Villarosa, Baby Boy .

HRN: 29-08-88  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/03/2026
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
06/03/2026
06/09/2026
IV
570mg
Q6H
Acute Suppurative Otitis Media; AGE With Moderate Dehydration
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: