Baganday, Bb Boy .

HRN: 28-26-81  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/15/2025
AMPICILLIN 500MG (VIAL)
12/15/2025
12/22/2025
IV
300mg
Q6
PCAP C; AGE With Mod DHN
Checking Final Appropriateness 
12/17/2025
MEBENDAZOLE 100MG/5ML, 60ML SUSPENSION
12/17/2025
12/20/2025
PO
5ml
BID
Ascariasis
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: