Omar, Sanggayan C.

HRN: 10-97-98  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/06/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/06/2026
03/13/2026
IV
500mg
Q6h
INTESTINAL AMOEBIASIS
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: