Cabasag, Carlyle Ruby Y.

HRN: 21-58-27  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/28/2026
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
05/28/2026
06/04/2026
IV
800mg
Q6
Acute Tonsillopharyngitis
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: