Arasali, Baby Boy .

HRN: 21-35-20  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/16/2022
AMOXICILLIN 100MG/ML, 10ML DROPS (BOT)
08/16/2022
08/23/2022
PO
1mL
Q8
URTI
Waiting Final Action 
08/16/2022
AMOXICILLIN 250MG/5ML, 60ML SUSPENSION (BOT)
08/16/2022
08/22/2022
ORAL
2ml
TID
AGE
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: