English

Billing for your medical store in Lakshadweep

Half a strip, a monthly regular and a knock at the door at night, each one on a clean bill.

A customer at the counter of a small medicine shop with shelves of bottles behind, at Thampanoor, Thiruvananthapuram
A customer at the counter of a small medicine shop with shelves of bottles behind, at Thampanoor, Thiruvananthapuram Photo: Sujithshivam511, CC BY-SA 4.0

The strip counted, the month's bill kept, the night sale written

  • A gap in the tablets found in the week it happens, not after the ship

    At the end of each week, count one medicine on the shelf against its count in the phone. A difference of a few tablets found on a Sunday can be asked about on Monday. Found after the ship has come and gone, it is a story nobody can check. With the next strip a ship away, a gap found early is a gap you can still do something about.

  • The ship's medicines split between the shelf and the box for the island clinic

    On the day the ship lands, count the opened cartons into two places: the shelf in the shop and the box you keep for the island clinic. A strip taken for the clinic comes off the shop's shelf, so the shop and the clinic both read true, and the regulars' strips are not eaten by an order that came first.

  • A box that is filled the same way every trip

    Make the boat's first-aid list as a bill, with the date, and keep it on the boat's page. When the boat is back, the owner pays and the payment goes on the same page. Next trip you open the last bill and make the new one the same way, with only the changes.

Green shelves of medicine bottles and boxes behind a wooden counter at Jagadishpur Hat, West Bengal
Green shelves of medicine bottles and boxes behind a wooden counter at Jagadishpur Hat, West Bengal Photo: Billjones94, CC BY-SA 4.0
A pharmacist in a white coat reaching for a medicine box on a shelf
A pharmacist in a white coat reaching for a medicine box on a shelf

A half strip, a regular's monthly medicine and a knock at night

  1. The last two strips on the shelf, and four people asking

    On an island you cannot send a boy to the next town for more. When the shelf is down to two strips of a medicine, four people may ask for it in the same week, and you must decide who gets them. You want to know, before that day, how many are left and who has already taken some, and the notebook cannot tell you that quickly. Whoever is turned away goes home and tells the neighbours the shop was out.

  2. The regular whose medicine cannot run out before the ship comes

    Some customers take the same medicine every month for years. They come in the same week, ask for the same strips and trust you to have them. If the ship is late and the shelf is empty, the person who is hurt most is the regular, and you can tell only from memory which of them are due this week.

  3. A boat's first-aid box before the trip

    A boat's owner asks for the first-aid box to be filled: plasters, bandage, a few kinds of tablets and a bottle of antiseptic. It is a long list for one customer, and he pays when the boat is back. A month later the list is in your head as what you usually give, and the amount he owes is what he thinks you said.

The work that fills a medicine counter on the islands

The work of the islands is done by hand and in the water, and the medicine counter is where its small injuries and long illnesses come to be treated.

  • The main occupations in Lakshadweep are fishing, coconut cultivation and coir twisting, and tourism is an emerging industry.
Two iron mooring bollards on a red stone jetty at Agatti, with the lagoon and a palm-lined shore beyond
Two iron mooring bollards on a red stone jetty at Agatti, with the lagoon and a palm-lined shore beyond Photo: icultist, CC BY 2.0

Tools for a medicine counter between one ship and the next

  • Credit book (khata)

    A standing page for a boat's first-aid list, billed again each trip with the day, and the owner's payment beside it.

  • Bills on your phone

    A bill for a long list for one customer, such as a first-aid box with eight things on it, made in one go and sent to the owner's phone.

  • Daily reports

    The number of strips of each medicine sold in the month, so you know how many to keep ready for the regulars who depend on them.

What island medical store owners ask

The boat's owner wants one more strip for this trip only. Does the next trip's list change?

No. The extra strip goes on this trip's bill alone. Each trip is a bill of its own on the boat's page with its date, so you can read which trips carried the extra.

Two customers ask for the last two strips and one is a regular who takes them monthly. Who gets them?

With two strips left and a ship that does not run daily, the regular's page is the guide: if he took his last strip long ago, he is due. Whoever goes without goes on the list for the next order, with the name and the medicine.

How many strips of a regular's medicine should I hold so that one late ship does not empty them?

Read the strips the regular took in each of the last months and take the most in a single month. Hold that number for each month the ship might be late, with a few over. The shelf count shows you the day the held strips begin to be eaten into.

More questions every shop asks

When the supply of medicines runs short

A 2024-25 Institute of Economic Growth field report says two Lakshadweep health facilities it checked frequently run short of essential medicines and medical equipment. When a facility's shelf is empty, a medical shop's shelf is where people look next, and the shop's count has to be right.

The same Institute of Economic Growth report says two Lakshadweep hospitals it checked face delays in procuring and maintaining medical supplies, and that ships between islands do not run daily. A shop on an island has the same problem on a smaller scale, and the order for the next ship is written with its regulars in mind.