Guidelines on stock records for immunization programme - Path

Figure 25: Requisition and issue voucher with ISSUE section filled in
Voucher No:
07-111
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
OPV 29,000 10,200 29,500 A111-0 5.2007 - OK 29,500
2
DTP+HepB 18,200 6,200 18,800 D333-1 4.2008 OK 2 18,800
3
BCG 27,000 8,000 27,760 B444-0 6.2008 - OK 27,760
4
5
6
Measles 18,000 6,000 18,000 M555-3 8.2007 - OK 15,700 remaining to be sent on 17 January
BCG diluent BD44-1 12.201 - - 27,760
Msls diluent MD55-1 11.2011 - - 15,700 remaining to be sent on 17 January
7
8
9
10
Requesting Facility : Devrek Intermediate
Issuing Facility : Primary vaccine store
Receiving Facility :
Requested by Approved by Received by
Name : Ahmet Tokus
Name : Hasan Tomruk
Name :
Title : Store manager
Title : Chief, Primary vaccine store
Title :
Requisition Date : 07 January 2007
Approval Date : 11 January 2007
Date :
Signature : signed
Signature : signed
Signature :
56
Vaccine stock management – <strong>Guidelines</strong> on stock records for immunization programme and vaccine store managers