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Guidelines on stock records for immunization programme - Path

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Figure 12: M<strong>on</strong>thly summary report 7<br />

Reporting facility: Reporting period:<br />

Commodity name Opening balance Received Issued Losses/ Adjustments End balance AMC Stock level<br />

(doses) (doses) (doses) (doses) (doses) (m<strong>on</strong>ths)<br />

A B C D E F G H<br />

OPV<br />

DTP+HepB<br />

BCG<br />

BCG diluent<br />

Measles<br />

Measles diluent<br />

Rec<strong>on</strong>stituti<strong>on</strong> syringe<br />

AD syringe BCG<br />

AD syringe (0.5ml)<br />

Safety box<br />

Explanati<strong>on</strong> of losses and adjustments:<br />

Report by: Preparati<strong>on</strong> date:<br />

Title:<br />

7<br />

It should be noted that this is a sample. Countries should create their custom made reports with descripti<strong>on</strong> of items that are in <strong>stock</strong>.<br />

WHO/IVB/06.12<br />

25

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