UPMSCL

Monthly Stock Statement Cum Indent Form For CHC

Uttar Pradesh Medical Supplies Corporation Ltd

Department of Health & Family Welfare, Govt. of Uttar Pradesh

Click to Download Hard Copy of MSS Indent Format

Name of the health facility and category:______________________________________________________ Date:_____________

*Fill Only Columns D and G

S. No Drug Code Drug Name Drug Form Drug Strength Monthly Stock Status for CHC
Cumulative Receipt of the financial year Opening balance of the last month Received during the last month Available Quantity Last Month Consumption Quantity Ideal Indent Quantity Indent Quantity
A B C D E F G
1 I-308 KETAMINE HYDROCHLORIDE Injection 50 mg./ml.          
2 I-327 THIOPENTONE SODIUM Injection 1GM          
3 I-106 LIGNOCAINE HCL Injection 2%w/v          
4 I-108 LIGNOCAINE HCL WITH ADRENALINE Injection LIGNOCAINE HCL 20mg/ml ADRENALINE BITARTATE Eq. TO Adrenaline 5mcg/ml          
5 M-745 LIGNOCAINE GEL Gel 2%W/V          
6 I-294 ATROPINE SULPHATE Injection 0.6 mg/ml          
7 I-304 GLYCOPYRROLATE Injection 0.2 mg/ml          
8 M-6 DICLOFENAC GEL GEL Diclofenac Sodium 1%w/w          
9 M-10 IBUPROFEN Tablet 200 mg          
10 M-17 PARACETAMOL Tablet 500 mg          
11 M-16 PARACETAMOL Syrup 25 mg/ml          
12 I-9 TRAMADOL HYDROCHLORIDE Injection 50mg/ml          
13 M-945 BETAMETHASONE Tablet 0.5mg          
14 M-203 CETIRIZINE DIHYDROCHLORIDE Tablet 10 mg          
15 M-204 CHLORPHENIRAMINE MALEATE Tablet 4 mg          
16 M-795 CHLORPHENIRAMINE MALEATE Syrup 2mg/5ML          
17 I-158 DEXAMETHASONE SODIUM PHOSPHATE Injection 4 mg/ml          
18 M-836 HYDROCORTISONE Tablet 5mg          
19 I-159 HYDROCORTISONE SODIUM SUCCIINATE Injection 100 mg          
20 M-216 MONTELUKAST SODIUM Tablet 10 mg          
21 I-86 PHENIRAMINE MALEATE Injection 22.75 mg/ml          
22 M-378 PREDENISOLONE Tablet 5 mg          
23 I-99 PROMETHAZINE HYDROCHLORIDE Injection 25 mg/ml          
24 M-275 PROMETHAZINE HYDROCHLORIDE Syrup 5 mg/5 ml          
25 M-159 CARBAMAZEPINE Tablet 200 mg CR          
26 M-163 PHENOBARBITONE Tablet 30 mg          
27 M-167 PHENYTOIN SODIUM Tablet 100 mg          
28 M-169 SODIUM VALPROATE Tablet 200 mg          
29 M-222 ALBENDAZOLE Tablet 400 mg          
30 M-220 ALBENDAZOLE Suspension 200 mg/5 ml          
31 M-226 IVERMECTIN Tablet 6 mg          
32 M-223 DIETHYLCARBAMAZINE CITRATE Tablet 100 mg          
33 I-27 AMPICILLIN SODIUM Injection 500 mg          
34 I-19 AMIKACIN SULPHATE Injection 100 mg/2ml          
35 I-21 AMIKACIN SULPHATE Injection 500 mg/2ml          
36 M-53 AMOXYCILLIN TRIHYDRATE Capsule 250 mg          
37 M-761 AMOXYCILLIN WITH CLAVLANIC ACID Suspension 200mg+28.5mg/5ml          
38 M-62 AZITHROMYCIN Suspension 100mg/5ml          
39 M-64 AZITHROMYCIN Tablet 500 mg          
