Naparan, Nash ..

HRN: 24-25-81  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/05/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
10/05/2025
10/12/2025
IV
380mg
Every 6hours
Pneumonia
Waiting Final Action 
10/08/2025
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
10/08/2025
10/13/2025
PO
2.5ml
OD
PCAP-C
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: