Formato de Atención de Consulta Externa

 

FNBYUC ANIJFC _GOLJ @OZ V.O.F

DCUAOYC IN OYNBFJÖB IN FCBV^LYO NWYNUBO DNFGO=

GCUO=

NIOI=

Actvc in

Yjnapc in

Fcbsulo= Vjhbcs y Vábcaos= Unloc Frcbclöhjfc=

Nbdnranioi=

DOFYCU IN UJNVHC JINBYJDJFOIC

O[NYJYC= VNI= DJNEUN NB LCV ^LYJACV ?>

V^NßC= CUJBO= TJOMC NB LCV ^LYJACV

IJOV= YCV GOFN ?> IJOV= VJ BC

?> IJOV= VJ VNFUNFJCB C LNVJC NB HNBJYOLNV= VJ BC

NW. DJVJFC IJOHBCVYJFC

Y»=

[.O.= YJ[C IN IW [

BC

D.F.=

D.U.=

FJN W I

U

YUOYOAJNBYC=

[UCWJAO FJYO= CEVNUTOFJCB= DJUAO Z VNLLC

O[NLLJICV Z BCAEUNV=

[NVC=

B» GFL=

YOLLO=