LISTADO DE ATENCIONES PRIMARIAS DE SALUD OS595 ~ 25 [PROVINCIA —__—TF7Uipah, CS. 3 Ain relic Gp cutita, Conn NOMBRE (peional) [EDAD [HOMBRE ‘MujE_[ RACIONALIAD DiagnosTIco GEO IRA] No, entice 1 | Etzatetd Mort [32 x | evekin Sw Wu 25982 2 [Viele ams ft «| torecueh arene, 3 |Bithon Menu, 13 we Denil _ Dery, 1928128938 4 Wf otk Gonoh iM x Teeth Dover 1352992458 5 m1 « Seue | Zovx | te ous ae “ 3h oud | So8_faavaee z Me Sree BV. a ty x Std Fox ‘Az g1 833) 9 va [|X Cady | 072 (ioe a6 Tw enol nb ote, & Gemt- [Soy [ask ewteur, 48 a IWS, wy 38 13 (Gola, Senlos 3r_| x SxS 'zauxaoo) | 14 {Nadnons Uberbe | x SX 1ygaia 15 [Pou Sigchs a) ES Cuiede INS Ausaeeay 16 |Tv, Ousiiomn | | w Vout Fao \so89 yy 17 [Gapconda Bye | 42 uM Sade Aas [seer 18 [Binge 25 m7 Swede D0 | aya ane 19 Fras. soem | VY yl Sony Teor Tar seysaa, Responsable: Yombre, rma y elloLISTADO DE ATENCIONES PRIMARIAS DE SALUD, [PROVINCIA ‘Wuaat TE [FECHA N= |_NOMRE pion Tis sc. aS FORTE [Lanai [manne] My + Conti effec neietomnaiane DIAGNOETICO GIO | HRY Wa enue | Dooy | sasi939 te Dey os 30g [x Dry por emuay x 2 22 Syria Dery 1354 | ~ yr Pe orgs 855 | Iz ty [ I | we oo 2 [ve | [xT ud. Woteyay [ss [= zum dow Disy Wrpqugy [s | G3 Puede | BR! e3ydersehi 1 ei Saedem Suv Ha gouzl 255, 13 Maire Zanker | 2 Nes Susie | Sr 1356.08 lo 14 [Sndu Oitledke | 25 | x gucte | Usa) [otmog soe [ss lx Duets, He \2o s330ar I xX | ese (Ay 63 8% in [ee | x aa Bure Dega 14! a | Sue, Dey OWOITEVG. 19 Zimkeas | S| Ly Oedr 3 Taye 365759 [Responsable Nombre, fea y sella 7 ck 171502038,LISTADO DE ATENCIONES PRIMARIAS DE SALUD PROVINCES hack, ou nn [eugars Abus | ECH os Oats ‘| NOME Topcon) [EDAD [WOMB] MOTE [ NAGONANTOAD | DIRGNORTICO CEO 1 | Ge sila] 33 X | eed Szy 2 ‘ Honry b 32 S Dowd Dey v 4 3 masonite Griten | 2 =| Gua Ba, 2 4 | Mona Drow | eae 3: Io4a1s 5 | Saverio ut 5 a Es Suu By, wire 6 | Roehm wr | ewan Dey [iwi es: | z se Gocvht 5) x Poem WAR oie esis’ 8 [Ovni earwna| 2B « Soh Bur [aus eA 9 [Posen Yorn | 23 «| vewpathy we [prysee ko, 10 [Bin Deady | 30] cued “n> |\3 siya, 11 |Adde M by | tarde al Psy 12 | Seams tei sz | Wune veh tal fastens 13 | Gn (hs se | Dade u| [args 14 | Deus Cotes | > Syehe aur [to Br 1088S 15 | Gal acon] 3 Zieh S000 | teen aa 16 a7 10 9 Responsable: Nombre, fra yselloLISTADO DE ATENCIONES PRIMARIAS DE SALUD a fame tae counatennns Wann: Se 8 compas 25 FECHA Sweat N® | NOMBRE (opcional) | EDAD [HOMBRE] MUJER J NAcIONALIDAD | DIAGNOSTICO CiE-10 | FIRMA/ No. Identificacion [i [Gat Gomaces |_| x oe awo5 [naa ets aw x | pete uw ae 3 | susose e005 Sete i BowNaen, 4 | Gp Nome 56. x Seuehor Sigs Benue S_| Brion GSwag x Syed, Uo2-\ 1s x 6 Naki Symexo | I x | ews. Does A sya tee 1 [ems 6 x | xox | Sou ws, 2 Siu [2m | se aw x fees 9 tu %s |< Sund Wo gers DK 10 | Baan 1o [x ede | \aaasasss: | un wha Os \ ~ Dw»: io. o 12 | tow. 34 ox. layve 13 | pociestan Ahh x set haya 4 ay [a Coeds Sox eee 15 | osha 2edares| 2 | eects aly 46 Geanhn | 24 A | eeninn Bex _| sesso. 0 18 19 Response oir tray al DOA— LISTADO DE ATENCIONES PRIMARIAS DE SALUD. [provincia hands fuogaR: OS Palas FECHA: aOs= te N= | NOMIIRETepsanst) | BDAD DINGNOSTIOO CEN | FRA) Ne ensiieacin 1 | Soxlin Durboial 2: BOX ToS bu: [a [Sie one o 3 casera. 3 | Sendo Lor x: Dey Way ata: 4 boss 6 % Ke 5 [Cowie Gilat | oe * Boys Svea 6 | Fann, OO: % * oa tase | Morhs. Gaby 63 x PB APor 33 8 | seas Valid | 7 a Sex mashes 9 | Pram (ax | 4 * B85 [boone 10 |Cocerdho Mads, | 32 ~ a uly sels “ Bax fsa 12 | Syme ess pov eer ras we, | tn | = Bex [ped 14 Bedayn | 4D 2K | Avour~ux 15 16 a7 18 19 [Responsable Hombre, firma ysllo