Insic, Maximo .

HRN: 67-81-01  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/03/2025
AZITHROMYCIN 500MG TABLET (TAB)
02/03/2025
02/08/2025
PO
500
OD
Chronic Hepatitis B Infection
Checking Final Appropriateness 
02/03/2025
CIPROFLOXACIN 500MG (TAB)
02/03/2025
02/08/2025
PO
500
TID
Chronic Hepatitis B
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: