Guidelines on stock records for immunization programme - Path

Figure 10: Requisition/issue voucher
Voucher No:
Request Issue Receive
Article No Commodity Previous Quantity Quantity Batch Expiry Freeze VVM Amount Freeze VVM Amount Remarks
Name Month’s in hand requested Number date Indicator Status (doses) Indicator Status (doses)
Consumption (doses) (doses)
(doses)
A B C D E F G H I J K L M N
1
2
3
4
5
6
7
8
9
10
Requesting Facility : Issuing Facility : Receiving Facility :
Requested by Approved by Received by
Name : Name : Name :
Title : Title : Title :
Requisition Date : Approval Date : Date :
Signature : Signature : Signature :
22
Vaccine stock management – <strong>Guidelines</strong> on stock records for immunization programme and vaccine store managers