| Contraceptives received this month | ||||||||||
| Date | IUD (each) | Pill (cycle) | Condom (dozen) | Vaginal tablets (tube) | Injectables (flagon) | Implant (unit) | Remarks | |||
| Size B No. 4 | Size 3 No. 3 | Size D No. 2 | Copper T | |||||||
 | ||||||||||
| ||||||||||
| ||||||||||
| ||||||||||
| ||||||||||
| ||||||||||
| Total received | ||||||||||
| Contraceptives distributed this month | ||||||||||
| Date | IUD (each) | Pill (cycle) | Condom (dozen) | Vaginal tablets (tube) | Injectables (flagon) | Implant (unit) | Remarks | |||
| Size B No. 4 | Size 3 No. 3 | Size D No. 2 | Copper T | |||||||
| ||||||||||
| ||||||||||
| ||||||||||
| ||||||||||
| ||||||||||
| ||||||||||
| Total distributed | ||||||||||
| Balance (stock) at the end of this month | |||||||||
| IUD (each) | Pill (cycle) | Condom (dozen) | Vaginal tablets (tube) | Injectable (flagon) | Implant (unit) | Remarks | |||
| Size B No. 4 | Size 3 No. 3 | Size D No. 2 | Copper T | ||||||
| |||||||||