Self-examination and rectification record of drug reserve Inspector: Inspection Date: Year, Month and Day Drug category Assessment Result Assessment project Does the Are drugs Can it Whether the Drug Examination quantity stored, kept satisfy the batch turnove result of drug and basic number of r rate varieties classified clinical drug meet the according to medicatio expiration clinical regulations? n? period meets needs? the requirements and whether the expiration period management is implemented Commonly used drugs First-aid medicine special Narcotic drugs Specia Psychotropi l c drugs Yes or No Yes or No Yes or No Yes or No Yes or No Yes or No Yes or No Yes or No Yes or No Yes or No Yes or No Yes or No Yes. No. Yes. No. Yes or No Yes or No Toxic drugs Yes or No Yes or No Yes or No Yes or No Yes or No Yes or No Yes or No Yes or No Yes or No Yes or No Easy to manufactur e drugs Chemical Radioactive Tube reason drugs Biological products High risk drug drugs Yes or No Yes or No Yes or No Yes or No Yes. No. Yes. No. Yes or No Yes or No Yes or No Yes or No Reason analysis: Improvement measures: Reform and implementation: Effectiveness evaluation:

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