Saguindang, Blezcy .

HRN: 03-09-38  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/12/2025
METRONIDAZOLE 500MG (TAB)
10/12/2025
10/19/2025
PO
500
Tid
Thickly Msaf
Checking Final Appropriateness 
10/12/2025
CEFUROXIME 500MG (TAB)
10/12/2025
10/19/2025
PO
500
Bid
Thickly Msaf
Checking Final 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: