Panorel, Leonardo B.

HRN: 14-46-84  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/20/2025
CEFTRIAXONE 1G (VIAL)
09/20/2025
09/27/2025
IVT
2g
OD
Cap
Checking Initial Appropriateness 
09/20/2025
AZITHROMYCIN 500MG TABLET (TAB)
09/20/2025
09/25/2025
ORAL
500mg
OD
Capmr
Checking Initial 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: