Bagolong, Aimee O.

HRN: 23-95-13  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/22/2025
AZITHROMYCIN 500MG TABLET (TAB)
09/22/2025
09/24/2025
PO
500mg
1 Tab Once A Day
Urti
Waiting Final Action 
09/22/2025
AZITHROMYCIN 500MG TABLET (TAB)
09/22/2025
09/24/2025
PO
500mg
1 Tab Once A Day
Urti
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: