Perez, Prince Kobe .

HRN: 19-50-14  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/06/2026
CEFTRIAXONE 1G (VIAL)
07/06/2026
07/12/2026
IVT
1g
Now Then OD
Typhoid Fever (clinical)
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: