PRIMARIA0DISA (1):RED (2):MICRORED (3):EESS_4IE_5CODIGO IE
(6):DISTRITO (7):RESPONSABLE PSE DEL EESSDE LA I.E. (8):TIPO DE
SEGURO (9):FECHADEEVALUACION_10GRADO_11SECCION_12turno_13N DE
ALUMNOS EVALUADOS (14):DNI15ApellidosyNombres17Sexo(18)Fecha de
Nacimiento (dd-mm-aa)
(19)Edad_aosymeses_20pesoneto_21tallacm_22imc_23T/E (25)-DxNCIE
10-DxN (26)IMC/E (30)-DxN (27)CIE 10-DxN (28)Consentimiento
informado aceptado (30)Consentimiento informado NO
aceptado(31)Fecha (32)-DHbResul33_DHBDx (34)-DHbCIE 10-DHb (35)Sin
muestra con C.I.(36)OD-AVSC(38)CIE 10-AVSC(39)OI-AVSC(40)CIE
10-AVSC(41)BIAVSC(42)CIE 10-AVSC(43)OD-AVCC(45)CIE
10-AVCC(46)OI-AVCC(47)CIE 10-AVCC(48)BI-AVCC(49)CIE 10-AVCC(50)1
DOSIS DT (52)3HEPATITIS B (53)3 PVH (54)EXAMEN ESTOMATOLOGICO
(55)CODIGO DE ESTABLECIMIENTO (56)CODIGO RENAES (57)EE.SS DE
REFERENCIA(58)DIRECCION DE EESS DE REFERENCIA (59)PATOLOGIA OCULAR
(SI / NO) (60)OBSESRVACIONES(61)1II LIMA SURBCO-CHO-SCOVILLAP.S
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TERESA DE CHORRILLOSLENTES13II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
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SANTA TERESA DE CHORRILLOS14II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
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BAZUL07-05-15TERCEROAMAANA21MAMANI FLORES, GUSTAVO
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SANTA TERESA DE CHORRILLOS28II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
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SANTA TERESA DE CHORRILLOS29II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
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SANTA TERESA DE CHORRILLOS34II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
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BAZUL07-05-15TERCEROBMAANA1761033746RODRIGUEZ GONZALES, NOEMI
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SANTA TERESA DE CHORRILLOS35II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
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TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
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SANTA TERESA DE CHORRILLOSLENTESLENTESLENTES0a 0m0a 0m0a 0m0a 0m0a
0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a
0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a
0m0a 0m0a 0m
60943312
CONSOLIDADORED BCO CHO SCOIEPESO-TALLA-IMCHEMOGLOBINAAGUDEZA
VISUALTOTAL ATENDIDOSDIAGNOSTICADOSRELACION
IMC-EDADDIAGNOSTICADOSTALLA -EDADTOTAL ATENDIDOSNORMALANEMIA
LEVEANEMIA MODERADAANEMIA SEVERATOTAL ATENDIDOSNORMALPATOLOGICO
20/50 a msNORMALDELGADEZSOBREPESOOBESIDADNORMALTALLA
-ALTATALLA-BAJA