| Legend | |||
|---|---|---|---|
| A | Beginning Balance for the Reporting Period (Unopened products in Reporting unit | B | Qty Received (in Reporting unit) |
| C | Qty Used (In Reporting unit) | D | Number of samples done excluding controls |
| E + /E- | Losses and Adjustments (+/-) (in Reporting unit) | F | Physical Count (Total No of unopened products at End of Reporting Period (in Reporting unit) |
| G | Maximum Stock (Qty) | H | Qty to Order |
| I | Expiry Date DD/MM/YYYY (report specific quantities for different expiry dates) | J | Remark |
| REPORT | REQUISITION | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| S/N | Item Description |
LIMS Reporting Unit |
Beginning Balance for... Beginning Balance for the Reporting Period (Unopened products in Reporting unit |
Qty Received (in Reporting... Qty Received (in Reporting unit) |
Qty Used (In Reporting... Qty Used (In Reporting unit) |
Number of samples... Number of samples done excluding controls |
Losses and Adjustments... Losses and Adjustments (+/-) (in Reporting unit) |
Physical Count... Physical Count (Total No of unopened products at End of Reporting Period (in Reporting unit) |
Maximum Stock (Qty) |
Qty to Order |
Expiry Date... Expiry Date DD/MM/YYYY (report specific quantities for different expiry dates) |
Remark | |
| A | B | C | D | E+ | E- | F | G = C x 2 | H= G-F | I | J | |||
| BIMONTHLY TEST SUMMARY OF EARLY INFANT DIAGNOSIS (EID) and VIRAL LOAD | REPORT | REQUISITION | REQUISITION | EXPIRY DETAILS: EXPIRED AND SHORT DATED ITEMS | |||||
|---|---|---|---|---|---|---|---|---|---|
| Month 1 | Month 2 | Failed Runs | Please provide details (expiry dates, lot numbers & quantities) of any commodity that will expire within two (2) months | ||||||
|
|||||||||
| Number of EID tests done (inclusive of controls) | |||||||||
| Number of VL tests done (inclusive of controls) | |||||||||
| Equipment down time within the reporting period (in days). | - | - | |||||||
