Informe Medico Barrio Adentro

REPUBLICA BOLIVARIANA DE VENEZUELA SALA DE REHABILITACION INTEGRAL VILLA REAL - FLOR AMARILLO

INFORME MEDICO NOMBRE DEL PACIENTE: ___________________________________________ EDAD: ____ SEXO: F: ___ M: ___ CEDULA DE IDENTIDAD: _______________ IMPRESIÓN DIAGNOSTÍCA: __________________________________________ __________________________________________________________________

RESUMEN:______________________________________________________

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FECHA: _____________________