Stock Card for CHWs
Name of CHW:
Nearest health center:
District:
Your name here
Product Name:
Name of the health center you are
attached to and the district it is in
Name of the medicine or commodity. Use one card for each different product
Strength and Dosage Form:
Unit:
Counting unit of the product
(e.g., blister or tablet or sachet)
Concentration and presentation of
the product (e.g., 20mg tablet)
Minimum stock level:
Minimum amount that should be on the shelf at any time- this should be calculated by the health center
Date
Date
Each time you give out or
receive some product you must
write the date it happens
Received From/Issued To
Where you received medicine
from (e.g., the health center) or
where you dispensed
medicines to (e.g., patients)
Quantity Received
Quantity of counting units
received in an order (e.g., if the
unit is blister here you write 1
blister not 6 tablets)
Quantity Dispensed
Quantity of counting units
given out (e.g., if the unit is
blister here you write 1 blister
not 6 tablets)
Balance
Amount of counting units
remaining in your stock.
Expiry Date/Comments
The date the product expires.
This makes it easier to track.
Supervisor can help locate this
information.
Received from
/issued to
Quantity
received
Quantity
Dispensed
Balance
Expiry date
/comments