Sultan, Aira Jay A.

HRN: 26-99-06  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/17/2025
METRONIDAZOLE 500MG (TAB)
11/17/2025
12/01/2025
PO
500
TID
H. Pylori
Waiting Final Action 
11/17/2025
AMOXICILLIN 500MG CAPSULE (CAP)
11/17/2025
12/01/2025
500
1g
BID
H. Pylori
Waiting Final Action 

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: