República Bolivariana de Venezuela

Universidad de las Ciencias de la Salud

Hugo Chávez Frías
Medicina Integral Comunitaria

PLANILLA DE ASISTENCIA DE GUARDIA Y ROTACIÓN

Nombres y Apellidos: ________________________________________________ CI:________________ ASIC:_____________

Fecha y hora Firma y Sello del Fecha y hora Firma y Sello del
Médico del área Médico del área
 República Bolivariana de Venezuela
Universidad de las Ciencias de la Salud
Hugo Chávez Frías
Medicina Integral Comunitaria

Observaciones y procedimientos: ________________________________________________________________

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 República Bolivariana de Venezuela
Universidad de las Ciencias de la Salud
Hugo Chávez Frías
Medicina Integral Comunitaria