NOT VALID WITHOUT
MASTER STAMP
Page 1 of 2
BATCH MANUFACTURING ORDER
PRODUCT NAME :
PROPRANOLOL ORAL LIQUID 2mg in 1ml
Batch Number :
Product Code : PROP/2
Manufacturing Date :
Expiry Date :
(1 month from D.O.M. stored at 2 to 8°c)
PATIENT NAME, NHI NO. & WARD (if appropriate) _______________________________
1 FORMULATION
Batch
No:
Expiry
Date:
Supplier
Pacific
Midwest
Scharlau
Baxters
Batch Size
Ingredient
Propranolol
40mg Tablets
Syrup
Quantity
Quantity
Used
Dispensed
By:
Checked
By:
2
15ml
Citric Acid
powder
400mg
Water for
Irrigation
to
40ml
= 1 x 40ml
Extended Batch calculation done by:
No of Batches to be prepared:
Source of Formula:
Extended calculations checked by:
(Pharmacist)
Sick Kids Formulary. Toronto, Canada
SPECIAL INSTRUCTIONS : Wear clean gown, hat & non-sterile gloves
AREA CLEARED FOR PROCESSING BY :
DAILY SCALES CHECK DONE BY :
CHECKED BY :
Compounded By:
2
MANUFACTURING
a
Measure the Syrup into the final glass measure.
b
Dissolve the Citric Acid in approximately 10ml water.
Crush the tablets using a pestle and mortar.
Add Citric Acid solution & mix to dissolve tablet coating.
Transfer paste to the measure containing the Syrup.
Rinse mortar with water.
Make up to final volume with water.
Stir well.
C
d
e
Prepared By :
Checked By :
Paula Ferguson
Stella Kwok
Original issue
date:
7/6/04
This revision
issued on:
21/7/09
2 yearly review
Next review
date:
21/7/11
NOT VALID WITHOUT
MASTER STAMP
PRODUCT NAME :
3 LABEL ISSUE
PROPRANOLOL ORAL LIQUID 2mg in 1ml
Sample Label
IPD
Product Label and Auxilliary Labels
Shake the bottle
Keep in fridge/Do not freeze
STOCK
x
Number of labels printed :
Printed By :
Number of labels used :
Checked By :
4 CONTAINER FILLING & LABELLING
a Pack into pre-rinsed brown plastic bottle – 50ml
b Cap with Cospak cap
c Label appropriately
Completed By :
Checked By :
5 PRODUCT YIELD
Expected : ______ x ___ml
Actual : ________x ___ml
6 FINAL QUALITY CONTROL CHECK & PRODUCT RELEASE
Released By : _______________
(Pharmacist)
Date :__________
Prepared By :
Checked By :
Paula Ferguson
Stella Kwok
Original issue
date:
7/6/04
This revision
issued on :
21/7/09
2 yearly
review
Next review
date:
21/7/11