The monthly return form is used at the end of each month to collect data for the medical store. This data will help the medical store to assess monthly consumption in the health centre and determine the future purchases at the health centre. This financial progress of the dispensary in relation to attendance at the health centre can also be assessed with the data. The information on the monthly return form (Diagram 16) is:

• Cash collected for the month (as in the FRB),

• Total number of patients that attended the health centre. Information provided by the head of the health centre,

• Quantities of each drug dispensed for the month (refer to daily use record or the daily use/cash record sheet.

Diagram 16 Example of Dispensary Monthly Return Form

Dispensary: ________________________________ Month and Year: ______________
Monthly turnover (in local currency): _________________________________(Refer to FRB)
Health centre attendance for month: _____________________________________________

Name of health worker:_____________________________________________________

Signature of health worker: __________________________________________________

Date:___________________________________________________________________