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  • EPI Order Form

    Diunggah oleh

    David Robert
    18 tayangan2 halaman
    This document is a quarterly order form for EPI vaccines that includes: 1) Current stock levels and quantities received, issued, and adjusted for damages. 2) Calculations of required stock levels for the quarter based on population and dosing requirements with buffers. 3) A list of EPI vaccines with spaces to fill in current stock levels and requested order quantities.

    Deskripsi Asli:

    Ordering form for EPI Vaccines (Provincial and Municipal Levels

    Hak Cipta

    © Attribution Non-Commercial (BY-NC)

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    XLSX, PDF, TXT atau baca online dari Scribd

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    This document is a quarterly order form for EPI vaccines that includes: 1) Current stock levels and quantities received, issued, and adjusted for damages. 2) Calculations of required stock levels for the quarter based on population and dosing requirements with buffers. 3) A list of EPI vaccines with spaces to fill in current stock levels and requested order quantities.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai XLSX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    18 tayangan2 halaman

    EPI Order Form

    Diunggah oleh

    David Robert
    This document is a quarterly order form for EPI vaccines that includes: 1) Current stock levels and quantities received, issued, and adjusted for damages. 2) Calculations of required stock levels for the quarter based on population and dosing requirements with buffers. 3) A list of EPI vaccines with spaces to fill in current stock levels and requested order quantities.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai XLSX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 2

    EPI VACCINES QUARTERLY ORDER FORM (A) Current Stock as of ____________ (physical inventory) (B) QUANTITY RECEIVED __________

    QUARTER (____________ 2013)


    (C) ISSUANCES __________ 2013 (D) ADJUSTMENT (damaged/expired/ loss, etc.) (E) CURRENT STOCK as of __________ (A+B)-(C+D) (F) (QTR-Requirement per Population) (see formula below) (G) Buffer Stocks (1month) (H) (I) Authorized/Ideal REQUEST/ORDER Stock Level (Total Reqm'nt) (F + G) (H - E)

    EPI Vaccines BCG, 20 dose BCG Diluent DPT, 20 dose DPT-HepB-Hib, 10 dose Hepa B, 10 dose Measles, 10 dose Measles, Diluent MMR, 5 dose MMR, Diluent Polio, 20 dose Polio Dropper Tet. Tox., 20 dose Pneumoccocal, 1 dose Rotavirus, 1 dose

    Rotavirus, 1 dose *CHD/PHO/CHO *2013 Total Population(TP) Formula: Quarterly requirement BCG ((TP*2.7%target*1dose*2.50WF)/20)/4 DPT ((TP*2.7%target*3dose*1.67WF)/20)/4 DPT-HepB-Hib ((TP*2.7%target*3dose*1.00WF)/10)/4 HepB ((TP*2.7%target*3dose*1.10WF)/10)/4 Measles ((TP*2.7%target*1dose*2.00WF)/10)/4 MMR ((TP*2.7%target*1dose*1.10WF)/5)/4 Polio ((TP*2.7%target*3dose*1.67WF)/20)/4 TT ((TP*3.5%target*2dose*1.67WF)/20)/4 Pneumoccocal ((TP*2.7%target*3dose*1.1)WF/4 Rotavirus ((TP*2.7%target*2dose*1.1)WF/4 WF (Wastage Factor)

    Prepared by: Cold Chain Manager

    *Contact Details: (for coordination) Email: Mobile No. Tel. No. Fax No.

    Noted by: EPI Coordinator Date:

    (J) REMARKS

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