Alfon, Bedasto T.

HRN: 04-03-27  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/09/2026
METRONIDAZOLE 500MG (TAB)
04/09/2026
04/16/2026
PO
500mg
BID
Amoebiasis
Remove - Pending Acceptance
04/09/2026
CLARITHROMYCIN 500MG (CAP)
04/09/2026
04/16/2026
PO
500mg
BID
H Pylori Infection
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: