A supplies inventory form is a document used to determine the supplies that are mostly used in an industry. It’s a record of all the supplies in storage. It can be used in a clinic to monitor clinic supplies in a given time. Below is a sample supplies inventory form.
Sample Supplies Inventory Form
Alcohol swabs (No. of boxes) ____________ Batteries AA______ Bulb projector_______
Contact lens cases__________ cotton swabs ____________ bandages________
Examination forms_______ eyeglass order forms_________ Patient history forms________
Service summary form________ alcohol based hand sanitizes__________ surgical razors___
Injections_____ syringes_____ Gauze________ splints_________ Gloves__________
Pain killers_________ antibiotics___________ stretchers________ linen_______
Mattresses___ Pillows _______ Pregnancy test kits_______ Diabetic strips________
Thermometer_______ blood pressure monitor__________ lab coats_________ masks____
Braces_______ etching gel_____ fissure sealing material_________
Surgeon’s gowns_______ eye-protection_________ local anesthesia_______ needles
_________toothbrushes_______ stethoscope_____________ wheel chairs_______
Fetal monitor_________ ultra sound machine___________ ECG work station_______
Patient monitor _____ hearing aid_____ crutches___________ colostomy bags_______
Artificial limbs________ walking aids________ urinary catheters and bags _______
