Medical Dental and Laboratory Expenses ( Procurement of Medical Supplies )

Republic of the Philippines Province of Cebu Municipality of Alcantara STATEMENT OF BUDGETARY REQUIREMENTS Name of Project : Medical, Dental and Laboratory Expenses : Procurement of Medical Supplies for emergency needs/very unhealthy air Location : Rhu Barangay Poblacion Alcantara Cebu Source of Fund : Gen fund 4411 Project Cost : Php 50,000.00 Qty Unit Item Description Unit Cost Amount 80 boxes Surgical Mask blue 200.00 16,000.00 40 boxes Surgical Mask black 200.00 8,000.00 40 boxes Surgical Mask pink 200.00 8,000.00 150 pcs O2 Nasal canula Adult 25.00 3,750.00 25 pcs O2 Nasal canula Pediatric 36.00 900.00 15 set Herapin Lock 40.00 600.00 30 liters Plain NSS/D5.9NaCl 100.00 3,000.00 50 bottles Sterile Water for irrigation 500ml 100.00 5,000.00 3 box of 12's Silk suture 3 O Cutting 350.00 1,050.00 2 box of 12's Nylon sulture 3 O Cutting 350.00 700.00 2 set Pulse Oxymeter 1,500.00 3,000.00 Total 50,000.00 Prepared by : OK as to Appropriation Fund Availability : ROWENA G. BUHAWE KAREN B. LISONDRA EDISON Y. INCIPIDO Nurse II Municipal Budget Officer Municipal Treasurer Noted by : Approved by : JONATHAN C. TANDUYAN, MD ATTY. FRITZ A. LASTIMOSO Municipal Health Officer Municipal Mayor