Ansoco, Carlos L.

HRN: 27-20-84  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/30/2025
METRONIDAZOLE 500MG (TAB)
05/30/2025
06/06/2025
PO
500
TID
Infectious Diarrhea
Waiting Final Action 
05/30/2025
CEFTRIAXONE 1G (VIAL)
05/30/2025
06/06/2025
IV
2g
OD
UTI, Infectious Diarrhea
Waiting Final Action 
06/01/2025
CIPROFLOXACIN 500MG (TAB)
06/01/2025
06/08/2025
PO
1 Tab
BID
Typhoid Ileitis
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: