Pharmacy Department – Monthly Report
1. General Information
Hospital/Facility: __________________
Department: Pharmacy
Month & Year: __________________
Prepared by: __________________
Date of Submission: __________________
2. Service Utilization
Indicator This Month Cumulative (Year) Remarks
Total Prescriptions Filled
Average Daily Prescriptions
Patients Served (Outpatient)
Patients Served (Inpatient)
Emergency Drug Dispensing
Controlled Drugs Dispensed
3. Drug Consumption & Stock Management
Drug Name Opening Received Dispensed Closing Stock- Remarks
Balance Balance out Days
Paracetamol Tabs
Amoxicillin Caps
Cotrimoxazole
IV Fluids
Insulin
Essential Drugs
(list more)
Total
4. Top 10 Dispensed Medicines
Rank Drug Name Quantity Dispensed Remarks
1
2
3
4
5
6
7
8
9
10
5. Stock Status of Essential Medicines
Category Total Items Items in Items Out of Stock % Availability
Stock
Essential Medicines
Emergency Medicines
Antibiotics
Vaccines (if
managed)
6. Adverse Drug Reactions (ADR) Reported
Drug No. of ADR Cases Action Taken Remarks
7. Staffing & Resources
Staff Category Available Required Gap Remarks
Pharmacists
Pharmacy Technicians
Storekeepers
Others
8. Challenges & Constraints
9. Recommendations / Action Plan