Bellato, Princess Zuhayrah W.

HRN: 25-92-97  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/20/2025
AMOXICILLIN 100MG/ML, 10ML DROPS (BOT)
09/20/2025
09/27/2025
PO
0.7ml
TID
URTI
Checking Initial Appropriateness 

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: