinfectant- 2% gluteraldehyde only, 30 days bath stability,
03-00073 gal
Cidex/Metricide 20
03-00075 Cotton absorbent, 400 grms. Unsterile roll 37
03-00077 Cotton Balls pack 600
03-00096 Endotracheal Tube 3.5 mm uncuffed pc 100
03-00114 Endotracheal Tube 7.0 mm cuffed pc 200
03-00115 Endotracheal Tube 7.5 mm cuffed pc 400
03-00118 Epidural set G. 18 pc 80
03-00126 Foley Catheter, 2-way, siliconized, latex Fr.18 pc 500
03-00428 Gloves for Ortho 7.5, 50's box 4
03-00140 Gloves, sterile s-6 ½, 50's box 175
03-00141 Gloves, sterile s-7 ½, 50's box 120
03-00142 Gloves, sterile s-7, 50's box 125
03-00138 Gloves, surgical, sterile long cuff s-7 ½, 50's box 30
03-00159 ID band, Pedia - blue, 100's box 50
03-00159 ID band, Pedia - pink, 100's box 50
03-00163 IV Cannula G-18 with injection port pc 5,000
03-00164 IV Cannula G-20 with injection port pc 3,000
03-00165 IV Cannula G-22 with injection port pc 1,500
03-00166 IV Cannula G-24 with injection port pc 2,250
03-00167 IV Cannula G-26 with injection port pc 150
03-00187 Lubricating Gel, Sterile 3 gms 100/Box box 40
03-00192 Mask, Surgical, N-95/ particulate/20s box 340
03-00206 Nasal Cannula 02, adult pc 500
03-00207 Nasal Cannula 02, pedia pc 300
03-00215 Nasogastric Tube fr .05, 100cm long pc 300
03-00216 Nasogastric Tube fr .08, 100cm long pc 600
03-00222 Nebulizer Kit pc 600
03-00237 Needles Disposable G.18, 100's box 30
03-00238 Needles Disposable G.19, 100's box 20
03-00239 Needles Disposable G.20, 100's box 30
03-00236 Needles Disposable G.26, 100's box 30
NSD kit pc 150
03-00251 Plaster, Surgical Hypoallergenic, Adhesive 1/2”, 24's box 10
Platelet Set, 20 gtts/ml set 500
03-00041 Povidone Iodine antiseptic 10%, Betadine gal 60
03-00198 Scrub brush w/ Chlorhexidine (Mediscrub) pc 250
03-00273 Soluset pc 1,000
03-00232 Spinal needle G. 25 pc 500
03-00291 Suction Tip fr.10 45cm pc 500
03-00294 Suction Tip fr.16 55cm pc 500
03-00295 Suction Tip fr.18 55cm pc 300
03-00301 Surgical Suture, Chromic 1 w/ round needle doz 20
03-00302 Surgical Suture, Chromic 2.0 double arm (round-cutting) doz 30
03-00318 Surgical Suture, Silk 0 strands doz 10
03-00320 Surgical Suture, Silk 2.0 strands doz 18
03-00321 Surgical Suture, Silk 2.0 w/ round needle doz 20
03-00322 Surgical Suture, Silk 3.0 strands doz 20
03-00323 Surgical Suture, Silk 3.0 w/ round needle doz 20
03-00324 Surgical Suture, Silk 4.0 w/ round needle doz 10
03-00310 Synthetic absorbable monofilament dyed - 0 round needle (1/2 circle) 40mm, PDS II-0 doz
20
Synthetic absorbable multifilament braided dyed coated w/ antibacterial 0 round
doz
needle 18
Synthetic absorbable multifilament braided dyed coated w/ antibacterial 2.0 (MH)
03-00560 doz
round needle 21
Synthetic absorbable multifilament braided dyed coated w/ antibacterial 4.0 (SH) round
03-00561 doz
needle 8
Synthetic absorbable multifilament braided dyed coated w/ antibacterial 5.0 doz
5
Synthetic absorbable multifilament braided dyed coated w/ antibacterial 7.0 round
03-00565 doz
needle 5
Synthetic absorbable multifilament braided dyed coated w/ antibacterial 4.0 w/ round
03-00564 doz
needle, 12's (RB-1) 8
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 114
03-00357 Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box 273
03-00359 Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box 180
03-00411 Syringe, Disposable, 5ml, terumo box 24
01-00049 Thermal Paper, Ultrasound roll 10
03-00371 Thermometer, Digital pc 600
03-00410 Titanized Polymers 4"x6" , non absorbable mesh pc 20
03-00377 Tongue Depressor, 100's box 2
Tracheostomy Tube, F. 7.0 pc 10
03-00383 Urinal, Plastic pc 310
03-00385 Urine Bag, w/ Non-Return Valve, w/ hanger, 1L, calibrated 1000-1200 ml pc 750
03-00387 Urine Collector, with adhesive, calibrated pedia pc 500
03-00532 Wadding Sheet 4" pc 100
03-00533 Wadding Sheet 6" pc 100
03-00392 Wound Drainage 150cc capacity pc 70
Wound Drainage 300cc - 450cc pc 25
03-00393 Yankuer Suction Connecting Tube, Double packing with pool drain suction (Universal pc 600
ALADIN M. PASCUAL
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
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-2018-03-
0055 CSR 03-00091 Elastic bandage S – 6 inches (Stretchable) pc 108
03-00124 Foley Catheter, 2-way, siliconized, latex Fr.16 pc 500
03-00151 Gloves, unsterile, large, 100's box 100
03-00150 Gloves, unsterile, medium, 100's box 100
03-00161 Incontinent Pad, Adult box 600
03-00245 Oxygen Mask w/ Reservoir, Adult -Large pc 200
03-00250 Plaster, Surgical Hypoallergenic, Adhesive 1”, 12's box 50
03-00252 Plaster, Surgical Hypoallergenic, Adhesive 2”, 6's box 50
03-00293 Suction Tip fr.14 50cm pc 500
03-00536 Suction Tip fr.08 45cm pc 500
0061 REHAB. MED. 03-00250 Plaster, Surgical Hypoallergenic, Adhesive 1”, 12's box 4
03-00150 Gloves, unsterile, medium, 100's box 2
0074 CSR Surgical Suture, Silk 6.0 round or reversed cutting doz 3
Synthetic absorbable multifilament braided dyed coated w/ antibacterial 3.0 w/ round
03-00562 needle, 12's (RB-1)
doz 21
Synthetic absorbable multifilament braided dyed coated w/ antibacterial 4.0 w/ round
03-00564 needle, 12's (RB-1)
doz 12
Synthetic absorbable monofilament dyed - 1 round needle (1/2 circle) 40mm,
03-00309 MONOCRYL 1
doz 18
Recapitulation: Recapitulation:
UACS Object
Stock No. Item Unit Quantity Unit Cost Total Cost
Code
03-00032 Asepto syringe pc 400
03-00614 Autoclave Indicator Tape roll 10
03-00405 ECG tracing paper for 1 channel pc 100
03-00091 Elastic bandage S – 6 inches (Stretchable) pc 108
03-00123 Foley Catheter, 2-way, siliconized, latex Fr.14 pc 500
03-00124 Foley Catheter, 2-way, siliconized, latex Fr.16 pc 500
03-00137 Gloves, surgical, sterile long cuff s-6 ½, 50's box 66
03-00139 Gloves, surgical, sterile long cuff s-7, 50's box 66
03-00151 Gloves, unsterile, large, 100's box 250
03-00150 Gloves, unsterile, medium, 100's box 290
03-00161 Incontinent Pad, Adult box 2,400
03-00175 IV Starter Pack,25's pack 300
Newborn Kit set 200
03-00245 Oxygen Mask w/ Reservoir, Adult -Large pc 500
03-00246 Oxygen Mask w/ Reservoir, Pedia -Medium pc 200
03-00250 Plaster, Surgical Hypoallergenic, Adhesive 1”, 12's box 154
03-00252 Plaster, Surgical Hypoallergenic, Adhesive 2”, 6's box 150
03-00198 Scrub brush w/ Chlorhexidine (Mediscrub) pc 50
03-00269 Skin stapler pc 160
03-00536 Suction Tip fr.08 45cm pc 500
03-00293 Suction Tip fr.14 50cm pc 1,000
Surgical Suture, Silk 6.0 round or reversed cutting doz 3
Synthetic absorbable monofilament dyed - 1 round needle (1/2 circle) 40mm,
03-00309 MONOCRYL 1
doz
18
Synthetic absorbable multifilament braided dyed coated w/ antibacterial 3.0 w/ round
03-00562 needle, 12's (RB-1)
doz
21
Synthetic absorbable multifilament braided dyed coated w/ antibacterial 4.0 w/ round
03-00564 needle, 12's (RB-1)
doz
12
03-00356 Syringe w/ Needle 20cc, 50's box 64
ALADIN M. PASCUAL
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
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
DM-2018-03- Pharmacy 001-202 Furosemide 10mg/ml, 2ml amp (IM,IV) amp 4,000
0021 001-461 Paracetamol 150mg/ml, 2ml (IM,IV) vial 3,000
001-368 Suxamethonium (succinyl Choline) 20mg/ml, 10ml vial IV (as Chloride) vial 100
(DONATION) Isophane Insulin Human insulatard (DOH DONATION) vial 800
(DONATION) Isophane Insulin Human mixtard (DOH DONATION) vial 350
(DONATION) Isophane Insulin Human actrapid (DOH DONATION) vial 50
0016 Pharmacy Metformin 500mg tab/film coated tab (as HCl) tab 43,200
(DONATION) Metoprolol 50mg tablet (as Tartrate) tab 1,200
Recapitulation: Recapitulation:
UACS Object
Stock No. Item Unit Quantity Unit Cost Total Cost
Code
001-202 Furosemide 10mg/ml, 2ml amp (IM,IV) amp 4,000
001-461 Paracetamol 150mg/ml, 2ml (IM,IV) vial 3,000
001-368 Suxamethonium (succinyl Choline) 20mg/ml, 10ml vial IV (as Chloride) vial 100
ALADIN M. PASCUAL
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
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-17-11-99 Amikacin 250mg/ml, 2ml amp/vial (IM, IV) (as SO4) vial 700
Ampicillin 1g vial (IM,IV) (as Sodium salt) vial 2000
Aminophylline 25mg/ml, 10ml ampule (IV) amp 100
Amiodarone 50mg/ml amp 132
Ampicillin 500mg vial (IM,IV) (as Sodium salt) vial 900
Amoxicillin 250mg/5ml granules/ powder for suspension 60ml (as Trihydrate) bot 100
Ampicillin Sulbactam (500mg Ampicillin + 250mg Sulbactam) vial (IM,IV) (as Sodium sa vial 1500
Acetylcisteine 100mg vial 125
Acetylcisteine 200mg sach 600
Acetylcisteine 600mg tab 1050
Aciclovir 400mg tablet tab 390
Alendronate 70mg tablet (as Sodium salt) tab 100
Allopurinol 300mg tablet tab 200
Azithromycin 500mg powder, vial (IV infusion) (as base/ as Dihydrate) vial 160
Aspirin 80mg tablet tab 2800
Atropine 1mg/ml, 1ml amp. (IM,IV) (as SO4) amp 200
Amoxicillin 500mg/cap. (as Trihydrate) cap 3000
Azithromycin 500mg tablet (as base/as dihydrate) tab 2100
Biperiden 2mg/tablet (as Hcl) tab 4500
Bisacodyl 10mg adult suppository supp 1000
Ceftriaxone 1g vial (as Disodium/ Sodium salt) vial 600
Carvedilol 25mg tablet tab 300
Cefazolin 1g vial (IM,IV) (as Sodium salt) vial 500
Co-Trimoxazole 400mg/80mg/5ml suspension, 60ml bot 25
Capecitabine 500mg tablet tab 130
Co-Amoxiclav 250mg/62.5mg/5ml,60ml granules/powder for suspension bot 30
Co-Amoxiclav 400mg/57mg/5ml,70ml granules/powder for suspension bot 25
Clarithromycin 500mg tablet as base tab tab 100
Carbamazepine 200mg tablet tab 1600
Chlorpromazine 200mg tablet (as HCl) tab 6200
Carvedilol 6.25 tab 345
Clobetasol cream 0.05% , 5g tube (as Propionate) ytube 50
Clonidine 150mcg/ml, 1ml amp (IV) (as HCl) vial 50
Clopidogrel 75mg tablet tab 1900
Clindamycin 75mg/5ml granules for suspension, 60ml (as Palmitate HCl) bot 50
Cefalexin 500mg capsule (as Monohydrate) cap 700
Cefoxitin 1g vial (IM,IV) (as Sodium salt) vial 218
Celecoxib 200mg capsule cap 1680
Cefuroxime 500mg tablet (as Axetil) tab 730
Cyclophosphamide 500mg vial (IV) vial 40
Cyclophosphamide 1g vial (IV) vial 40
Cefuroxime 750mg vial (IM,IV) (as Sodium salt) vial 3600
Co-Amoxiclav 625mg tablet (as Trihydrtate) tab 1200
Calcium Carbonate tablet/chewable (equiv. to 500mg & 600mg elemental ca) tab 840
Clindamycin 150mg/ml, 4ml ampule (IM,IV) (as PO4) vial 600
Cobrab Antivenom amp 20
Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml ampule/vial (IM,IV) vial 300
Doxorubicin powder 50mg vial (IV) (as HCl) vial 80
Dobutamine 12.5mg/ml, 20ml (IV) (as HCl) vial 1800
Digoxin 250mcg (0.25mg) tablet tab 1500
Domperidone 10mg tablet tab 1600
Dydrogesteone 10mg/tablet tab 800
Diclofenac Sodium 25mg/ml, 3ml (IM,IV) amp 800
Diphenhydramine HCl 50mg capsule cap 800
Digoxin 250mcg/ml, 2ml ampule (IM,IV) vial 400
Dopamine 40mg/ml, 5ml amp./vial (IV) (as HCl) amp 1000
Divalproex sodium 250mg tab 2000
Escitalopram 10mg tab (as oxalate) tab 224
Erythromycin Ophthalmic Ointment 0.5%, 3.5g tube ytube 30
Etoposide 20mg/ml, 5ml amp/vial (IV) vial 500
Epoetin Alfa 4,000 IU/ 0.4ml, prefilled syringe IV,SC (Recombinant human erythropoeti amp 1000
Filgrastin 300mcg vial vial 50
Fondaparinux 2.5mg/0.5ml solution (as Sodium salt) p.syr 40
Folic Acid 5mg tablet cap 1200
Fluconazole 200mg capsule cap 140
Fluconazole 150mg tablet cap 260
Furosemide 10mg/ml, 2ml amp (IM,IV) amp 3600
Felodipine 10mg MR tablet tab 100
Fluconazole 2mg/ml, 100ml vial (IV infusion) vial 40
Gabapentine 300mg capsule tab 100
Gliclazide 80mg tablet tab 280
Gliclazide 100mg tablet tab 900
Gemcitabine 1g vial vial 21
Haloperidol 5mg/ml, 1ml amp (IM) amp 100
Hydrocortisone 100mg vial 600
Hydrocortisone 250mg vial 600
Hydroxyzine 50mg/ml, 1ml (IM,IV) amp 100
Hydroxyethyl starh 6% solution 500ml bottle (IV infusion) bot 18
Isoflurane 100ml bottle bot 12
Ibuprofen 100mg/5ml, 60ml suspension bottle bot 50
Isoniazid 300mg tab 1200
Isosorbide dinitrate 1mg/ml, 10ml amp (IV) amp 700
Isosorbide- 5- Mononitrate 60mg MR tablet/capsule tab 1960
Isoniazid + Rifampicin + Pyrazinamide + Ethambutol 75mg + 150mg +400mg + 275mg tab 960
Ketorolac 30mg/ml, 1ml (IM,IV) (asTrometamol) amp 1500
Losartan + Hydrochlorothiazide 50mg +12.5mg tablet tab 500
Levofloxacin 750mg tablet tab 300
Losartan + Hydrochlorothiazide 100mg +25mg tablet tab 330
Losartan 50mg tablet (as Potassium salt) tab 700
Lactulose 3.3g/5ml (66% syrup), 120ml bottle bot 100
Levofloxacin 5mg/ml solution for IV infusion, 100ml vial vial 70
Lidocaine spray 10%, 50ml (as HCl) bot 8
Levothyroxine 50mcg/tab (as Anhydrous Sodium) tab 900
Metronidazole 5mg/ml, 100ml vial IV infusion vial 200
Metronidazole 500mg tablet tab 1000
Methimazole 5mg tablet tab 200
Montelukast 10mg tablet (as Sodium) tab 690
Methylprednisolone 125mg/ml, 2ml vial + diluent vial (IM,IV) Iv infusion (as Sodium Suc vial 25
Methyprednisolone 16mg tablet tab 480
Metronidazole 125mg base/ 5ml suspension 60ml tab 50
Metoprolol 100mg tablet (as Tartrate) tab 700
Methylergometrine Maleate 200mcg/ml, 1ml amp (IM,IV) (as Hydrogen Maleate or Male amp 200
Nicardipine 1mg/ml, 10ml amp (IV) (as HCl) amp 1000
Naloxone 20mcg/ml, 2ml amp (IM,IV,SC) (as HCl) amp 100
Ofloxacin 0.3%, 5ml bottle ear drops solution bot 18
Ofloxacin Ophthalmic Drop 0.3%, 5ml bottle solution bot 38
Omeprazole 40mg + 10ml solvent amp/vial (IV) vial 1456
Omeprazole 20mg capsule cap 500
Paracetamol 150mg/ml, 2ml (IM,IV) vial 7500
Paracetamol 10mg/ml, 100ml solution for infusion (IV) vial 40
Paracetamol 250mg/5ml (alcohol free), 60ml syrup/suspension bot 80
Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam) per vial (IV infusion) (as vial 1080
Prednisone 5mg tablet tab 1700
Propofol 10mg/ml amp 90
Phenytoin 100mg capsule (as Sodium salt) cap 200
Phenytoin 50mg/ml, 2ml amp (IV)(as Sodium salt) amp 300
Phytomenadione (Phytonadione, vit.K1)10mg/ml, 1ml amp(IM,IV) amp 1000
Penicillin G Crystalline (Benzylpenicillin) 5M "u" vl. (IM,IV) (as Sodium) vial 1000
Penicillin G Crystalline (Benzylpenicillin) 1M "u" vl. (IM,IV) (as Sodium) vial 270
Propranolol 40mg tablet (as HCl) tab 1000
Ranitidine 150mg tablet (as HCl) tab 1000
Ranitidine 25mg/ml, 2ml amp(IM,IV, IV infusion) (as HCl) amp 2000
Rocuronium Bromide 10mg/ml, 5ml amp/vial (IV) amp 1000
Salbutamol MDI 100mcg/dose x 200 doses (as SO4) can 50
Salbutamol 2mg/5ml, 60ml syrup (asSulfate) bot 50
Sodium Bicarbonate 1mEq/ml, 50ml amp/vial (IV infusion) amp 140
Sertraline 50mg tablet (as HCl) tab 1080
Streptomycin 1g vial IM (as Sulfate) vial 330
Sucralfate 1g tablet tab 200
Suxamethonium (succinyl Choline) 20mg/ml, 10ml vial IV (as Chloride) vial 415
Tamsulosin 200mcg capsule (as HCl) cap 280
Tramadol 50mg/ml, 2ml ampule (IM,IV, SC) (as HCl) amp 300
Tamoxifen 20mg tablet (as Citrate) tab 1000
Tobramycin Ophthalmic drops 0.3%, 3.5g bottle bot 38
Tranexamic Acid 500mg capsule cap 460
Terbutaline 500mcg/ml, 1ml amp (IM,IV,SC) (as SO4) amp 50
Tetanus Toxoid 0.5ml ampule (IM) amp 1710
Docetaxel 20mg/0.5ml, 0.5ml vial 500
Docetaxel 40mg/ml, 2ml vial 500
Atracurium Besylate 10mg/ml, 2.5ml amp. (IV) amp 400
Recapitulation: Recapitulation:
UACS Object
Stock No. Item Unit Quantity Unit Cost Total Cost
Code
Acetylcisteine 100mg vial 125
Acetylcisteine 200mg sach 600
Acetylcisteine 200mg/ml, 25ml bottle (IV infusion) bot 105
Acetylcisteine 600mg tab 1050
Aciclovir 400mg tablet tab 390
Alendronate 70mg tablet (as Sodium salt) tab 148
Allopurinol 300mg tablet tab 200
Amikacin 250mg/ml, 2ml amp/vial (IM, IV) (as SO4) vial 700
Aminophylline 25mg/ml, 10ml ampule (IV) amp 100
Amiodarone 200mg tablet (as HCl) tab 180
Amiodarone 50mg/ml amp 132
Amoxicillin 100mg/ml granules/ powder for drops 10ml (as Trihydrate) bot 26
Amoxicillin 250mg/5ml granules/ powder for suspension 60ml (as Trihydrate) bot 100
Amoxicillin 500mg/cap. (as Trihydrate) cap 3000
Ampicillin 1g vial (IM,IV) (as Sodium salt) vial 2000
Ampicillin 500mg vial (IM,IV) (as Sodium salt) vial 900
Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) vial (IM,IV) (as Sodium svial 600
Ampicillin Sulbactam (500mg Ampicillin + 250mg Sulbactam) vial (IM,IV) (as Sodium savial 1500
Aspirin 80mg tablet tab 2800
Atracurium Besylate 10mg/ml, 2.5ml amp. (IV) amp 400
Atropine 1mg/ml, 1ml amp. (IM,IV) (as SO4) amp 200
Azithromycin 500mg powder, vial (IV infusion) (as base/ as Dihydrate) vial 160
Azithromycin 500mg tablet (as base/as dihydrate) tab 2325
Biperiden 2mg/tablet (as Hcl) tab 4500
Bisacodyl 10mg adult suppository supp 1000
Calcium Carbonate tablet/chewable (equiv. to 500mg & 600mg elemental ca) tab 840
Calcium Folinate(Leucoverin Calcium) 10mg/ml, 5ml ampule/vial (IM,IV) vial 720
Capecitabine 500mg tablet tab 130
Carbamazepine 200mg tablet tab 1600
Carboplatin 450mg/45ml vial 200
Carvedilol 25mg tablet tab 780
Carvedilol 6.25 tab 345
Cefalexin 100mg/ml, 10ml drops (as Monohydrate) bot 30
Cefalexin 250mg/5ml, 60ml suspension/syrup (as Monohydrate) bot 50
Cefalexin 500mg capsule (as Monohydrate) cap 700
Cefazolin 1g vial (IM,IV) (as Sodium salt) vial 760
Cefixime 200mg capsule cap 700
Cefoxitin 1g vial (IM,IV) (as Sodium salt) vial 436
Ceftriaxone 1g vial (as Disodium/ Sodium salt) vial 600
Cefuroxime 500mg tablet (as Axetil) tab 730
Cefuroxime 750mg vial (IM,IV) (as Sodium salt) vial 3600
Celecoxib 200mg capsule cap 1680
Chloramphenicol 125mg/5ml, 60ml suspension (as Palmitate) bot 30
Chlorpromazine 200mg tablet (as HCl) tab 14200
Clarithromycin 500mg tablet as base tab tab 100
Clindamycin 150mg/ml, 4ml ampule (IM,IV) (as PO4) vial 600
Clindamycin 75mg/5ml granules for suspension, 60ml (as Palmitate HCl) bot 50
Clindamycin HCl 150mg capsule amp 1536
Clobetasol cream 0.05% , 5g tube (as Propionate) ytube 50
Clonidine 150mcg/ml, 1ml amp (IV) (as HCl) vial 50
Clopidogrel 75mg tablet tab 1900
Clozapine 100mg tablet tab 1500
Co-Amoxiclav 250mg/62.5mg/5ml,60ml granules/powder for suspension bot 30
Co-Amoxiclav 400mg/57mg/5ml,70ml granules/powder for suspension bot 25
Co-Amoxiclav 625mg tablet (as Trihydrtate) tab 2200
Cobra Antivenom amp 20
Co-Trimoxazole 400mg/80mg/5ml suspension, 60ml bot 25
Cyclophosphamide 1g vial (IV) vial 48
Cyclophosphamide 500mg vial (IV) vial 40
Diclofenac Sodium 25mg/ml, 3ml (IM,IV) amp 800
Digoxin 250mcg (0.25mg) tablet tab 1500
Digoxin 250mcg/ml, 2ml ampule (IM,IV) vial 595
Diphenhydramine HCl 50mg capsule cap 800
Divalproex sodium 250mg tab 4500
Dobutamine 12.5mg/ml, 20ml (IV) (as HCl) vial 2000
Docetaxel 20mg/0.5ml, 0.5ml vial 500
Docetaxel 40mg/ml, 2ml vial 500
Domperidone 10mg tablet tab 1600
Dopamine 40mg/ml, 5ml amp./vial (IV) (as HCl) amp 1000
Doxorubicin powder 50mg vial (IV) (as HCl) vial 80
Dydrogesteone 10mg/tablet tab 800
Epoetin Alfa 4,000 IU/ 0.4ml, prefilled syringe IV,SC (Recombinant human erythropoeti amp 1200
Erythromycin Ophthalmic Ointment 0.5%, 3.5g tube ytube 30
Escitalopram 10mg tab (as oxalate) tab 224
Etoposide 20mg/ml, 5ml amp/vial (IV) vial 500
Felodipine 10mg MR tablet tab 100
Filgrastin 300mcg vial vial 50
Fluconazole 150mg tablet cap 260
Fluconazole 200mg capsule cap 140
Fluconazole 2mg/ml, 100ml vial (IV infusion) vial 40
Folic Acid 5mg tablet cap 1200
Fondaparinux 2.5mg/0.5ml solution (as Sodium salt) p.syr 40
Furosemide 10mg/ml, 2ml amp (IM,IV) amp 4600
Gabapentine 300mg capsule tab 100
Gemcitabine 1g vial vial 21
Gliclazide 100mg tablet tab 900
Gliclazide 80mg tablet tab 3080
Haloperidol 5mg/ml, 1ml amp (IM) amp 100
Human Albumin 20%, 50ml vial 150
Hydrocortisone 100mg vial 600
Hydrocortisone 250mg vial 600
Hydrocortisone 50mg/ml, 2ml vial (IV) (as Sodium Succinate) act o vial vial 400
Hydroxyethyl starh 6% solution 500ml bottle (IV infusion) bot 18
Hydroxyzine 50mg/ml, 1ml (IM,IV) amp 100
Ibuprofen 100mg/5ml, 60ml suspension bottle bot 50
Ibuprofen 400mg tablet tab 500
Isoflurane 100ml bottle bot 12
Isoniazid + Rifampicin + Pyrazinamide + Ethambutol 75mg + 150mg +400mg + 275mg tab 2960
Isoniazid + Rifampicin 75mg + 150mg tablet tab 320
Isoniazid 300mg tab 1200
Isosorbide- 5- Mononitrate 60mg MR tablet/capsule tab 1960
Isosorbide dinitrate 1mg/ml, 10ml amp (IV) amp 700
Ketorolac 30mg/ml, 1ml (IM,IV) (asTrometamol) amp 3000
Lactulose 3.3g/5ml (66% syrup), 120ml bottle bot 200
Levofloxacin 5mg/ml solution for IV infusion, 100ml vial vial 70
Levofloxacin 750mg tablet tab 300
Levothyroxine 50mcg/tab (as Anhydrous Sodium) tab 900
Lidocaine 2%, 5ml polyamp (as HCl) polyamp 550
Lidocaine spray 10%, 50ml (as HCl) bot 8
Loratadine 10mg tablet tab 500
Losartan + Hydrochlorothiazide 100mg +25mg tablet tab 330
Losartan + Hydrochlorothiazide 50mg +12.5mg tablet tab 500
Losartan 50mg tablet (as Potassium salt) tab 700
Mefenamic Acid 500mg cap/tab tab 4500
Methimazole 5mg tablet tab 200
Methylergometrine Maleate 200mcg/ml, 1ml amp (IM,IV) (as Hydrogen Maleate or Maleamp 200
Methylprednisolone 125mg/ml, 2ml vial + diluent vial (IM,IV) Iv infusion (as Sodium Suc vial 25
Methyprednisolone 16mg tablet tab 480
Metoprolol 100mg tablet (as Tartrate) tab 700
Metronidazole 125mg base/ 5ml suspension 60ml tab 150
Metronidazole 500mg tablet tab 1000
Metronidazole 5mg/ml, 100ml vial IV infusion vial 400
Montelukast 10mg tablet (as Sodium) tab 690
Naloxone 20mcg/ml, 2ml amp (IM,IV,SC) (as HCl) amp 100
Neostigmine 500mcg amp 20
Nicardipine 1mg/ml, 10ml amp (IV) (as HCl) amp 1000
Nicardipine HCI vial 430
Ofloxacin 0.3%, 5ml bottle ear drops solution bot 18
Ofloxacin Ophthalmic Drop 0.3%, 5ml bottle solution bot 38
Omeprazole 20mg capsule cap 2000
Omeprazole 40mg + 10ml solvent amp/vial (IV) vial 1512
Oxaliplatin 100mg/50ml vial 50
Paclitaxel 6mg/16.67 vial 247
Paclitaxel 6mg/5ml vial 138
Paracetamol 100mg/ml, (alcohol free), 15ml bot 100
Paracetamol 10mg/ml, 100ml solution for infusion (IV) vial 40
Paracetamol 150mg/ml, 2ml (IM,IV) vial 8200
Paracetamol 250mg/5ml (alcohol free), 60ml syrup/suspension bot 80
Penicillin G Crystalline (Benzylpenicillin) 1M "u" vl. (IM,IV) (as Sodium) vial 1990
Phenytoin 100mg capsule (as Sodium salt) cap 500
Phenytoin 50mg/ml, 2ml amp (IV)(as Sodium salt) amp 300
Phytomenadione (Phytonadione, vit.K1)10mg/ml, 1ml amp(IM,IV) amp 3500
Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam) per vial (IV infusion) (as vial 1080
Potassium 750mg durules (approx. equiv. to 10 mEq) tab 500
Prednisone 5mg tablet tab 1700
Propofol 10mg/ml amp 90
Propranolol 10mg tablet (as HCl) tab 800
Propranolol 40mg tablet (as HCl) tab 1000
Ranitidine 150mg tablet (as HCl) tab 1000
Ranitidine 25mg/ml, 2ml amp(IM,IV, IV infusion) (as HCl) amp 2000
Rifamcipin + Isoniazid + Pyrazinamide + Etahnbutol tab 1040
Rifampicin 150mg/Isoniazid 75mg tab 160
Rocuronium Bromide 10mg/ml, 5ml amp/vial (IV) amp 1000
Salbutamol 2mg/5ml, 60ml syrup (asSulfate) bot 130
Salbutamol MDI 100mcg/dose x 200 doses (as SO4) can 100
Sertraline 50mg tablet (as HCl) tab 2760
Sodium Bicarbonate 1mEq/ml, 50ml amp/vial (IV infusion) amp 410
Streptomycin 1g vial IM (as Sulfate) vial 630
Sucralfate 1g tablet tab 200
Suxamethonium (succinyl Choline) 20mg/ml, 10ml vial IV (as Chloride) vial 415
Tamoxifen 20mg tablet (as Citrate) tab 1000
Tamsulosin 200mcg capsule (as HCl) cap 280
Terbutaline 500mcg/ml, 1ml amp (IM,IV,SC) (as SO4) amp 50
Tetanus Toxoid 0.5ml ampule (IM) amp 1710
Tobramycin Ophthalmic drops 0.3%, 3.5g bottle bot 38
Tramadol 50mg/ml, 2ml ampule (IM,IV, SC) (as HCl) amp 300
Tranexamic Acid 500mg capsule cap 460
Zinc 10mg/ml drops bot 50
Zinc 20mg/5ml syrup bot 50
ALADIN M. PASCUAL
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
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-2018-03-
0016 Atorvastatin 40mg tab 1,000
Candesartan 8mg tab 476
Atorvastatin 20mg tab 4,000
01-28-b Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) vial (IM,IV) (as Sodium s vial 1,500
Ursodeoxycholic Acid 250mg capsule cap 300
01-190 Fluconazole 2mg/ml, 100ml vial (IV infusion) vial 20
01-403 Valproate disodium/ Valproic Acid 250mg/tab. (as disodium salt or as valproic acid) tab 8,000
01-454 Neostigmine 500mcg/ml, 1ml ampule (IM,IV,SC) (as Methylsulfate) amp 20
01-169 Dopamine 40mg/ml, 5ml amp./vial (IV) (as HCl) amp 200
001 -73 Cefepime 1g vial (IM,IV) (as Hcl) vial 300
01-84-a Ceftriaxone 1g vial (as Disodium/ Sodium salt) vial 2,000
Quetiapine 25mg tablet tab 200
01-295 Metronidazole 5mg/ml, 100ml vial IV infusion vial 500
01-246 Lactulose 3.3g/5ml (66% syrup), 120ml bottle bot 200
01-429 Sevoflurane 250ml bottle bot 20
01-112 Clarithromycin 125mg/5ml, 70ml granules/powder for suspension bot 50
01-137 Co-Amoxiclav 400mg/57mg/5ml,70ml granules/powder for suspension bot 50
01-264 Losartan + Hydrochlorothiazide 100mg +25mg tablet tab 500
01-357 Simvastatin 40mg tablet tab 1,000
0018 001-74 Cefepime 500mg vial (IM,IV) (as Hcl) vial 100
Cetirizine 60ml bot 50
001-126 Clonazepam 2mg tablet tab 7,500
0020 001-395 Budesonide Nebule 250mcg/ml, 2ml (unit dose) neb 200
Capecitabine 500mg tablet tab 100
001-78-A Cefixime 200mg capsule cap 700
Cytarabine 1g/10ml vial 68
Dextrose 5% Balanced Multiple Maint. Sol'n. 1000Ml set 612
Dextrose 5% in Water 1000ml set 120
Dextrose 5% 0.9 NaCl 1L set 120
001-167 Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) vial 100
001-421 Doxorubicin powder 10mg vial (IV) (as HCl) vial 200
Etoposide 20mg/ml, 5ml amp/vial (IV) amp 50
001-455 Gemcitabine 1g vial vial 50
Hydroxyurea 500mg tablet tab 200
001-225 Lidocaine 2%, 5ml polyamp (as HCl) polyamp 2,000
Potassium Chloride 2mEq/ml, 20ml vial (IV infusion) vial 380
Tamoxifen 20mg tablet (as Citrate) tab 700
Recapitulation: Recapitulation:
UACS Object
Stock No. Item Unit Quantity Unit Cost Total Cost
Code
001-138 Acetylcisteine 600mg effervesent tablet tab 700
001-21 Amoxicillin 500mg/cap. (as Trihydrate) cap 2,500
01-28-b Ampicillin Sulbactam (1000mg Ampicillin + 500mg Sulbactam) vial (IM,IV) (as Sodium s vial 1,500
001-35 Aspirin 80mg tablet tab 1,500
001-36 Atenolol 100mg tablet tab 1,000
001-36 Atenolol 50mg tablet tab 500
Atorvastatin 20mg tab 4,000
Atorvastatin 40mg tab 1,000
001-37 Atracurium Besylate 10mg/ml, 2.5ml amp. (IV) amp 250
001-395 Budesonide Nebule 250mcg/ml, 2ml (unit dose) neb 400
001-55 Bupivacaine 0.5%, 4ml/amp (spinal) w/ 8 dextrose (as Hcl) HEAVY amp 300
Candesartan 8mg tab 476
Capecitabine 500mg tablet tab 100
001-501 Carboplatin 450mg vial vial 100
001-68 Cefazolin 1g vial (IM,IV) (as Sodium salt) vial 500
001 -73 Cefepime 1g vial (IM,IV) (as Hcl) vial 600
001-74 Cefepime 500mg vial (IM,IV) (as Hcl) vial 100
001-78-A Cefixime 200mg capsule cap 700
001-84-A Ceftriaxone 1g vial (as Disodium/ Sodium salt) vial 4,000
001-88 Cefuroxime 500mg tablet (as Axetil) tab 1,250
001-91 Cefuroxime 750mg vial (IM,IV) (as Sodium salt) vial 1,500
001-92 Celecoxib 200mg capsule cap 7,500
Cetirizine 60ml bot 50
01-112 Clarithromycin 125mg/5ml, 70ml granules/powder for suspension bot 50
001-114 Clarithromycin 500mg tablet as base tab tab 250
001-126 Clonazepam 2mg tablet tab 7,500
01-137 Co-Amoxiclav 400mg/57mg/5ml,70ml granules/powder for suspension bot 50
Cobra Antivenom amp 100
Cytarabine 1g/10ml vial 75
Dextrose 5% 0.3 NaCl 500ml set 96
Dextrose 5% 0.9 NaCl 1L set 120
Dextrose 5% Balance Multiple Maint. Soln 500ml set 1,680
Dextrose 5% Balanced Multiple Maint. Sol'n. 1000Ml set 612
Dextrose 5% in Lactated Ringers 1000ml set 4,800
Dextrose 5% in Water 1000ml set 504
001-165 Dobutamine 2mg/ml, 250ml D5W (pre-mixed) (IV) (as Hcl) vial 276
001-167 Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) vial 100
01-169 Dopamine 40mg/ml, 5ml amp./vial (IV) (as HCl) amp 200
001-421 Doxorubicin powder 10mg vial (IV) (as HCl) vial 200
001-75 Epinephrine 1:1000 1mg/ml, 1ml amp (IM,SC) (as Hydrochloride) amp 1,000
001-178 Epoetin Alfa 4,000 IU/ 0.4ml, prefilled syringe IV,SC (Recombinant human erythropoeti amp 500
001-450 Erythromycin Ophthalmic Ointment 0.5%, 3.5g tube tab 40
Etoposide 20mg/ml, 5ml amp/vial (IV) amp 50
001-180 Fenofibrate 160mg tablet tab 480
01-190 Fluconazole 2mg/ml, 100ml vial (IV infusion) vial 20
001-455 Gemcitabine 1g vial vial 50
Human Albumin 20%, 50ml vial 450
Hydroxyurea 500mg tablet tab 200
001-235-A Isosorbide- 5- Mononitrate 30mg MR tablet/capsule cap 2,000
01-246 Lactulose 3.3g/5ml (66% syrup), 120ml bottle bot 200
001-225 Lidocaine 2%, 5ml polyamp (as HCl) polyamp 4,000
01-264 Losartan + Hydrochlorothiazide 100mg +25mg tablet tab 500
001-273 Meropenem 1g vial (IV) (as Trihydrate) vial 470
001-274 Meropenem 500mg vial (IV) (as Trihydrate) vial 169
Methotrexate 25mg/ml, 2ml amp/vial (IM,IV, Intrathecal) (as base) amp 450
01-295 Metronidazole 5mg/ml, 100ml vial IV infusion vial 1,700
001-298 Midazolam 1mg/ml, 5ml amp (IM,IV) amp 500
Midazolam 5mg/ml, 3ml amp (IM,IV) amp 500
Multivitamins 15ml bot 30
01-454 Neostigmine 500mcg/ml, 1ml ampule (IM,IV,SC) (as Methylsulfate) amp 20
001-306 Nicardipine 1mg/ml, 10ml amp (IV) (as HCl) amp 700
001-331 Omeprazole 20mg capsule cap 3,300
Oral Rehydration Solution sachet sach 1,000
001-331-A Piperacillin+Tazobactam (4g Piperacillin+500mg Tazobactam) per vial (IV infusion) (as vial 1,000
Plain NSS 1000ml set 12,000
Potassium Chloride 2mEq/ml, 20ml vial (IV infusion) vial 380
Quetiapine 25mg tablet tab 200
01-429 Sevoflurane 250ml bottle bot 20
01-357 Simvastatin 40mg tablet tab 1,000
Sodium Bicarbonate 1mEq/ml, 50ml amp/vial (IV infusion) amp 140
Tamoxifen 20mg tablet (as Citrate) tab 700
001-378 Tramadol 50mg/ml, 2ml ampule (IM,IV, SC) (as HCl) amp 9,000
Ursodeoxycholic Acid 250mg capsule cap 300
01-403 Valproate disodium/ Valproic Acid 250mg/tab. (as disodium salt or as valproic acid) tab 8,000
ALADIN M. PASCUAL
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
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
2018-02-086 CMPS STAPLER PC 3
Recapitulation: Recapitulation:
UACS Object
Stock No. Item Unit Quantity Unit Cost Total Cost
Code
FOLDER, TAGBOARD A4 PC 220
INK REFILL L210 CYAN BOT 3
INK REFILL L210 MAGENTA BOT 3
INK REFILL L210 YELLOW BOT 3
PAPER CLIP BIG BOX 16
PEN, PERMANENT PC 46
RIBBON CARTRIDGE EPSON 8750 CART 3
STAPLER PC 24
TAPE, PACKAGING 2" ROLL 10
TAPE, TRANSPARENT 1 " ROLL 17
TONER CART HP CE278A BLACK CART 14
TONER CART HP CE285A BLACK CART 45
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
2018-02-085 OB-GYNE WARD PAPER, COPY LEGAL REAM 3
PAPER, MULTI PURPOSE A4
ED BLOTTER REAM 4
PDS REAM 2
PMRF REAM 2
PAPER, MULTI PURPOSE LEGAL
CF2 REAM 3
CF1 REAM 2
DISCHARGE CLEARANCE REAM 2
CHECKLIST REAM 2
CHARGE SLIP REAM 1
NBB CASE RATE REAM 1
PROMISORY NOTE REAM 2
PMRF REAM 1
PAPER, MULTI PURPOSE LEGAL
CF2 REAM 3
CF1 REAM 2
DISCHARGE CLEARANCE REAM 4
CHECKLIST REAM 2
NBB CASE RATE REAM 1
NBB WITH EXCESS REAM 1
ED BLOTTER REAM 7
HISTORY REAM 1
PE REAM 1
PAPER, MULTI PURPOSE LEGAL
TPR REAM 2
TAGUBILIN FORM REAM 2
NURSES NOTES REAM 2
DOCTORS ORDER REAM 2
IV THERAPY SHEET REAM 2
PRE OP CHECKLIST REAM 2
2018-02-154 PEDIA WARD PAPER, MULTI PURPOSE A4
H-2018-02-002 HOUSEKEEPING UNIT GARBAGE BAG GREEN 37" x 40 x 100'S PACK 270
GARBAGE BAG RED 22" x 24 x 100'S PACK 165
GARBAGE BAG YELLOW 22" x 24 x 100'S PACK 215
GARBAGE BAG BLACK 37" x 40 x 100'S PACK 470
Recapitulation: Recapitulation:
UACS Object
Stock No. Item Unit Quantity Unit Cost Total Cost
Code
BATTERY DRY CELL AA PACK 31
BATTERY DRY CELL AAA PACK 32
CARTOLINA PC 247
CCF 2 PLY 280mm x 241mm BOX 5
CORRECTION TAPE PC 41
DATA FILE BOX PC 210
ENVELOPE DOCUMENTARY A4 PC 120
FASTENER FOR PAPER BOX 28
FOLDER, EXPANDED PC 600
FOLDER, TAGBOARD A4 PC 195
GARBAGE BAG GREEN 37" x 40 x 100'S PACK 270
GARBAGE BAG RED 22" x 24 x 100'S PACK 165
GARBAGE BAG YELLOW 22" x 24 x 100'S PACK 215
GARBAGE BAG BLACK 37" x 40 x 100'S PACK 470
GESTETNER COPY PRINTER INK CP17 PC 120
GLUE BOT 31
INK CARTRIDGE HP 704 BLACK CART 5
INK CARTRIDGE HP 704 COLORED CART 1
PAPER, COPY A4 REAM 225
PAPER, COPY LEGAL REAM 216
PAPER, MULTI PURPOSE A4 REAM 413
PAPER, MULTI PURPOSE LEGAL REAM 126
PEN, HIGHLIGHTER PC 15
PLASTIC COVER YARD 67
PLASTIC TWINE ROLL 6
PUNCHER PC 5
RECORD BOOK 300PP BOOK 126
RIBBON, CARTRIDGE,EPSON RN SO 15086 CART 10
SCISSOR PAIR 1
STAPLE WIRE NO. 35 BOX 100
TAPE, MASKING 1" ROLL 31
TAPE, PACKAGING 2" ROLL 2
TONER CART HP Q2612A BLACK CART 7
T-SHIRT PC 25
ALADIN M. PASCUAL
Administrative Officer III - OIC Materials Management Section Signature over Printed Name of Designated Date
Accounting Staff
01--1 Acetylcisteine 600mg effervesent tablet tab 300
01-5-A Aciclovir 400mg tablet tab 500
01-15-A Amlodipine 5mg tablet (as Besylate or Camsylate) tab 2500
01--21 Amoxicillin 500mg/cap. (as Trihydrate) cap 2500
01--35 Aspirin 80mg tablet tab 1000
Baclofen 10mg tablet tab 500
01--48 Bisacodyl 10mg adult suppository supp 1000
01--50 Budesonide + Formoterol 160/4.5mcg/ unit dose canister 10
01-395 Budesonide Nebule 250mcg/ml, 2ml (unit dose) neb 330
Capecitabine 500mg tablet tab 100
01-71-A Cefazolin 1g vial (IM,IV) (as Sodium salt) vial 1000
01--81 Cefoxitin 1g vial (IM,IV) (as Sodium salt) vial 2000
01-101 Chloramphenicol 1g vial (IM,IV) (as Sodium Succinate) vial 200
Chlorpromazine 100mg tablet (as HCl) tab 15000
01-106 Chlorpromazine 200mg tablet (as HCl) tab 38700
01-108 Ciprofloxacin 500mg tablet (as Hydrochloride) tab 2500
01-133-A Clozapine 100mg tablet tab 15000
01-139 Co-Amoxiclav 625mg tablet (as Trihydrtate) tab 2000
01-146 Cyclophosphamide 1g vial (IV) vial 150
01-147 Cyclophosphamide 500mg vial (IV) vial 100
Dextrose 10% in Water 500ml set 552
Dextrose 5% 0.3 NaCl 500ml set 552
Dextrose 5% 0.9 NaCl 1L set 240
Dextrose 5% Balanced Multiple Maint. Sol'n. 1000Ml set 240
Dextrose 5% in Lactated Ringers 1000ml set 6000
Dextrose 5% in Water 500ml set 480
Docetaxel 20mg/0.5ml vial vial 20
01-168-A Dopamine 200mg/250ml D5W (premixed) (IV) (as HCl) vial 200
01-421 Doxorubicin powder 50mg vial (IV) (as HCl) vial 100
01-174 Epinephrine 1:1000 1mg/ml, 1ml amp (IM,SC) (as Hydrochloride) amp 1000
Epoetin Alfa 10,000 IU/ml, prefilled syringe IV,SC (Recombinant human erythropoetin) p.syr 20
01-178-A Epoetin Alfa 4,000 IU/ 0.4ml, prefilled syringe IV,SC (Recombinant human erythropoetin) amp 500
Escitalopram 10mg tab (as oxalate) tab 5000
01-422 Fluorouracil 50mg/ml, 10ml amp/vial (IV, IV Infusion) amp 300
01-455 Gemcitabine 200mg vial vial 50
Human Albumin 20%, 50ml vial 500
01-217 Hydroxyethyl starh 6% solution 500ml bottle (IV infusion) bot 200
01-221-A Hydroxyzine 50mg/ml, 1ml (IM,IV) amp 200
01-231 Isoflurane 100ml bottle bot 25
01-243-A Ketorolac 30mg/ml, 1ml (IM,IV) (asTrometamol) amp 3000
01-251-A Levoflacin 5mg/ml solution for IV infusion, 1000ml vial 25
01-505 Losartan + Hydrochlorothiazide 50mg +12.5mg tablet tab 1000
01-268-A Magnesium Sulfate 250mg/ml, 20ml amp (IM,IV) (as Heptahydrate) amp 260
01-270 Mefenamic Acid 500mg cap/tab tab 15000
01-453 Methyldopa 250mg tablet tab 2000
01-259 Metoprolol 100mg tablet (as Tartrate) tab 3000
01-295 Metronidazole 5mg/ml, 100ml vial IV infusion vial 1000
01-306-A Nicardipine 1mg/ml, 10ml amp (IV) (as HCl) amp 1200
01-308-A Norepinephrine 1mg/ml, 2ml amp (IV infusion) (as Bitartrate) amp 300
Olanzapine 10mg tablet tab 5000
Omeprazole 40mg capsule cap 2000
01-315 Oxacillin 500mg vial 750
01-458 Paclitaxel 100mg vial vial 200
01-459 Paclitaxel 30mg vial vial 100
Paracetamol 10mg/ml, 100ml solution for infusion (IV) vial 50
01-320 Paracetamol 500mg tablet tab 4000
Plain NSS 1000ml set 10800
01-332 Potassium 750mg durules (approx. equiv. to 10 mEq) tab 800
Rabbies Vaccine 0.5ml amp 50
01-336 Ranitidine 25mg/ml, 2ml amp(IM,IV, IV infusion) (as HCl) amp 500
Water for Injection, 50ml vial vial 3000
Zinc 20mg/5ml syrup bot 50
BTI 0049 CSR
BTI 0049 CSR
BTI 0054 PHARMACY
BTI 0054 PHARMACY
Absorbent Gauze with X- Ray detector, unsterile, mesh 36 x100 yards bolt
Syringe irrigating with tip cover, universal fit, soft bulb-- pc
Povidone Iodine antiseptic 10%, Betadine gal
Boufant caps, 100's (Box) pack
Cautery Pad pc
Cautery pencil pc
Cold sterilant, high level disinfectant- 2% gluteraldehyde only, 30 days bath stability, Cidex/Metricide gal
Endotracheal Tube 6.5 mm cuffed pc
Lubricating Gel, Sterile 3 gms 100/Box box
Nebulizer Kit pc
Gloves, surgical, sterile long cuff s-7.5, 50's box
Mask, Surgical, 50's tie on/ box box
Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box
Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box
Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box
Thermometer, Digital pc
Wound Drainage 150cc capacity pc
Syringe, Disposable, 5ml, terumo box
Mask, Surgical, 50's tie on/ box box
Mask, Surgical, 50's tie on/ box box
Tongue Depressor, 100's box
Chromic 3.0 Round Needle, 12's doz
Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box
Mask, Surgical, 50's tie on/ box box
Povidone Iodine antiseptic 10%, Betadine gal
Mask, Surgical, 50's tie on/ box box
Mask, Surgical, 50's tie on/ box box
Thermal Paper, Ultrasound roll
Absorbent Gauze with X- Ray detector, unsterile, mesh 36 x100 yards bolt
Povidone Iodine cleanser 7.5%, Betadine gal
Cautery pencil pc
Cord Clamp pc
Needles Disposable G.18, 100's box
Needles Disposable G.25, 100's box
Needles Disposable G.26, 100's box
Chest leads, Adult, 50's pack
Endotracheal Tube 2.5 mm uncuffed pc
Endotracheal Tube 3.0 mm uncuffed pc
Endotracheal Tube 4.5 mm uncuffed pc
Epidural set G. 18 pc
Gloves, surgical, sterile long cuff s-7 ½, 50's box
Suction Tip fr.16 55cm pc
Suction Tip fr.05 45cm pc
Blade, surgical #22,100's, Sharp (Stainless) (Box) box
Mask, Surgical, N-95/ particulate/20s box
Mask, Surgical, 50's tie on/ box box
Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box
Syringe w/ Needle (Luer Lock) 1cc, Disposable (100's) box
Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box
Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box
Urinal, Plastic pc
Surgical Suture, Chromic 2.0 single arm round doz
Surgical Suture, Chromic 2.0 double arm (round-cutting) doz
Surgical Suture, Silk 0 strands doz
Surgical Suture, Silk 2.0 w/ round needle doz
Surgical Suture, Silk 3.0 w/ round needle doz
Synthetic absorbable multifilament braided dyed coated w/ antibacterial 0 round needle doz
Surgical Suture, Plain 2.0 round needle doz
Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot
Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot
Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot
Absorbent Gauze with X- Ray detector, unsterile, mesh 36 x100 yards bolt
Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot
Asepto syringe pc
Povidone Iodine antiseptic 10%, Betadine gal
Elastic bandage S – 4 inches (Stretchable) pc
Epidural set G. 18 pc
Nebulizer Kit pc
Sodalime, absorbent pail
Polycups, specimen container w/ cover, callibrated pc
Spinal needle G. 25 pc
Gloves, sterile s-6 ½, 50's box
Mask, Surgical, N-95/ particulate/20s box
Mask, Surgical, 50's tie on/ box box
Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box
Syringe w/ Needle (Luer Lock) 3cc, Disposable (100's) box
Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box
Tracheostomy Tube, F. 8.0 pc
Urine Bag, w/ Non-Return Valve, w/ hanger, 1L, calibrated 1000-1200 ml pc
ECG tracing paper for 3 channels pc
Nasogastric Tube fr .10, 100cm long pc
Nasogastric Tube fr .12, 125 cm long pc
Nasogastric Tube fr .14, 125cm long pc
Nasogastric Tube fr .16, 125cm long pc
Nasogastric Tube fr .18, 125cm, long pc
Nasogastric Tube fr .08, 100cm long pc
Nasogastric Tube fr .05, 100cm long pc
Thoracic catheter fr.36 pc
Titanized Polymers 4"x6" , non absorbable mesh pc
Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot
Syringe, Disposable, 5ml, terumo box
Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot
Gloves, sterile s-6 ½, 50's box
Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot
Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot
Povidone Iodine antiseptic 10%, Betadine gal
Absorbent Gauze, unsterile, mesh, 36 x100 yards bolt
Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot
Asepto syringe pc
Bouffant caps, 100's (Box) pack
Chlorhexidine cleanser, 5liters (Gal) gal
Colostomy Bag, Adult pc
Cotton Balls pack
Nasal Cannula 02, adult pc
Nasal Cannula 02, neonate pc
Nasal Cannula 02, pedia pc
Gloves, sterile s-6 ½, 50's box
Gloves, sterile s-7, 50's box
Gloves, sterile s-7 ½, 50's box
Suction Tip fr.14 50cm pc
Suction Tip fr.16 55cm pc
Syringe w/ Needle (Luer Lock) 10cc, Disposable (100's) box
Syringe w/ Needle (Luer Lock) 1cc, Disposable (100's) box
Syringe w/ Needle (Luer Lock) 5cc, Disposable (100's) box
Urine Bag, w/ Non-Return Valve, w/ hanger, 1L, calibrated 1000-1200 ml pc
Yankuer Suction Connecting Tube, Double packing with pool drain suction (Universal Connecting tube 210-250cm) pc
Connecting tube (Suction) pc
Cannulation Kit G. 18 pc
Cannulation Kit G. 20 pc
Cannulation Kit G. 22 pc
Cannulation Kit G. 24 pc
Cannulation Kit G. 26 pc
Polycups, specimen container w/ cover, callibrated pc
Thoracic catheter fr.28 pc
Thoracic catheter fr.32 pc
Surgical Suture, Chromic 1 w/ round needle doz
Surgical Suture, Silk 2.0 w/ round needle doz
Surgical Suture, Silk 3.0 w/ round needle doz
Synthetic absorbable multifilament braided dyed coated w/ antibacterial 0 round needle doz
Gloves, sterile s-7, 50's box
EEG gel/paste, ten20 conductive paste jar
Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot
Alcohol Rubbing, 500ml 70%, isoprophyl, (BOTTLE) bot
Cotton Balls pack
Absorbent Gauze, unsterile, mesh, 36 x100 yards bolt
Gloves, sterile s-6 ½, 50's box
Gloves, sterile s-7, 50's box
36
300
20
20
300
300
20
50
50
200
60
80
60
75
60
400
50
24
10
2
2
2
1
10
4
5
10
20
48
10
300
500
30
30
30
40
50
50
50
80
7
500
500
10
320
40
24
16
75
60
200
20
30
10
20
15
18
20
4
3
3
21
360
300
20
82
40
200
2
2,800
500
80
160
23
24
65
24
9
500
50
100
100
200
200
200
300
300
50
5
3
24
36
5
4
36
2
70
180
200
30
20
200
780
400
250
500
30
80
80
500
700
60
72
36
500
250
400
300
150
150
200
200
5,400
30
25
20
5
20
18
4
3
2
10
20
1
5
5
100
500
500
300
200
300
50
50
60
60
500
10
4
10
10
65
920
920
560
5
10
50
60
60
100
100
1,550
34
500
5
15
96
500
500
450
200
50
50
80
30
60
24
5
50
50
200
5
50
400
25
5
10
10
35
137
96
200
24
24
600
40
80
12
5
IGI 2018-02-086 CMPS
IGI 2018-02-089 CASHIER SECTION
IGI 2018-02-089 CASHIER SECTION
IGI 2018-02-089 CASHIER SECTION
IGI 2018-02-089 CASHIER SECTION
IGI 2018-02-090 PHARMACY SECTION
IGI 2018-02-090 PHARMACY SECTION
IGI 2018-02-090 PHARMACY SECTION
IGI 2018-02-090 PHARMACY SECTION
IGI 2018-02-090 PHARMACY SECTION
IGI 2018-02-093 HRMS
IGI 2018-02-093 HRMS
IGI 2018-02-093 HRMS
IGI 2018-02-093 HRMS
IGI 2018-02-093 HRMS
IGI 2018-02-095 BILLING AND CLAIMS
IGI 2018-02-095 BILLING AND CLAIMS
IGI 2018-02-097 OMCC
IGI 2018-02-098 ORL-HNS
IGI 2018-02-098 ORL-HNS
IGI 2018-02-098 ORL-HNS
IGI 2018-02-100 PSYCHIATRY WARD
IGI 2018-02-101 ANESTHESIOLOGY DEPARTMEN
IGI 2018-02-102 ENG'G. AND FACILITIES UNIT
IGI 2018-02-102 ENG'G. AND FACILITIES UNIT
IGI 2018-02-102 ENG'G. AND FACILITIES UNIT
IGI 2018-02-102 ENG'G. AND FACILITIES UNIT
IGI 2018-02-102 ENG'G. AND FACILITIES UNIT
IGI 2018-02-102 ENG'G. AND FACILITIES UNIT
IGI 2018-02-102 ENG'G. AND FACILITIES UNIT
IGI 2018-02-104 ACCOUNTING SECTION
IGI 2018-02-104 ACCOUNTING SECTION
IGI 2018-02-104 ACCOUNTING SECTION
IGI 2018-02-104 ACCOUNTING SECTION
IGI 2018-02-105 CLINICAL LABORATORY
IGI 2018-02-108 CAO OFFICE
IGI 2018-02-108 CAO OFFICE
IGI 2018-02-108 CAO OFFICE
IGI 2018-02-108 CAO OFFICE
IGI 2018-02-108 CAO OFFICE
IGI 2018-02-109 DELIVERY ROOM/OR
IGI 2018-02-109 DELIVERY ROOM/OR
IGI 2018-02-109 DELIVERY ROOM/OR
IGI 2018-02-109 DELIVERY ROOM/OR
IGI 2018-02-110 MEDICAL INTENSIVE CARE UNI
IGI 2018-02-114 DENTAL SECTION
IGI 2018-02-114 DENTAL SECTION
IGI 2018-02-115 PAY 2
IGI 2018-02-116 MATERIALS MANAGEMENT SEC
IGI 2018-02-116 MATERIALS MANAGEMENT SEC
IGI 2018-02-116 MATERIALS MANAGEMENT SEC
IGI 2018-02-116 MATERIALS MANAGEMENT SEC
IGI 2018-02-117 OR-SICU
IGI 2018-02-117 OR-SICU
IGI 2018-02-117 OR-SICU
IGI 2018-02-120 PROCUREMENT SECTION
IGI 2018-02-121 EMERGENCY DEPARTMENT
IGI 2018-02-121 EMERGENCY DEPARTMENT
IGI 2018-02-124 ORTHO WARD
IGI 2018-02-125 FAMILY AND COMMUNITY MEDI
IGI 2018-02-127 HOUSEKEEPING UNIT
IGI 2018-02-129 SICU
IGI 2018-02-132 FMO II
IGI 2018-02-132 FMO II
IGI 2018-02-133 NUTRITION AND DIETETICS SER
IGI 2018-02-134 TRANSPORT UNIT
IGI 2018-02-134 TRANSPORT UNIT
IGI 2018-02-135 BAC
IGI 2018-02-135 BAC
IGI 2018-02-139 OPD PSYCHIATRY
IGI 2018-02-140 BILLING AND CLAIMS
IGI 2018-02-140 BILLING AND CLAIMS
IGI 2018-02-143 SOCIAL SERVICE SECTION
IGI 2018-02-143 SOCIAL SERVICE SECTION
IGI 2018-02-146 ADMITTING SECTION
IGI 2018-02-147 HEALTH INFORMATION MANAG
IGI 2018-02-147 HEALTH INFORMATION MANAG
IGI 2018-02-152 PHARMACY SECTION
IGI 2018-02-155 NICU
IGI 2018-02-155 NICU
IGI 2018-02-157 MEDICAL WARD
ED BLOTTER REAM 4
PAPER, COPY LEGAL REAM 5
PAPER, COPY A4 REAM 5
STAPLE WIRE NO. 35 BOX 5
PLASTIC COVER YARD 5
RECORD BOOK 300PP BOOK 5
ENVELOPE DOCUMENTARY A4 PC 20
GLUE BOT 1
SCISSOR PAIR 1
FASTENER FOR PAPER BOX 5
CORRECTION TAPE PC 3
PAPER, MULTI PURPOSE A4
PDS REAM 2
PAPER, COPY A4 REAM 5
PAPER, COPY LEGAL REAM 5
PAPER, MULTI PURPOSE A4
PMRF REAM 2
PAPER, MULTI PURPOSE LEGAL
CF2 REAM 3
CF1 REAM 2
DISCHARGE CLEARANCE REAM 2
CHECKLIST REAM 2
CHARGE SLIP REAM 1
NBB CASE RATE REAM 1
PROMISORY NOTE REAM 2
PAPER, MULTI PURPOSE A4
TPR REAM 2
EVERY SHIFT I & O REAM 1
OXYGEN CONSUMPTION REAM 1
NURSES NOTES REAM 2
DOCTORS ORDER REAM 2
INFORMED CONSENT REAM 1
KARDEX REAM 1
PAPER, MULTI PURPOSE LEGAL
PMRF REAM 1
PAPER, MULTI PURPOSE LEGAL
CF2 REAM 3
CF1 REAM 2
DISCHARGE CLEARANCE REAM 4
CHECKLIST REAM 2
NBB CASE RATE REAM 1
NBB WITH EXCESS REAM 1
PAPER, MULTI PURPOSE A4
ED BLOTTER REAM 7
TAPE, MASKING 1" ROLL 10
CORRECTION TAPE PC 5
GLUE BOT 5
STAPLE WIRE NO. 35 BOX 5
PLASTIC TWINE ROLL 2
PAPER, COPY A4 REAM 15
PAPER, COPY LEGAL REAM 10
PAPER, MULTI PURPOSE A4
HISTORY REAM 1
PE REAM 1
PAPER, MULTI PURPOSE LEGAL
TPR REAM 2
TAGUBILIN FORM REAM 2
NURSES NOTES REAM 2
DOCTORS ORDER REAM 2
IV THERAPY SHEET REAM 2
PRE OP CHECKLIST REAM 2
PAPER, MULTI PURPOSE A4
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-2018-03-
0021 Bloodbank HBsAg, EIA, 480't kit 4
HIV Ag/Ab, EIA, 480't kit 4
Syphilis kit 2
HBsAg, Chemilu, 100't kit 6
HCV Ab, Chemilu, 100't kit 6
HIV Ag/Ab, Chemilu, 100't kit 6
Syphilis/ Anti-TP, Chemilu, 100't kit 2
0022 Clin. Lab. Bld. Culture media for both pedia and adult, anaerobic bot 100
Multisampler needle g.21 disposable box 40
Oral Glucose Tolerance Test beverage 75 gms (OGTT) bot 60
Evacuated red top, 5ml, glass, 100's box 30
Test for Phosphorous, dry method, 60's kit 5
SGPT / ALT reagent, wet method, Dimension kit 1
Absolute alcohol, AR, 2.5l bot 12
Xylene/Xylol, AR, 2.5/bot bot 20
Calibration Plasma for coagulation machine (coapresta 2000) vial 10
Control Reagent for Coagulation Assay (coapresta 2000) vial 20
Cuvette for coagulation assay, (coapresta 2000) box 1
Prothrombin time reagent (coapresta 2000) vial 20
Control for hematology Analyzer, 5 diff. part, SYSMEX set 2
Stain reagent for NRBC, fully automated hematology, Fluorocell WNR box 1
Stain reagent for WBC diff. ct. fully automated hematology,Fluorocell box 2
Lyse reagent for WBC differential for 5 part analyzer, LYSERCELL W box 1
Diluent reagent for 5 part hematology analyzer (Cell pack) box 3
Sheath /diluent reagent for automated urinalysis box 3
Bun reagent, dry method, 60's, Vitros kit 10
Creatinine reagent, dry method, 60's, Vitros kit 15
Glucose reagent, dry method, 60's, Vitros kit 10
Total protein reagent, dry method, 50's, Vitros kit 5
Uric Acid reagent, dry method, 60's, Vitros kit 10
Albumin reagent, dry method, 50's, Vitros kit 5
Cholesterol reagent, total, Dry method, 60's, Vitros kit 10
Triglyceride reagent, dry method, 60's Vitros kit 10
AST/SGOT reagent, dry method, 60's, Vitros kit 10
ALT/SGPT reagent, dry method, 60's Vitros kit 10
Electrolyte reagent (Cl), dry method, 50's, Vitros kit 10
Electrolyte reagent (K), dry method, 60's, Vitros kit 10
Calibrator kit 1 for chemistry, dry method, 6's, Vitros set 2
Calibrator kit 2 for chemistry, dry method, 8's, Vitros set 2
Calibrator kit 3 for chemistry, dry method, 6's, Vitros set 2
Calibrator kit 4 for chemistry, dry method, 8's, Vitros set 2
Test for serum magnessium, dry method, 60's, Vitros kit 5
BUBC reagent, dry method, Vitros kit 10
Total/ direct bilirubin, dry method, 60's, Vitros kit 10
Versa tips for chemistry analyzer, 1000's box 5
Electrolyte reagent (N, K, CL), wet method, AUDICOM kit 5
Sample cups w/ lid for chemistry analyzer (v) bag 1
C3 reagent, plate (FAS) plate 4
Recapitulation: Recapitulation:
Quantity UACS Object
Stock No. Item Unit Unit Cost Total Cost
Issued Code
ALADIN M. PASCUAL
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
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-2018-03-
0022 Clin. Lab. Bld. Culture media for both pedia and adult, anaerobic bot 200
Troponin I test, quantitative, 10's box 3
Electrolyte reagent (N, K, CL), wet method, CYBERTEC kit 5
Petri dish, disposable with no compartment, small pc 2000
Recapitulation: Recapitulation:
Quantity UACS Object
Stock No. Item Unit Unit Cost Total Cost
Issued Code
Bld. Culture media for both pedia and adult, anaerobic bot 200
Electrolyte reagent (N, K, CL), wet method, CYBERTEC kit 5
Malaria, Rapid, 25't kit 80
Petri dish, disposable with no compartment, small pc 2000
Stain reagent for WBC diff. ct. fully automated hematolgy, (FD dye) kit 10
Troponin I test, quantitative, 10's box 3
TSH rgt (Abbott) kit 2
Urine Strip, 10 parameter box 20
ALADIN M. PASCUAL
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
Serial No. :
Fund Cluster: Date :
To be filled up by the Supply and/or Property Division/Unit To be filled up by the Accounting Division/Unit
CLS-2018-02- Clin. Lab. Sheath /diluent reagent for automated urinalysis box 2 IGI
0017 Diluent reagent for sediment for automated urinalysis box 1 IGI
Stain reagent for bacteria for automated urinalysis box 2 IGI
Stain reagent for sediments for automated urinalysis box 2 IGI
FT3 rgt (Advia centaur) kit 1 IGI
HAV IgM rgt (Advia centaur) kit 1 IGI
HBct rgt (Advia centaur) kit 2 IGI
BHCG rgt (Abbott architect) kit 1 IGI
HbsAg rgt (Abbott architect) kit 1 IGI
Anti HbeAg rgt (Abbott architect) kit 1 IGI
AFP rgt (Abbott architect) kit 1 IGI
CEA rgt (Abbott architect) kit 1 IGI
Ferritin rgt (Abbott architect) kit 2 RAF
Leptospira SD box 4 IGI
Reactive Vessels (advia centaur) set 2 IGI
Electrolyte reagent (N, K, CL), wet method, Cybertech set 5 RAF
Petri dish, disposable with no compartment, small pc 1000 IGI
Piperacillin disc cart 30 IGI
Ticarcillin-clavulanic acid cart 20 IGI
CLS-2018-02- Bloodbank Blood collecting bag, Double, 450ml, CPDA-1 pc 2000 RAF
0018 Blood collecting bag, Triple, 450ml, CPDA-1 pc 2000 RAF
Blood collecting bag, Single, 450ml, CPDA-1 pc 2000 RAF
HCV Ag/Ab, EIA, 480't kit 4 RAF
CLS-2018-02- Clin. Lab. Cuvette segments, Horiba ABX, wet method box 30 IGI
0019 Sample cups w/ lid for chemistry analyzer bag 5 IGI
Plastic tips, yellow, disposable,1000/bag bag 5 IGI
HDL cholesterol reagent, wet method, ABX pentra kit 1 IGI
Phosphorus reagent, dry method kit 5 IGI
Uric Acid reagent, dry method, 60's kit 5 IGI
Diluent reagent for 5 hematology analyzer, Cellpack box 4 IGI
Petri dish, disposable with no compartment, small pc 2000 IGI
McConkey agar, 500 grams bot 5 IGI
Isovitalex 5's, 10ml box 2 IGI
Petri dish, large disposable pc 200 IGI
Evacuated lavander top 3ml, 100's box 48 RAF
Evacuated red top , 5ml, glass, 100's box 36 IGI
Tumor marker plus control (Biorad) set 1 IGI
Multisampler needle g.21 disposable box 40 IGI
Pediatric Collecting Tube (minicollect 0.5ml), EDTA 50's box 40 IGI
Lyse reagent for basophils for 5 part analyzer, Lysercell WDF box 1 RAF
Lyse reagent for WBC differential for 5 part analyzer, LYSERCELL WNR box 1 RAF
CLS-2018-02- Clin. Lab. Evacuated lavander top 3ml, 100's box 60 RAF
0020 Evacuated red top , 5ml, glass, 100's box 20 IGI
Petri dish, large disposable pc 200 IGI
Urine strip, 10 parameter box 20 IGI
Oral Glucose Tolerance Test beverage 75 gms (OGTT) bot 60 IGI
HDL reagent, dry method, 60's kit 5 IGI
Occult blood reagent box 200 IGI
Bld. Culture media for both pedia and adult, anaerobic bot 300 IGI
Lugol's Iodine, 1L bot 1 IGI
Giemsa Stain Kit box 5 IGI
Pregnancy test reagent - Serum/ urine box 10 IGI
Sheath/diluent reagent for automated urinalysis box 3 IGI
Diluent reagent for bacteria for automated urinalysis box 1 IGI
Diluent reagent for sediment for automated urinalysis box 1 IGI
Liquid performance verifier 1 for CSF test, 6's/box set 1 IGI
Liquid performance verifier 2 for CSF test, 6's/box set 1 IGI
Anti Hbs rgt (FAS) kit 2 IGI
Anti HCV rgt (FAS) kit 1 IGI
HbsAg WB rapid kit 5 IGI
TSH3 UL rgt (FAS) kit 3 IGI
Prothrombin time reagent (Technoclot PT Plus) vial 30 RAF
Control Reagent for Coagulation Assay (Technoclot) vial 20 RAF
Cuvette for coagulation assay, (Thrombolyzer) box 1 RAF
Diluent reagent for 5 hematology analyzer, Cellpack box 2 IGI
Troponin I test, qualitative, 30's box 5 IGI
Cover glass 24 x 56/ 100's box 200 IGI
Ehtyl alcohol, 95%, AR, 2.5L bot 24 IGI
Recapitulation: Recapitulation:
UACS Object
Stock No. Item Unit Quantity Unit Cost Total Cost
Code
I hereby certify to the correctness of the above information. Posted by:
ALADIN M. PASCUAL
Administrative Officer III - OIC Materials Management Section Signature over Printed Name of Designated Date
Accounting Staff
MM-007-1
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
Serial No. :
Fund Cluster: Date :
To be filled up by the Supply and/or Property Division/Unit To be filled up by the Accounting Division/Unit
CLS-2017- Clin. Lab. Activated Partial Thromboplastin Time reagent, (Siron SL) vial 20
10-112 Blood Collecting Tube, Gold Top with Gel Separator, 3.5ml box 18
Bun reagent, wet method, Siemens Dimension kit 2
Calcium Chloride (Thrombolyzer) bot 10
Control reagent for Coagulation Assay (Technoclot control) vial 40
Creatinine reagent, wet method, Siemens Dimension kit 2
Cuvette for coagulation assay, (Thrombolyzer) box 2
Cuvettes (FAS) box 1
Electrolyte reagent (N, K, CL), wet method, Cybertech kit 3
Evacuated blue top 1.8ml, 3.2% preferably plastic box 20
