Jimenez, Freyannah M.

HRN: 29-26-68  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/02/2026
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
07/02/2026
07/09/2026
IV
150mg
Q6
PCAP C
Remove - Pending Acceptance

AMS Audit Form


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