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Guidelines on stock records for immunization programme - Path

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Figure 22: Physical inventory report<br />

Name of the store:<br />

Report number:<br />

Vaccine/diluent Batch Expiry Current Freeze VVM Remarks<br />

number date <strong>stock</strong> indicator status<br />

status<br />

OPV 1<br />

2<br />

3<br />

Total<br />

DTP+HepB 1<br />

2<br />

3<br />

Total<br />

BCG 1<br />

2<br />

3<br />

Total<br />

BCG diluent 1<br />

2<br />

3<br />

Total<br />

Measles 1<br />

2<br />

3<br />

Total<br />

Msls diluent 1<br />

2<br />

3<br />

Total<br />

Rec<strong>on</strong>stituti<strong>on</strong> syringe 1<br />

2<br />

3<br />

Total<br />

AD syringe BCG 1<br />

2<br />

3<br />

Total<br />

AD syringe 0.5ml 1<br />

2<br />

3<br />

Total<br />

Safety box 1<br />

2<br />

3<br />

Total<br />

Inventory d<strong>on</strong>e by Title Date Signature<br />

Approved by Title Date Signature<br />

48<br />

Vaccine <strong>stock</strong> management – <str<strong>on</strong>g>Guidelines</str<strong>on</strong>g> <strong>on</strong> <strong>stock</strong> <strong>records</strong> <strong>for</strong> immunizati<strong>on</strong> <strong>programme</strong> and vaccine store managers

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