UPMSCL

Monthly Stock Statement Cum Indent Form For PHC

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
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 M-745 LIGNOCAINE GEL Gel 2%W/V          
2 M-6 DICLOFENAC GEL GEL Diclofenac Sodium 1%w/w          
3 M-10 IBUPROFEN Tablet 200 mg          
4 M-17 PARACETAMOL Tablet 500 mg          
5 M-16 PARACETAMOL Syrup 25 mg/ ml          
6 M-945 BETAMETHASONE Tablet 0.5mg          
7 M-203 CETIRIZINE DIHYDROCHLORIDE Tablet 10mg          
8 M-204 CHLORPHENIRAMINE MALEATE Tablet 4 mg          
9 M-795 CHLORPHENIRAMINE MALEATE Syrup 2mg/5ML          
10 I-158 DEXAMETHASONE SODIUM PHOSPHATE Injection 4 mg/ml          
11 I-159 HYDROCORTISONE SODIUM SUCCIINATE Injection 100 mg          
12 M-378 PREDENISOLONE Tablet 5 mg          
13 M-275 PROMETHAZINE HYDROCHLORIDE Syrup 5 mg/5 ml          
14 M-222 ALBENDAZOLE Tablet 400 mg          
15 M-220 ALBENDAZOLE Suspension 200 mg/5 ml          
16 M-226 IVERMECTIN Tablet 6 mg          
17 M-223 DIETHYLCARBAMAZINE CITRATE Tablet 100 mg          
18 M-53 AMOXYCILLIN TRIHYDRATE Capsule 250 mg          
19 M-563 CEPHALEXIN Dry Syrup 125mg/5ml          
20 M-86 CIPROFLOXACIN HYDROCHLORIDE Tablet 500 mg          
21 M-94 DOXYCYCLINE HYDROCHLORIDE Capsule EQUIVALENT OF 100mg DOXYCYCLINE          
22 M-101 ERYTHROMYCIN Tablet 250 mg          
23 I-53 GENTAMICIN SULPHATE Injection 40 mg/ml          
24 M-109 LEVOFLOXACIN Tablet 500 mg          
25 M-120 NORFLOXACIN Tablet 400 mg          
26 M-125 OSELTAMIVIR PHOSPHATE Capsule 75mg          
27 M-127 OSELTAMIVIR PHOSPHATE Capsule 30mg          
28 M-128 OSELTAMIVIR PHOSPHATE Syrup 15mg/ml          
29 M-143 TRIMETHOPRIM WITH SULPHAMETHOXOZOLE SUSPENSION 40mg+200mg/5 ml          
30 M-145 TRIMETHOPRIM WITH SULPHAMETHOXOZOLE Tablet 80 mg+400 mg          
31 M-408 METRONIDAZOLE Tablet 200 mg          
32 M-409 METRONIDAZOLE Tablet 400 mg          
33 M-410 METRONIDAZOLE BENZOATE Suspension 40mg/ml          
34 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          
35 M-418 SPORES OF POLY ANITBIOTIC RESISTANT BACILLUS CLAUSII Suspension 2 billion spores          
36 M-244 CHLOROQUINE PHOSPHATE Tablet 250 mg          
37 I-318 NORADRENALINE TARTRATE Injection 2 mg/ ml          
38 M-370 ETHAMSYLATE Tablet 500 mg          
39 I-126 ETHAMSYLATE Injection 125 mg/ml          
40 M-367 TRANEXAMIC ACID Tablet 500mg          
41 M-707 POVIDONE IODINE Solution 5% w/v          
42 M-26 ALLUMINIUM HYDROXIDE+MAGNISIUM TRISILLICATE Tablet 200 mg + 200 mg          
43 M-35 RANITIDINE HYDROCHLORIDE Tablet 150 mg          
44 I-94 METOCLOPRAMIDE HYDROCHLORIDE Injection 5 mg/ml          
45 M-271 ONDANSETRON HCL Syrup 2 mg base/5 ml          
46 I-253 VACCINE TENTANUS TOXOID Injection 0.5ml          
47 M-492 MOXIFLOXACIN HYDROCHLORIDE Eye Drop 0.5% W/v          
48 M-360 SALBUTAMOL SULPHATE Tablet 4 mg          
49 M-363 THEOPHYLLINE WITH ETOPHYLLINE Tablet 69 mg+231 mg          
50 I-262 DEXTROSE Injection 5% w/v          
51 I-263 DEXTROSE WITH SODIUM CHLORIDE Injection 5% w/v +0.9%W/V          
52 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          
53 I-283 SODIUM CHLORIDE Injection 0.9% w/v          
54 M-727 ASCORBIC ACID Tablet 100 mg          
55 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          
56 M-517 CALCIUM LACTATE Tablet 300 mg          
57 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          
58 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          
59 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          
60 M-528 IRON WITH FOLIC ACID Syrup 20 mg+100 mcg/ml          
61 M-733 VITAMIN A PALMIPATE Arachis oil base LIQUID 100000 IU/ml          
62 M-542 ZINC SULPHATE DISPERSIBLE Tablet eq. to elemental zinc 20mg          
63 G-62 Disinfectant Fluid Class - Grade - I,Black   5 Litre pack