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picture1_Excel Sample Sheet 33573 | Supply Format


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File: Excel Sample Sheet 33573 | Supply Format
sheet 1 form 1 distribution of nutrition items under pca name of partner form 1 pca no date of start of pca date of expiry warehouse from where the items ...

icon picture XLSX Filetype Excel XLSX | Posted on 10 Aug 2022 | 3 years ago
Partial file snippet.
Sheet 1: Form 1
Distribution of nutrition items under PCA

















Name of Partner:














Form 1
PCA No:















Date of start of PCA:















Date of Expiry:















Warehouse from where the items would be drawn:
































Item Code Pack Qty under PCA Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 TOTAL
Plumpynut sache CAR/ 92 g-150 S0000240 CAR












0
Amoxillin pdr oral sus 125 mg bot 100 ml S1505046 BOT












0
Amox 250mg tab Pac 10 S1505045 PAC












0
Amox 250mg tb Pac20 S1505044 PAC












0
Weighing trousers pac S0189000 PAC












0
Micronutrients film tab Pac 1000 S1580100 PAC












0
Albendazole 400 mg chew pac 1000 S1555370 PAC












0
Scale inf. Spring S0557000 EACH












0
ReSoMal 42 g Sach Car 100 S1561125 CAR












0
F-100 ther diet sach 1114 g Car 90 S0000209 CAR












0
F-75 ther diet sach 102 g Car 120 S0000208 CAR












0
Portable bay/child L-H Meas S0114540 SET












0
Weighing scale el moth child 150 kg x 25 g S0141021 EA












0
Mebendazole 500 mg chew tab pack 100 S1555360 PAC












0
MUAC child 11.5 red PAC-50 S0145620 PAC












0
MUAC Adult S0145630 PAC












0
Retinol 100 K IU soft gel PAC caps. PAC-500 S7800001 PAC












0
Retinol 200 K IU soft gel PAC caps. PAC-500 S7800002 PAC












0
Portable bay chd L-H meas./SET-2 S0114530 SET












0
Scale infant spring type 25 kg x100g S0145555 EA












0
Fe +folic acid 60+0.4 mg tab/PAC 1000 S1550025 PAC












0
Multiple Micro. Nut pdr S1580201 PAC












0
Port. Baby chd L-H S01145200 SET












0

Sheet 2: Form 2
Form 2
UNICEF, Juba South Sudan
Request for Supply
Name of Partner: Date:
PCA No: Expiry Date:
PCA Amendment date Expiry: UNICEF Warehouse:
Quarter ending: 2014 Location of Supply
Sr No Item Unit Total units in PCA Total units collectedtill date Units utilised till date Balance stock Expiry date No. of units requested Date up to which will be utilised Remarks






0









0









0









0









0









0









0









0









0









0









0









0



Name and Title of Partner (Designated Focal Official)
Signatures:
Recommendation/Remarks of UNICEF Nutrition Specialist.












To be submitted min. two weeks in advance of expected delivery of items.





To be submitted as pdf and signed by the focal official and stamp






Sheet 3: Form 3
Monthly Stock Report of Partners Form 3
Name of Partner:







PCA No:







Month
















Item Code Pack Opening stock Stock Rceived during the month Stock used during the monthh Balance at the end of month Location of balance stock Remarks
Plumpynut sache CAR/ 92 g-150 S0000240 CAR


0

Amoxillin pdr oral sus 125 mg bot 100 ml S1505046 BOT


0

Amox 250mg tab Pac 10 S1505045 PAC


0

Amox 250mg tb Pac20 S1505044 PAC


0

Weighing trousers pac S0189000 PAC


0

Micronutrients film tab Pac 1000 S1580100 PAC


0

Albendazole 400 mg chew pac 1000 S1555370 PAC


0

Scale inf. Spring S0557000 EACH


0

ReSoMal 42 g Sach Car 100 S1561125 CAR


0

F-100 ther diet sach 1114 g Car 90 S0000209 CAR


0

F-75 ther diet sach 102 g Car 120 S0000208 CAR


0

Portable bay/child L-H Meas S0114540 SET


0

Weighing scale el moth child 150 kg x 25 g S0141021 EA


0

Mebendazole 500 mg chew tab pack 100 S1555360 PAC


0

MUAC child 11.5 red PAC-50 S0145620 PAC


0

MUAC Adult S0145630 PAC


0

Retinol 100 K IU soft gel PAC caps. PAC-500 S7800001 PAC


0

Retinol 200 K IU soft gel PAC caps. PAC-500 S7800002 PAC


0

Portable bay chd L-H meas./SET-2 S0114530 SET


0

Scale infant spring type 25 kg x100g S0145555 EA


0

Fe +folic acid 60+0.4 mg tab/PAC 1000 S1550025 PAC


0

Multiple Micro. Nut pdr S1580201 PAC


0

Port. Baby chd L-H S01145200 SET


0










To be submiited by 10 th of every month for the preceding month






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...Sheet form distribution of nutrition items under pca name partner no date start expiry warehouse from where the would be drawn item code pack qty jan feb mar apr may jun jul aug sep oct nov dec total plumpynut sache car g s amoxillin pdr oral sus mg bot ml amox tab pac tb weighing trousers micronutrients film albendazole chew scale inf spring each resomal sach f ther diet portable baychild lh meas set el moth child kg x ea mebendazole muac red adult retinol k iu soft gel caps bay chd measset infant type xg fe folic acid tabpac multiple micro nut port baby unicef juba south sudan request for supply amendment quarter ending location sr unit units in collectedtill utilised till balance stock requested up to which will remarks and title designated focal official signatures recommendationremarks specialist submitted min two weeks advance expected delivery as pdf signed by stamp monthly report partners month opening rceived during used monthh at end submiited th every preceding...

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