Guidelines on stock records for immunization programme - Path

Figure 28: Issue voucher indicating vaccines and diluents sent to Devrek intermediate vaccine store on 19 January 2007
Voucher No:
07-222
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
DTP+HepB D333-1 4.2008 OK 2 18,800
2
BCG diluent BD44-1 12.201 - OK 40
3
Measles M111-A 8.2008 - OK 2,300
4
5
Msls diluent MD55-1 11.2011 - - 15,700
Msls diluent MD66-1 11.201 - - 2,300
6
7
8
9
10
Requesting Facility : Issuing Facility : Primary vaccine store
Receiving Facility :
Requested by Approved by Received by
Name : Name : Hasan Tomruk
Name :
Title : Title : Chief, Primary vaccine store
Title :
Requisition Date : Approval Date : 19 January 2007
Date :
Signature : Signature : signed
Signature :
WHO/IVB/06.12
61