Cuario, Baby Girl .

HRN: 28-09-07  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/12/2025
AMPICILLIN 1GM (VIAL)
11/12/2025
11/19/2025
IV
170mg
Q12
Psnb
Waiting Final Action 
11/12/2025
GENTAMICIN 40MG/ML, 2ML (AMP)
11/12/2025
11/19/2025
IV
17mg
Q24
Psnb
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: