Manapad, Naila .

HRN: 17-33-73  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/19/2026
AMPICILLIN 1GM (VIAL)
07/19/2026
07/21/2026
IVT
2g
Q6 Anst
Prom
Checking Final Appropriateness 
07/19/2026
CO-AMOXICLAV 625MG (TAB)
07/19/2026
07/25/2026
ORAL
Oral
BID
PROM; Thinly MSAF
Checking Final 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: