Bargayo, Jenesa .

HRN: 13-55-09  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/02/2026
BENZATHINE BENZYLPENICILLIN 1.2M UNITS VIAL
03/02/2026
03/23/2026
IM
2.4mIU
Once Weekly
Syphilis
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: