Ungang, Hector .

HRN: 28-60-35  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/21/2026
ACICLOVIR 400MG (TAB)
02/21/2026
02/28/2026
PO
400mg
5x A Day
Bell’s Palsy
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: