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  • HSP-FO-190D-008 Historia Clinica de Retina

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    Attribution Non-Commercial (BY-NC)
    Download as PDF or read online from Scribd
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    3K views1 page

    HSP-FO-190D-008 Historia Clinica de Retina

    Uploaded by

    HSBCalidad

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 1

    HISTORIA CLNICA DE RETINA HOSPITALIZACIN OFTALMOLOGA

    APELLIDOS EDAD 1. OCUPACIN MOTIVO DE CONSULTA NOMBRES TELFONO

    Cdigo: HSP-FO-190D-008

    Versin: 2

    NMERO DE H.C. FECHA

    2. ANTECEDENTES 2.1 OFTALMOLGICOS

    2.2 GENERALES DIABETES HIPERTENSIN TRAUMTICOS 2.3 FAMILIARES TOXICO/FARMACOLGICOS OTROS

    2.4 AGUDEZA VISUAL OD sc OI sc BIOMICROSCOPIA OD cc cc PH PH

    OI

    TO:

    mmHg

    FONDO DE OJO:

    I Dx

    CONDUCTA

    Pgina 1 de 1

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