Diwa, Khalif M.
HRN: 27-84-75 Sex: MalePatient Encounter
AMS Audit List
Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/16/2025
AMPICILLIN 250MG (VIAL)
12/16/2025
12/23/2025
IV
105mg
Q6
PCAP-C
Checking Final Appropriateness