Cumulative Receipt of the financial year

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1 Name of the Heath facility & Category :..... Monthly stock statement cum Indent form Uttar Pradesh Medical Supplies Corporation Ltd Department of Health & Family Welfare, Govt of Uttar Pradesh Date:... *Fill Only D & G Columns MONTHLY STOCK STATUS SL NO DRUG CODE 1 I-308 KETAMINE HYDROCHLORIDE 50 mg./ml. 2 I-327 THIOPENTONE SODIUM 1GM 3 I-106 LIGNOCAINE HCL 2%w/v 4 I-108 LIGNOCAINE HCL WITH ADRENALINE Cumulative Receipt of the financial year Opening Balance of the last Month Received during the last Month Available Quantity Consumpti on Quantity Ideal indent quantity Form Strength A B C D E F G 5 M-745 LIGNOCAINE GEL Gel 2%W/V 6 I-294 ATROPINE SULPHATE 0.6 mg/ml 7 I-304 GLYCOPYRROLATE 0.2 mg/ml LIGNOCAINE HCL 20mg/ml ADRENALINE BITARTATE Eq. TO Adrenaline 5mcg/ml 8 M-6 DICLOFENAC GEL GEL Diclofenac Sodium 1%w/w 9 M-10 IBUPROFEN 200 mg 10 M-17 PARACETAMOL 500 mg 11 M-16 PARACETAMOL Syrup 25 mg/ ml 12 I-9 TRAMADOL HYDROCHLORIDE 50mg/ ml 13 M-945 BETAMETHASONE 0.5mg 14 M-203 CETIRIZINE DIHYDROCHLORIDE 10 mg 15 M-204 CHLORPHENIRAMINE MALEATE 4 mg 16 M-795 CHLORPHENIRAMINE MALEATE Syrup 2mg/5ML 17 I-158 DEXAMETHASONE SODIUM PHOSPHATE 4 mg/ml 18 M-836 HYDROCORTISONE 5mg 19 I-159 DRUG NAME HYDROCORTISONE SODIUM SUCCIINATE 100 mg 20 M-216 MONTELUKAST SODIUM 10 mg 21 I-86 PHENIRAMINE MALEATE mg/ml 22 M-378 PREDENISOLONE 5 mg 23 I-99 PROMETHAZINE HYDROCHLORIDE 25 mg/ml Indent Quantity

2 24 M-275 PROMETHAZINE HYDROCHLORIDE Syrup 5 mg/5 ml 25 M-159 CARBAMAZEPINE 200 mg CR 26 M-163 PHENOBARBITONE 30 mg 27 M-167 PHENYTOIN SODIUM 100 mg 28 M-169 SODIUM VALPROATE 200 mg 29 M-222 ALBENDAZOLE 400 mg 30 M-220 ALBENDAZOLE Suspension 200 mg/5 ml 31 M-226 IVERMECTIN 6 mg 32 M-223 DIETHYLCARBAMAZINE CITRATE 100 mg 33 I-27 AMPICILLIN SODIUM 500 mg 34 I-19 AMIKACIN SULPHATE 100 mg/2ml 35 I-21 AMIKACIN SULPHATE 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 500 mg 40 M-73 CEFIXIME TRIHYDRATE 200 mg 41 I-39 CEFOTAXIME SODIUM 250 mg 42 I-46 CEFTRIAXONE SODIUM 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 500 mg 47 I-50 CIPROFLOXACIN HYDROCHLORIDE 2 mg/ml 48 M-94 DOXYCYCLINE HYDROCHLORIDE Capsule 49 M-101 ERYTHROMYCIN 250 mg 50 I-53 GENTAMICIN SULPHATE 40 mg/ml 51 M-109 LEVOFLOXACIN 500 mg 52 M-946 NITROFURANTOIN 100mg 53 M-120 NORFLOXACIN 400 mg 54 M-125 OSELTAMIVIR PHOSPHATE Capsule 75mg 55 M-127 OSELTAMIVIR PHOSPHATE Capsule 30mg EQUIVALENT OF 100mg DOXYCYCLINE

3 56 M-128 OSELTAMIVIR PHOSPHATE Syrup 15mg/ml 57 M-143 TRIMETHOPRIM WITH SULPHAMETHOXOZOLE 58 M-145 TRIMETHOPRIM WITH SULPHAMETHOXOZOLE SUSPENSION 40mg+200mg/5 ml 80 mg+400 mg 59 M-674 CLOTRIMAZOLE Cream 2% w/w 60 M-104 FLUCONAZOLE 150 mg 61 M-688 GRISEOFULVIN 125mg 62 M-408 METRONIDAZOLE 200 mg 63 M-409 METRONIDAZOLE 400 mg 64 I-59 METRONIDAZOLE 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 500 mg 68 M-947 QUINIODOCHLOR mg 69 M-418 SPORES OF POLY ANITBIOTIC RESISTANT BACILLUS CLAUSII Suspension 2 billion spores 70 M-244 CHLOROQUINE PHOSPHATE 250 mg 71 M-816 RAMIPRIL 5mg 72 I-104 DOPAMINE HYDROCHLORIDE 40 mg/ml 73 I-103 DOBUTAMINE HYDROCHLORIDE 50 mg./ml. 74 I-110 MEPHENTERMINE SULPHATE 30 mg/ml 75 I-318 NORADRENALINE TARTRATE 2 mg/ ml 76 M-370 ETHAMSYLATE 500 mg 77 I-126 ETHAMSYLATE 125 mg/ml 78 M-367 TRANEXAMIC ACID 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 3400Units+5000Units+400Unit POWDER SULPHATE & BACITRACIN ZINC s 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 250 mg 87 M-380 FRUSEMIDE 40 mg

4 88 M-387 TORASEMIDE 10 mg 89 M-26 ALLUMINIUM HYDROXIDE+MAGNISIUM 200 mg mg TRISILLICATE 90 M-31 OMEPRAZOLE Capsule 20 mg. 91 I-15 RANITIDINE HYDROCHLORIDE 25mg/ ml 92 M-35 RANITIDINE HYDROCHLORIDE 150 mg 93 M-758 RANITIDINE SYRUP 75mg/ml 94 M-268 DOMPERIDONE 10 mg 95 M-269 DOXYLAMINE SUCCINATE WITH PYRIDOXINE HCL 10 mg/ 10 mg 96 I-94 METOCLOPRAMIDE HYDROCHLORIDE 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 10 mg/ml 100 M-39 DICYCLOMINE HYDROCHLORIDE 10 mg 101 M-948 DICYCLOMINE HYDROCHLORIDE Syrup 10 mg/5ml 102 I-193 LABETALOL HCL 5mg/ml 103 M-719 DISODIUM HYDROGEN CITRATE LIQUID 1.53 gm/5 ml 104 M-181 GLIMEPRIDE 1 mg 105 M-189 METFORMIN HYDROCHLORIDE 500 mg 106 I-224 ANTI SERUM POLYVALENT SNAKE VENOM ASV 10 ml 107 I-206 IMMUNOGLOBULIN HUMAN ANTI-D POLYCLONAL 300mcg 108 I-207 IMMUNOGLOBULIN HUMAN ANTI-D POLYCLONAL 150mcg 109 I-241 VACCINE ANTI RABIES 2.5 IU Per Vial 110 I-253 VACCINE TENTANUS TOXOID 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 M-488 FLURBIPROFEN SODIUM Eye Drop 0.03% w/v 115 M-489 GENTAMYCIN EYE/ Ear Drop 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

5 120 M-505 TROPICAMIDE Eye Drop 1%W/V 121 I-220 DIAZEPAM 5 mg/ml 122 I-118 AMINOPHYLLINE DIHYDRATE 25 mg/ml 123 M-360 SALBUTAMOL SULPHATE 4 mg 124 I-121 THEOPHYLLINE WITH ETOPHYLLINE 25.3mg+84.7 mg/ml 125 M-363 THEOPHYLLINE WITH ETOPHYLLINE 69 mg+231 mg 126 I-262 DEXTROSE 5% w/v 127 I-261 DEXTROSE 10% w/v 128 I-330 DEXTROSE 25% w/v 129 I-263 DEXTROSE WITH SODIUM CHLORIDE 5% w/v +0.9%W/V 130 I-277 Muliple electrolytes and dextrose type-1 (Isolyte P) 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 I-279 Multiple electrolytes nad dextrose type- 3(Isolyte M) 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 Polygeline 3.5g(Eq.to0.63g of nitrogen) sodium chloride IP 0.85g Potassium chloride IP 0.038g calcium chloride IP 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

6 133 I-286 RINGER LACTATE 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 0.9% w/v 135 M-727 ASCORBIC ACID 100 mg 136 M-511 B COMPLEX 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 100 mg 138 M-517 CALCIUM LACTATE 300 mg 139 M-522 FOLIC ACID (B9) 5mg 140 M-527 IRON AND FOLIC ACID CONTAINING DRIED FERROUS SULPHATE IP 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 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 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) 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 IU/ml 148 M-542 ZINC SULPHATE DISPERSIBLE eq. to elemental zinc 20mg 149 I-287 SODIUM BICARBONATE 7.5% w/v 150 I-291 WATER FOR INJECTION 10ml

7 151 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 Disinfectant Fluid Class - Grade G-62 5 Litre pack I,Black HCHO; mol wt: 154 G-57 FORMALDEHYDE 2.5 Ltrs 30.03; wt per AR or GR grade, assay : 155 G-50 HYDROGEN PEROXIDE 29-32% 1.5 Ltr solution, FW Gluteraldehyde Solution (With 2.4% w/v 156 G-4 Activator Vial)Mint Smell And Rust Inhibitor (Without Surfactant) (Use Life 14 Days After Activation) Liquid 157 M-932 Lysol I.P. LIQUID Signature of Pharmacist / ANM Signature of Medical Officer

Rajasthan Medical Services Corporation Limited, Jaipur

Rajasthan Medical Services Corporation Limited, Jaipur List of Drugs- Purchase order placed to successful Bidders Tendered on 05/07/2011 S.No. Name of Drug 1 Atropine Sulphate Injection 0.6 mg /ml (SC/IM/IV