40 M-73 CEFIXIME TRIHYDRATE Tablet 200 mg          
41 I-39 CEFOTAXIME SODIUM Injection 250 mg          
42 I-46 CEFTRIAXONE SODIUM Injection 1 gm          
43 M-84 CEPHALEXIN drop 100mg/ml          
44 M-563 CEPHALEXIN Dry Syrup 125mg/5ml          
45 M-82 CEPHALEXIN Capsule 250 mg          
46 M-86 CIPROFLOXACIN HYDROCHLORIDE Tablet 500 mg          
47 I-50 CIPROFLOXACIN HYDROCHLORIDE Injection 2 mg/ml          
48 M-94 DOXYCYCLINE HYDROCHLORIDE Capsule EQUIVALENT OF 100mg DOXYCYCLINE          
49 M-101 ERYTHROMYCIN Tablet 250 mg          
50 I-53 GENTAMICIN SULPHATE Injection 40 mg/ml          
51 M-109 LEVOFLOXACIN Tablet 500 mg          
52 M-946 NITROFURANTOIN Tablet 100mg          
53 M-120 NORFLOXACIN Tablet 400 mg          
54 M-125 OSELTAMIVIR PHOSPHATE Capsule 75mg          
55 M-127 OSELTAMIVIR PHOSPHATE Capsule 30mg          
56 M-128 OSELTAMIVIR PHOSPHATE Syrup 15mg/ml          
57 M-143 TRIMETHOPRIM WITH SULPHAMETHOXOZOLE SUSPENSION 40mg+200mg/5 ml          
58 M-145 TRIMETHOPRIM WITH SULPHAMETHOXOZOLE Tablet 80 mg+400 mg          
59 M-674 CLOTRIMAZOLE Cream 2% w/w          
60 M-104 FLUCONAZOLE Tablet 150 mg          
61 M-688 GRISEOFULVIN Tablet 125mg          
62 M-408 METRONIDAZOLE Tablet 200 mg          
63 M-409 METRONIDAZOLE Tablet 400 mg          
64 I-59 METRONIDAZOLE Injection 5 mg/ml          
65 M-410 METRONIDAZOLE BENZOATE Suspension 40mg/ml          
66 M-411 ORAL REHYDRATION SALTS CITRATE (W.H.O. Formula) sachet ORS 20.5Gm. Each sachet Contains Sodium Chloride IP 2.6g Potassium Chloride IP 1.5g Sodium Citrate IP 2.9g 2.9g Anhydrous Dextorse IP 13.5g for making 1 ltr          
67 M-412 ORNIDAZOLE Tablet 500 mg          
68 M-947 QUINIODOCHLOR - Tablet 250 mg          
69 M-418 SPORES OF POLY ANITBIOTIC RESISTANT BACILLUS CLAUSII Suspension 2 billion spores          
70 M-244 CHLOROQUINE PHOSPHATE Tablet 250 mg          
71 M-816 RAMIPRIL Tablet 5mg          
72 I-104 DOPAMINE HYDROCHLORIDE Injection 40 mg/ml          
73 I-103 DOBUTAMINE HYDROCHLORIDE Injection 50 mg./ml.          
74 I-110 MEPHENTERMINE SULPHATE Injection 30 mg/ml          
75 I-318 NORADRENALINE TARTRATE Injection 2 mg/ ml          
76 M-370 ETHAMSYLATE Tablet 500 mg          
77 I-126 ETHAMSYLATE Injection 125 mg/ml          
78 M-367 TRANEXAMIC ACID Tablet 500mg          
79 M-670 BETAMETHASONE SODIUM PHOSPHATE Cream 0.1% W/w          
80 M-682 FRAMYCETIN SULPHATE Cream 1% W/w          
81 M-700 PERMETHRIN Cream 5% W/w          
82 M-699 NEOMYCINE+POLYMYXINE B SULPHATE & BACITRACIN ZINC POWDER 3400Units+5000Units+400Units          
83 M-707 POVIDONE IODINE Solution 5% w/v          
84 M-706 POVIDONE IODINE Ointment 5% W/w          
85 M-709 SILVER SULPHADIAZINE Cream 1% W/w          
86 M-379 ACETAZOLAMIDE Tablet 250 mg          
87 M-380 FRUSEMIDE Tablet 40 mg          
88 M-387 TORASEMIDE Tablet 10 mg          
89 M-26 ALLUMINIUM HYDROXIDE+MAGNISIUM TRISILLICATE Tablet 200 mg + 200 mg          
90 M-31 OMEPRAZOLE Capsule 20 mg.          
91 I-15 RANITIDINE HYDROCHLORIDE Injection 25mg/ ml          
92 M-35 RANITIDINE HYDROCHLORIDE Tablet 150 mg          
93 M-758 RANITIDINE SYRUP 75mg/ml          
94 M-268 DOMPERIDONE Tablet 10 mg          
95 M-269 DOXYLAMINE SUCCINATE WITH PYRIDOXINE HCL Tablet 10 mg/ 10 mg          
96 I-94 METOCLOPRAMIDE HYDROCHLORIDE Injection 5 mg/ml          
97 M-271 ONDANSETRON HCL Syrup 2 mg base/5 ml          
98 M-546 LACTULOSE Syrup 3.325gm/5ml          
99 I-16 DICYCLOMINE HYDROCHLORIDE Injection 10 mg/ml          
100 M-39 DICYCLOMINE HYDROCHLORIDE Tablet 10 mg          
101 M-948 DICYCLOMINE HYDROCHLORIDE Syrup 10 mg/5ml          
102 I-193 LABETALOL HCL Injection 5mg/ml          
103 M-719 DISODIUM HYDROGEN CITRATE LIQUID 1.53 gm/5 ml          
104 M-181 GLIMEPRIDE Tablet 1 mg          
105 M-189 METFORMIN HYDROCHLORIDE Tablet 500 mg          
106 I-224 ANTI SERUM POLYVALENT SNAKE VENOM ASV Injection 10 ml          
107 I-206 IMMUNOGLOBULIN HUMAN ANTI-D POLYCLONAL Injection 300mcg          
108 I-207 IMMUNOGLOBULIN HUMAN ANTI-D POLYCLONAL Injection 150mcg          
109 I-241 VACCINE ANTI RABIES Injection 2.5 IU Per Vial          
110 I-253 VACCINE TENTANUS TOXOID Injection 0.5ml          
111 M-480 ATROPINE SULPHATE Eye Drop 1% W/v          
112 M-467 CIPROFLOXACIN HYDROCHLORIDE Eye Drop 0.3% w/v          
113 M-861 CIPROFLOXACIN OINTMENT 0.003          
114 M-488 FLURBIPROFEN SODIUM Eye Drop 0.03% w/v          
115 M-489 GENTAMYCIN EYE/ Ear Drop 0.003          
116 M-492 MOXIFLOXACIN HYDROCHLORIDE Eye Drop 0.5% W/v          
117 M-495 PILOCARPINE NITRATE Eye Drop 1% W/v          
118 M-498 PREDENISOLONE SODIUM PHOSPHATE Eye Drop 1.0% w/v          
119 M-504 TOBRAMYCIN Eye Drop 0.3% w/v          
120 M-505 TROPICAMIDE Eye Drop 1%W/V          
121 I-220 DIAZEPAM Injection 5 mg/ml          
122 I-118 AMINOPHYLLINE DIHYDRATE Injection 25 mg/ml          
123 M-360 SALBUTAMOL SULPHATE Tablet 4 mg          
124 I-121 THEOPHYLLINE WITH ETOPHYLLINE Injection 25.3mg+84.7 mg/ml          
125 M-363 THEOPHYLLINE WITH ETOPHYLLINE Tablet 69 mg+231 mg          
126 I-262 DEXTROSE Injection 5% w/v          
127 I-261 DEXTROSE Injection 10% w/v          
128 I-330 DEXTROSE Injection 25% w/v          
129 I-263 DEXTROSE WITH SODIUM CHLORIDE Injection 5% w/v +0.9%W/V          
130 I-277 Muliple electrolytes and dextrose type-1 (Isolyte P) Injection Sodium acetate trihydrate 0.32gm Potassium chloride 0.13gm Dipotassium hydrogen phosphate heptahydrate 0.026gm magnisium chloride hexahydrate 0.031gm Dextrose 5.0gm Water for injection to 100ml pH 5.0          
131 I-279 Multiple electrolytes nad dextrose type-3(Isolyte M) Injection Sodium acetate trihydrate 0.28gm Sodium chloride 0.091gm Potassium chloride 0.15gm Dipotassium hydrogen phosphate heptahydrate 0.13gm Dextrose 5.0gm Water for injection to 100ml pH5          
132 I-292 Polygeline Polypeptides of degraded gelatin,cross linked via urea bridges Injection Polygeline 3.5g(Eq.to0.63g of nitrogen) sodium chloride IP 0.85g Potassium chloride IP 0.038g calcium chloride IP 0.070 g water for inj IP Q,s/100ml Electrolytes in M.mol/Litre Na145 m mol per liter K 5.1m Mol per liter Ca 6.25m Mol per liter Cl 145 m mol per liter          
133 I-286 RINGER LACTATE Injection 0.24%w/vLacticAcid (eq.0.32%w/vSod.Lac.) with0.6%w/vSod.Cl., 0.04%w/vPot .Cl. & 0.027% w/vCal Cl          
134 I-283 SODIUM CHLORIDE Injection 0.9% w/v          
135 M-727 ASCORBIC ACID Tablet 100 mg          
136 M-511 B COMPLEX Tablet VITAMIN B1 5 MG THIAMINE HYDROCHLORIDE VITAMIN B2 5MG RIBOFLAVIN VITAMIN B6 2MG PYRIDOXINE HYDROCHLORIDE VITAMIN B3 NICOTINAMIDE 50 MG VITAMIN B5 CALCIUM PANTOTHENATE 5 MG          
137 I-205 CALCIUM GLUCONATE Injection 100 mg          
138 M-517 CALCIUM LACTATE Tablet 300 mg          
139 M-522 FOLIC ACID (B9) Tablet 5mg          
140 M-527 IRON AND FOLIC ACID CONTAINING DRIED FERROUS SULPHATE IP Tablet equivalent to ferrous iron 100 mg & folic acid 0.5 mgIFA WIFS LARGE BLUE COLOURED INDIGO CARMINE          
141 M-524 IRON AND FOLIC ACID IFA LARGE CONTAINING DRIED FERROUS SULPHATE EQ TO FERROUS IRON 100 MG AND FOLIC ACID 1/2 MG Tablet 100 mg+0.5 mg RED SUGAR COATED          
142 M-525 IRON AND FOLIC ACID IFA (WIFS JUNIOR) CONTAINING DRIED FERROUS SULPHATE EQ TO FERROUS IRON 45 MG AND FOLIC ACID 0.4MG Tablet 45 mg+0.4 mg PINK IFA WIFS JUNIOR          
143 M-528 IRON WITH FOLIC ACID Syrup 20 mg+100 mcg/ml          
144 M-536 METHYLCOBALAMINE (B12) Tablet 500 mcg          
145 M-738 VITAMIN D CAPSULE/ TABLET 60000IU          
146 M-726 VITAMIN A SOFTGEL 25000IU          
147 M-733 VITAMIN A PALMIPATE Arachis oil base LIQUID 100000 IU/ml          
148 M-542 ZINC SULPHATE DISPERSIBLE Tablet eq. to elemental zinc 20mg          
149 I-287 SODIUM BICARBONATE Injection 7.5% w/v          
150 I-291 WATER FOR INJECTION Injection 10ml          
151 M-903 CETRIMIDE Solution 20%          
152 G-3 (a) Chlorhexidine Gluconate Solution +(b) Strong Cetrimide Solution Eq.to Cetrimide Liquid 0.3% v/v + 0.6% w/v          
153 G-62 Disinfectant Fluid Class - Grade - I,Black   5 Litre pack          
154 G-57 FORMALDEHYDE "HCHO; mol wt: 30.03; wt per ml at 20oC=1.075-1.095 g; methanol content=10-15%, Assay (acidimetric) as HCHO 37-41% " 2.5 Ltrs          
155 G-50 HYDROGEN PEROXIDE AR or GR grade, assay : 29-32% solution, FW-34.01 1.5 Ltr          
156 G-4 Gluteraldehyde Solution (With Activator Vial)Mint Smell And Rust Inhibitor (Without Surfactant) (Use Life 14 Days After Activation) Liquid 2.4% w/v          
157 M-932 Lysol I.P. LIQUID