Evacuated lavander top 3ml, 100's box 24
Glucose reagent, wet method, Siemens Dimension kit 1
Hemoglobin A1C reagent (Humanex A1C) kit 1
Multisampler needle g.21 disposable box 40
Occult blood reagent box 3
Oral Glucose Tolerance Test beverage 75 gms (OGTT) bot 120
Petri dish, large, disposable pc 400
Petri dish, disposable with no compartment, small pc 500
Plastic tips, blue, disposable, 250/bag bag 4
Prothrombin time reagent (Technoclot PT Plus) vial 40
QC reagent, bi-level for automated urinalysis box 1
CLS-2017- Clin. Lab. Activated Partial Thromboplastin Time reagent, CP 2000 vial 10
10-117 Calcium Chloride for coagulation analyzer, CP 2000 vial 10
Control reagent for Coagulation Assay, CP 2000 vial 20
Cuvette for coagulation assay, CP 2000 box 1
Prothrombin time reagent CP 2000 vial 20
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
Absolute alcohol, AR, 2.5l bot 20
Acetone, AR, 1 Lit bot 11
Activated Partial Thromboplastin Time reagent, (Siron SL) vial 20
Activated Partial Thromboplastin Time reagent, CP 2000 vial 10
Albumin reagent, dry method, 50's kit 5
Albumin reagent, wet method kit 2
Alkaline Phosphatase reagent, dry method, 60's kit 5
Amylase reagent, dry method, 60's kit 5
Anti-Hbc (Chemilu), Siemens kit 2
Anti-Hbe (Chemilu), Siemens kit 2
Anti-HbsAg (Chemilu), Siemens kit 2
Anti-Hbs (Chemilu), Siemens kit 1
AST, Siemens box 3
AST/SGOT reagent, wet method, Dimension kit 2
Bilirubin reagent for pedia, dry method, 60's kit 5
Bld. Culture media for both pedia and adult, aerobic, plastic bot 1500
Blood collecting bag, single, 450ml, CPDA-1 pc 1500
Blood collecting bag, triple, 450ml, CPDA-1 pc 1000
Blood Collecting Tube, Gold Top with Gel Separator, 3.5ml box 18
Blood lancet 200's box 10
Bun reagent, wet method, Siemens Dimension kit 2
CA 19-9 kit 1
Ca-125, Siemens kit 1
Ca-19, Siemens kit 1
Calcium Chloride (Thrombolyzer) bot 10
Calcium Chloride for coagulation analyzer, CP 2000 vial 10
Calibrator for chem I, wet method, Siemens kit 1
Calibrator for chem II, wet method, Siemens kit 1
CK MB reagent, dry method, 60's kit 5
Control for Chemistry, wet method 1 and 2, 5 vials/kit kit 2
Control reagent for Coagulation Assay (Technoclot control) vial 40
Control reagent for Coagulation Assay, CP 2000 vial 20
Cover glass 24 X 56/100's box 100
Creatinine reagent, wet method, Dimension kit 2
Creatinine reagent, wet method, Siemens Dimension kit 2
CSF protein reagent, dry method, 18's kit 10
Cuvette for coagulation assay, (Thrombolyzer) box 2
Cuvette for coagulation assay, CP 2000 box 1
Cuvettes (FAS) box 1
Cuvettes for Chemistry, wet method box 2
Cytocolor reagent, Germany/US box 2
Dengue NS1 rapid test 25's box 1
Diluent reagent for 5 part hematology analyzer (Cell pack) box 6
Diluent reagent for 5 part hematology analyzer (M-68 D5 Diluent) box 6
Diluent reagent for 5 part hematology analyzer, Cellpack box 3
Diluent reagent for 5 part hematology analyzer, M-68 box 5
Diluent reagent for bacteria for automated urinalysis box 1
Diluent reagent for sediment for automated urinalysis box 1
Electrolyte reagent (CI), dry method, 50's kit 15
Electrolyte reagent (N, K, CL), wet method, Audicom set 9
Electrolyte reagent (N, K, CL), wet method, Cybertec set 2
Eosin solution 500 ml/bot bot 8
Ethyl alcohol, 95%, AR, 2.5l bot 5
Evacuated blue top 1.8ml, 3.2% preferably plastic box 20
Evacuated lavander top 3ml, 100's box 24
Evacuated red top , 5ml, glass, 100's box 30
Formalin, bot, buffered 10% 2.5lit bot 16
Formalin2.5lit/botAR bot 20
FT4, Siemens kit 5
Giemsa Stain Kit kit 4
Glass slides, frosted ends box 100
Glass slides, plain, 72's box 150
Glucose reagent, dry method, 60's kit 5
Glucose reagent, wet method, Siemens Dimension kit 1
HBsAg, (ABBOTT), 100't (Reagent, Calib, Ctl) kit 1
HBsAG, Chemilu, 100't kit 5
HBsAg, EIA, 480't kit 1
HCV Ab, Chemilu, 100't kit 5
HCV Ag/Ab, EIA, 480't kit 1
HDL calibrator, wet method, Siemens kit 1
HDL cholesterol reagent, wet method, Dimension kit 1
Hematoxylin solution, 500ml/bot bot 4
Hemoglobin A1C reagent (Humanex A1C) kit 1
Hemoglobin A1C reagent, Drew kit 2
Hemoglobin Strip/ Hemocue, 50't tube 60
HIV Ag/Ab, Chemilu, 100't kit 3
HIV Ag/Ab, EIA, 480't kit 3
Isoenzyme performance verifier 1 for chemistry set 16
Isoenzyme performance verifier 2 for chemistry set 19
Lactic dehydrogenase reagent, dry method kit 5
Lactic Dehydrogenase reagent, wet method, Siemens kit 1
Lyse bio rgt, ABX Pentra bot 1
Lyse reagent for Basophils for 5 part analyzer, (LB Lyse) bot 5
Lyse reagent for basophils for 5 part analyzer, Lysercell WDF box 1
Lyse reagent for Hemoglobin/RBC for 5 part analyzer, (LH Lyse) bot 5
Lyse reagent for Hemoglobin/RBC for 5 part analyzer, SULFOLYSER box 1
Lyse reagent for WBC differential for 5 part analyzer, (LD Lyse) bot 5
Lyse reagent for WBC differential for 5 part analyzer, LYSERCELL box 1
Malaria Ag, Rapid Test, 30't kit 195
Microtips for chemistry analyzer box 2
Mino Clair rgt, ABX Pentra bot 1
Mounting medium, 1000ml, Germany/US bot 2
Multisampler needle g.21 disposable box 40
Multisampler Needle, G21, 100's box 20
Nalidixic acid 30 mg, disc cart 20
Occult blood reagent box 3
Oral Glucose Tolerance Test beverage 75 gms (OGTT) bot 120
Petri dish, disposable with no compartment, small pc 500
Petri dish, large disposable pc 400
Pipette tip, disposable, yellow, 1000's pack 10
Plastic tips, blue, disposable, 250/bag bag 4
Pregnancy test reagent-Serum/ urine box 10
Pre-trigger solution-Siemens Advia Centaur box 6
Prothrombin time reagent (Technoclot PT Plus) vial 40
Prothrombin time reagent CP 2000 vial 20
QC reagent, bi-level for automated urinalysis box 1
Reagent for Epitone Retrieval pH6 for IHC bot 1
Reagent for Epitone Retrieval pH9 for IHC bot 1
Reagent for Estrogen Receptor Assay, IHC kit 1
Reagent for Polymer Detection Kit for IHC kit 4
Reagent for Progesteron Receptor Assay, IHC kit 1
Reference Fluid 250 for chemistry, 30's/box box 4
Sample cups 1000's-Siemens Advia Centaur pack 1
Sample cups with lid for chemistry analyzer (v) pack 5
SGPT/ALT reagent, wet method (Siemens) kit 2
Sheath /diluent reagent for automated urinalysis box 3
Shrink-banded vessels with sodium thiosulfate; 120m/200's box 1
Snap pack for rapid E. coli determination for 100ml water, 200's/apck box 1
Stain for Blood Smear (Hemaquick) box 10
Stain reagent for bacteria for automated urinalysis box 1
Stain reagent for NRBC, fully automated hematology, Fluorocell WNR box 1
Stain reagent for sediments for automated urinalysis box 1
Stain reagent for WBC diff. ct. fully automated hematology,Fluorocell box 2
Syphilis, (ABBOTT), 100't (Reagent, Calib, Ctl) kit 1
Syphilis, (rapid), 50't box 8
Syphilis/TPAb, Chemilu, 100't kit 5
Syphilis/Trepsure, EIA, 480't kit 1
Test for Phosphorous, dry method, 60's kit 5
Test for Troponin-T (qualitative) box 54
Test for urine Methamphetamine/cannabinoides box 40
Total protein reagent, dry method, 50's kit 5
Total protein reagent, wet method, Siemens kit 1
Triglyceride reagent, dry method, 60's, vitros kit 10
Triglyceride reagent, wet method (Dimension) kit 1
Troponin I test, qualitative, 30's kit 3
TSH Chemilu-Siemens Advia Centaur kit 1
TSH, (ABBOTT), 100't (Reagent, Calib, Ctl) kit 3
Typing Sera, Anti A, 10ml vial 150
Typing Sera, Anti B, 10ml vial 150
Typing Sera, Anti D, 10ml vial 150
Universal wash buffer-Siemens Advia Centaur box 6
Uric Acid reagent, dry method, 60's kit 5
Uric acid reagent, wet method, Siemens kit 1
Urine strip, 10 parameter box 10
Versa tips for chemistry analyzer 1000's box 3
ALADIN M. PASCUAL
Administrative Officer III - OIC Materials Management Section Signature over Printed Name of Designated Date
Accounting Staff
MM-007-1