Drug Order Details

Identify the person placing the order and then enter the current quantity on hand for all items.

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* 1. Ordering Location

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* 2. Name of person completing order

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* 3. Contact number for person completing order

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* 4. Gastrografin 30mL bottles- ordered by the bottle  Par = 30

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* 5. Omnipaque 300 (100ml bottles, 10 bottles per box) ordered by the box= Par 6

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* 6. Omnipaque 350 (100ml bottles, 10 bottles per box) ordered by the box= Par 2

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* 7. Sodium Chloride 0.9% 10 mL flush syringes ordered by the box  Par = 3

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* 8. Sodium Chloride 50 mL IV bags 4 pack, ordered by the 4 pack  Par = 3

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