Balambao, Maylene .
HRN: 28-77-95 Sex: FemalePatient Encounter
Audit Details
Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/03/2026
AMPICILLIN 1GM (VIAL)
05/03/2026
05/10/2026
IV
2 Grams
Q6
Prom
Pending Pharmacy Acceptance
Indication: ProphylaxisEmpiric Type of Infection: Reproductive Tract Compliance to guidelines: