Palgan, Julieto .

HRN: 28-15-39  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/07/2026
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
03/07/2026
03/13/2026
IV
1.5 G
Q6
CAP MR
Remove - Pending Acceptance

AMS Audit Form


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