Información requerida para análisis de registros de "MÉDICOS" C

DR. CARLOS PACHECO GAHBLER

RELACION DE PACIENTES PARA EL COBRO DE "SERVICIOS MEDICOS"

RELACIÓN DE PACIENTES: BANCO DE MÉXICO () FONDO COMPLEMENTARIO DE PENSIONES (X )

Clave del Cantidad (No.

Comprobante 1 2 derechohabien3 4 Código del 5 6 De consultas o7 Unidad de 8 9 10 11 12 13 14 Nombre del Paciente (Apellido Paterno, Materno y 15 Fecha de inicio
16 Fecha de fin de
17 Número de 18 19 20 ICD 10 21 Folio de 22
fiscal (Factura) Fecha formato te CUID (2 digitos) arancel Concepto servicios) medida Precio unitario IVA unitario Retencion ISR Retención IVA Total Nombre) de incapacidad incapacidad Autorización Letra folio Folio formato (Diagostico) referencia
1 28/11/2022 M03468 *03 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 GONZALEZ JIMENEZ HUMBERTO C 2764771 C61 PLUS
2 28/11/2022 K07851 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 BAUTISTA HERNANDEZ FERNANDO C 2764774 N40 C2662361
3 28/11/2022 B03005 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 GARCINI ELIZONDO GUILLERMO DE JESUS C 2764775 N40 PLUS
4 28/11/2022 K05991 *01 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 ZUÑIGA SOSA FRANCISCO JAVIER C 2764776 N30 C2738478
5 28/11/2022 B02433 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 RUIZ MERINO FEDERICO ARMANDO C 2764779 C61 C2763533
6 28/11/2022 E03334 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 JIMENEZ GOMEZ JOSE LUIS C 2764781 N40 PLUS
7 28/11/2022 C00871 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 MATA MARTINEZ LUIS C 2764782 N40 C2736894
8 30/11/2022 K02031 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 PADILLA GONZALEZ MARIO C 2764787 N40 C2634634
9 30/11/2022 M04221 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 JUAREZ GOMEZ FERNANDO C 2764788 N40 PLUS
10 30/11/2022 F02941 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 ROMERO Y FLORES VICTOR MANUEL C 2764793 N40 PLUS
11 30/11/2022 D04859 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 JIMENEZ MANCILLA FERNANDO C 2764794 N40 C2738687
12 30/11/2022 E02396 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 GONZALEZ Y MEJIA MARIANO C 2764795 C61 C2738643
13 30/11/2022 H04777 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 ARANGO MARTINEZ SILVINO NAHUM C 2764796 N40 PLUS
14 30/11/2022 C05895 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 ARANDA MEJIA ALFREDO C 2764797 N20 C2696744
15 30/11/2022 C02491 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 SANCHEZ CASTRO MARGARITO C 2764798 C61 C2738644
16 01/12/2022 E06427 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 GONZALEZ SANCHEZ HERMES PABLO C 2764799 N40 C2735115
17 01/12/2022 E02604 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 CHAVARRIA ROMERO FRANCISCO C 2764801 C61 C2645411
18 01/12/2022 A01531 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 JIMENEZ ARAMBULA CARLOS C 2764802 C61 C2650747
19 01/12/2022 A03336 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 MORALES JOSE ANTONIO C 2764803 N40 C2611989
20 01/12/2022 F03618 *03 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 PEREZ MONGE EMMA C 2764805 N31 PLUS
21 01/12/2022 D06614 *03 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 GORDILLO VELADIZ LUZ MARIA C 2764806 N02 PLUS
22 01/12/2022 H04578 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 ROSAS ANDRADE JOSE HORACIO C 2764808 N40 PLUS
23 01/12/2022 J05940 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 DIAZ SAUZA FRANCISCO AGUSTIN C 2764910 N40 C2738688
24 2/12/2022 M03290 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 JARDINES BARRERA SALVADOR C 2712461 N40 PLUS
25 2/12/2022 J00973 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 JARDINES JARDINES ADRIAN C 2712462 C61 PLUS
26 2/12/2022 G07037 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 MUÑOZ DIAZ JOSE ALFREDO C 2712463 N40 PLUS
27 2/12/2022 A06020 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 JUAREZ NERI HECTOR ALFREDO C 2712464 N40 PLUS
28 2/12/2022 K03449 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 GARCIA RAMIREZ JULIO ALFREDO C 2712465 N40 PLUS
29 2/12/2022 M05719 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 LOBATO HERNANDEZ ENRIQUE AUGUSTO C 2712466 C61 PLUS
30 2/12/2022 C01985 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 ANAYA PONS RAMON C 2712467 C67 PLUS
31 5/12/2022 A02771 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 SANCHEZ LOPEZ VICTOR MANUEL C 2764813 N40 PLUS
32 5/12/2022 C03598 *02 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 HERNANDEZ MIRANDA JOSE DE JESUS C 2764814 N40 PLUS
33 5/12/2022 D03235 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 MARTINEZ PEREZ EFREN C 2764815 N40 PLUS
34 5/12/2022 K01811 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 BERNAL SANCHEZ MANUEL C 2764817 C61 C2677231
35 5/12/2022 D01448 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 CORDOVA VELARDE ISAIAS C 2764819 C67 C2677138
36 5/12/2022 E02947 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 HERNANDEZ QUIJADA JESUS ANGEL C 2764820 N40 PLUS
37 5/12/2022 M07936 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 MARIN TULE BENITO C 2764823 N20 C2706401
38 5/12/2022 A06395 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 CERVANTES TOVAR JOSE GUADALUPE C 2764824 C61 C2738689
39 5/12/2022 M02203 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 SANTOS GONZALEZ RAMON C 2764826 C61 C2738546
40 6/12/2022 B00925 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 PIMIENTA JIMENEZ JOSE RIGOBERTO C 2712471 C61 PLUS
41 6/12/2022 D03640 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 MORALES HERRERA ISAIS C 2712472 N40 PLUS
42 7/12/2022 D03592 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 PALACIOS VARGAS MATEO ROBERTO C 2764827 N40 PLUS
43 7/12/2022 D02544 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 GARCIA ZAMORES ALFREDO C 2764830 C61 PLUS
44 7/12/2022 C03056 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 RAMIREZ PEREZ JOSE MARIA C 2764831 N40 PLUS
45 7/12/2022 G02786 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 GUTIERREZ GARCIA FERNANDO C 2764832 N40 C2763009
46 7/12/2022 K01690 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 NAVA FREYRE JORGE C 2764833 N40 PLUS
47 7/12/2022 D03553 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 CAMARILLO VAZQUEZ EDUARDO ALFONSO C 2764834 N40 PLUS
48 7/12/2022 A03860 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 GUISA VAZQUEZ EDUARDO C 2764835 N40 C2603342
49 7/12/2022 A07763 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 ANDRADE ESPINOSA PABLO C 2764836 N40 PLUS
50 7/12/2022 K03861 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 JARAMILLO SILVA HECTOR ARNULFO C 2764837 N02 PLUS
51 8/12/2022 F06279 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 CORONA LIRA GREGORIO C 2764838 N40 PLUS
52 8/12/2022 F06087 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 ALMAZA PEREZ JOSE MIGUEL ANGEL C 2764840 N40 C2701908
53 8/12/2022 J04620 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 RAMIREZ LARA TOMAS C 2764841 C61 PLUS
54 8/12/2022 C02491 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 SANCHEZ CASTRO MARGARITO C 2764849 C61 C2738644
55 12/12/2022 A03430 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 SILVA AYALA RAFAEL C 2764851 N40 C2749925
56 12/12/2022 F05291 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 ALTAMIRANO SEDANO HUGO MEDARDO C 2764852 C61 PLUS
57 12/12/2022 C04113 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 GONZALEZ GALVAN SALVADOR ENRIQUE C 2764853 N40 PLUS
58 12/12/2022 C05895 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 ARANDA MEJIA ALFREDO C 2764854 N20 C2696744
59 12/12/2022 K05518 *03 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 CALZADA HERNANDEZ MARIA LUISA C 2764857 N21 PLUS
60 12/12/2022 C01985 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 ANAYA PONS RAMON C 2764858 C67 PLUS
61 12/12/2022 G02786 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 GUTIERREZ GARCIA FERNANDO C 2764860 N30 C2763009
62 14/12/2022 C02676 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 DE LA ROSA SALAZAR ENRIQUE C 2764862 N40 C2751106
63 14/12/2022 H04235 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 PAZ USO JESUS RICARDO C 2764863 N40 PLUS
64 14/12/2022 J15529 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 VILLAVERDE MONTALVO CANDIDO C 2764864 C61 C2751107
65 14/12/2022 D06614 *03 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 GORDILLO VELADIZ LUZ MARIA C 2764865 N30 PLUS
66 14/12/2022 K04769 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 LUNA VAZQUEZ ERNESTO C 2764866 N40 PLUS
67 14/12/2022 K03861 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 JARAMILLO SILVA HECTOR ARNULFO C 2764867 N40 PLUS
68 14/12/2022 J05112 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 ESCOBAR ACUÑA RICARDO C 2764868 N40 C2738640
C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73
C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73
C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73
C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73
33 21/11/2022 E02396 *00 C0007 CONSULTA 1 1 $421.00 0 $421.00 $5.26 0 $415.73 GONZALEZ Y MEJIA MARIANO C 2764770 C61 C2738643
$13,893.00 0 $13,893.00 $173.66 0 $13,719.34