Modelo de Hoja de Resumen de Integral Del Niño 2014 II
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Transcript of Modelo de Hoja de Resumen de Integral Del Niño 2014 II
7/26/2019 Modelo de Hoja de Resumen de Integral Del Niño 2014 II
http://slidepdf.com/reader/full/modelo-de-hoja-de-resumen-de-integral-del-nino-2014-ii 1/4
MODELO DE HOJA DE RESUMEN DE INTEGRAL DEL NIÑO
TRATANTE: Arlet Kritel Pamela Remuzgo Alara!o "#!igo: $%&'()*+
PA"IENTE N, NOM-RE DEL PA"IENTE TRATAMIENTO REALI.ADO PIE.A /E"HAINI"IO
/E"HA T0RMINO
"OSTO A"UENTA
N,RE"I-O
SALDO NOTA O-SER1A"IONES
INTEGRAL2 I3a4el D5az 6ui37e
289$892 292292 'er ;o<trol
ORTODON"IA2 "aroli<a Alara!o Lo=a
M A N T E D O
R
D E E S P A " I O
2 /lor Mama<i Lu>ue $2 ma<te<e!or !e e37a;io *? S9? (*?$$ S9? $@$$ S9? (*@$$ II CONTROL
( /lor Mama<i Lu>ue $2 ma<te<e!or !e e37a;io +? S9? (*?$$ S9? $@$$ S9? (*@$$ II "ONTROL
PROTESIS
2 /lor Mama<i Lu>ue $2 ;oro<a a<terior re3i<a )?( S9? 2)?$$ S9? $@$$ S9? 2)@$$ PULIDO
( Ro3er Sai;o HuamB< $2 ;oro<a 7o3terior +? S9? 2)@$$ S9? $@$$ S9? 2)@$$ im7re3i#<
/
L U O R I . A " I O N
2 /lor Mama<i Lu>ue $2 /luoriza;i#< S9? )?$$ S9? $@$$ S9? )?$$ Termi<a!o
( Maria /lore3 DueCa3 $2 /luoriza;i#< S9? )?$$ S9? $@$$ S9? )?$$ Termi<a!o
' Roger /lore3 DueCa3 $2 /luoriza;i#< S9? )?$$ S9? $@$$ S9? )?$$ Termi<a!o
Mariele<a E3;o4arzegarra $2 /luoriza;i#< S9? )?$$ S9? $@$$ S9? )?$$ Termi<a!o
* eri;a 3ai;o Huama< $2 /luoriza;i#< S9? )?$$ S9? $@$$ S9? )?$$ Termi<a!o
) Ro3er Sai;o Huama< $2 /luoriza;i#< S9? )?$$ S9? $@$$ S9? )?$$ Termi<a!o
S E L L A N T E S D E / O S A S
/ I S U R A S
/lor Mama<i Lu>ue $ 3ella<te3 2?)@(?)@'?)@?) S9?(?$$ S9? $@$$ S9?(?$$ Termi<a!o
Jime<a "aata Mara;a $ 3ella<te3 *?*@*?@)?@)?* S9?(?$$ S9? $@$$ S9?(?$$ Termi<a!o
Eel< D5az 6ui37e $( Sella<te3 (?@(?* S9? 2(@$$ S9? $@$$ S9? 2(@$$ Termi<a!o
Jo3ue /lore3 DueCaz $ 3ella<te3 2?)@(?)@'?)@?) S9?(?$$ S9? $@$$ S9?(?$$ Termi<a!o
"amila Gi l Mi ra<!a $% 3ella<te32?)@(?@(?*@(?)@'?@'?*@?@?* S9?%?$$ S9? $@$$ S9?%?$$ Termi<a!o
Maria<ela Sai;o HuamB< $( Sella<te3 2?)@(?) S9? 2(@$$ S9? $@$$ S9? 2(@$$ Termi<a!o
/ I S I O T
E R A P I A
/lor Mama<i Lu>ue $2 /i 3io tera7ia S9? (?$$ S9? $@$$ S9? (?$$ Termi<a!o
Ro3er Sai;o HuamB< $2 /i 3iotera7ia S 9? (?$$ S9 ? $ @$$ S9? (?$$ Termi<a!o
Maria<ela Sai;o HuamB< $2 /i 3io tera7ia S9? (?$$ S9? $@$$ S9? (?$$ Termi<a!o Maria /lore3 DueCa3 $2 /i 3iotera7ia S 9? (?$$ S9 ? $ @$$ S9? (?$$ I I ;o<t ro l
Roger /lore3 DueCa3 $2 /i3iotera7ia S9? (?$$ S9? $@$$ S9? (?$$ II ;o<trol
T E R A P I
A
P U L P A R
2 Ro3er Sai;o HuamB< $2 Pul7otom5a +?* S9? 2$?$$ S9? $@$$ S9? 2$?$$ RESTAURA"IN
( maria<ela Sai;o HuamB< $2 7ul7otom5a +?* S9? 2$@$$ S9? $@$$ S9? 2$@$$ /ORMO"RESOL
'? Ro3er Sai;o HuamB< $2 7ul7e;tom5a %?* S9? 2$@$$ S9? $@$$ S9? 2$@$$Me!i;a;i#<i<tra;o<!u;to
7/26/2019 Modelo de Hoja de Resumen de Integral Del Niño 2014 II
http://slidepdf.com/reader/full/modelo-de-hoja-de-resumen-de-integral-del-nino-2014-ii 2/4
PA"IENTE N, NOM-RE DELPA"IENTE
TRATAMIENTOREALI.ADO
PIE.A /E"HAINI"IO
/E"HA T0RMINO
"OSTO A"UENTA
N,RE"I-O
Sal!o NOTA
O P E R A T O R I A
D E N T A L
2 Ro;io Lima "Fo>ue$2 re3taura;i#< ;o<re3i<a )?
S9?)?$$ S9? $@$$ S9? )?$$
(Ro;io Lima "Fo>ue $2 re3taura;io< ;o<
re3i<a )?*S9?)?$$ S9? $@$$ S9? )?$$
'Ro;io Lima "Fo>ue $2 re3taura;io< ;o<
re3i<a +?S9?)?$$ S9? $@$$ S9? )?$$
/lor Mama<i Lu>ue$2 re3taura;io< ;o<re3i<a *?(
S9?)?$$ S9? $@$$ S9? )?$$
*
Jime<a "aata
Mara;a $2 re3? ;o< Io<#mero +?
S9?
)?$$ S9? $@$$ S9? )?$$
) Jime<a "aataMara;a $2 re3? ;o< Io<#mero +?*
S9?)?$$ S9? $@$$ S9? )?$$
+ Jime<a "aataMara;a $2 re3? ;o< Io<#mero %?
S9?)?$$ S9? $@$$ S9? )?$$
% Jime<a "aataMara;a $2 re3? ;o< Io<#mero %?*
S9?)?$$ S9? $@$$ S9? )?$$
8 Ro3a Diaz DurB<$2 re3taura;i#< ;o<re3i<a (?
S9?)?$$ S9? $@$$ S9? )?$$
2$ Ro3a Diaz DurB<$2 re3taura;io< ;o<re3i<a (?*
S9?)?$$ S9? $@$$ S9? )?$$
22 I3a4el D5az 6ui37e$2 re3taura;io< ;o<re3i<a +?
S9?)?$$ S9? $@$$ S9? )?$$
2( I3a4el D5az 6ui37e $2 re3taura;io< ;o<re3i<a +?* S9?)?$$ S9? $@$$ S9? )?$$
2' eel< Diaz 6ui37e$2 re3taura;i#< ;o<re3i<a '?)
S9?)@$$ S9? $@$$ S9? )@$$
2 eel< Diaz 6ui37e$2 re3taura;io< ;o<re3i<a '?+
S9?)?$$ S9? $@$$ S9? )?$$
2* eel< Diaz 6ui37e$2 re3taura;io< ;o<re3i<a ?)
S9?)?$$ S9? $@$$ S9? )?$$
2) eel< Diaz 6ui37e$2 re3taura;io< ;o<re3i<a ?+
S9?)?$$ S9? $@$$ S9? )?$$
2+Ro3er Sai;oHuamB<
$2 re3taura;io< ;o<re3i<a +?
S9?)?$$ S9? $@$$ S9? )?$$
2%Ro3er Sai;oHuamB<
$2 re3taura;io< ;o<re3i<a )?*
S9?)?$$ S9? $@$$ S9? )?$$ Pulido
28Ro3er Sai;oHuamB<
$2 re3taura;io< ;o<re3i<a *?*
S9?)@$$ S9? $@$$ S9? )@$$
($Ro3er Sai;oHuamB<
$2 re3taura;io< ;o<re3i<a )?
S9?)@$$ S9? $@$$ S9? )@$$
(2Maria<ela Sai;oHuamB<
$2 re3taura;io< ;o<re3i<a +?
S9?)@$$ S9? $@$$ S9? )@$$
((Maria<ela Sai;oHuamB<
$2 re3taura;io< ;o<re3i<a )?*
S9?)@$$ S9? $@$$ S9? )@$$
('Maria<ela Sai;oHuamB<
$2 re3taura;io< ;o<re3i<a ?)
S9?)@$$ S9? $@$$ S9? )@$$
( Maria<ela Sai;o $2 re3taura;io< ;o< *?* S9? S9? $@$$ S9? )@$$
7/26/2019 Modelo de Hoja de Resumen de Integral Del Niño 2014 II
http://slidepdf.com/reader/full/modelo-de-hoja-de-resumen-de-integral-del-nino-2014-ii 3/4
HuamB< re3i<a )@$$
(*Maria<ela Sai;oHuamB<
$2 re3taura;io< ;o<re3i<a *?
S9?)@$$ S9? $@$$ S9? )@$$
()Maria<ela Sai;oHuamB<
$2 re3taura;io< ;o<re3i<a )?'
S9?)@$$ S9? $@$$ S9? )@$$
" I R U G
I A
2 /lor Mama<i Lu>ue $2 eo!o<;ia +?*S9?*?$$ S9? $@$$ S9? *?$$ termi<a!o
( /lor Mama<i Lu>ue $2 eo!o<;ia %?(S9?*?$$ S9? $@$$ S9? *?$$ termi<a!o
' "amila Gil Mira<!a $2 eo!o<;ia *?*S9?*?$$ S9? $@$$ S9? *?$$ termi<a!o
/lora D5az 6ui37e $2 eo!o<;ia %?*S9?*?$$ S9? $@$$ S9? *?$$ termi<a!o
*Ro3er Sai;oHuamB< $2 eo!o<;ia *?
S9?*?$$ S9? $@$$ S9? *?$$ termi<a!o
) I3a4el D5az 6ui37e $2 eo!o<;ia *?(S9?*?$$ S9? $@$$ S9? *?$$ termi<a!o
+?Maria<ela Sai;oHuamB< $2 eo!o<;ia )?
S9?*?$$ S9? $@$$ S9? *?$$ termi<a!o
Ge3ta<te2
Gla!iz "al=aro6uiroz $2 !e3tartra=e
S9?(?$$ S9? $@$$ S9? (?$$ 2 ;ua!ra<te
MODELO DE HOJA DE RESUM
TRATANTE: Arlet Kritel Pamela Remuzgo Alara!o "#!igo: $%&'()*+
PA"IENTE N,NOM-RE DEL
PA"IENTE TRATAMIENTO
REALI.ADOPIE.A
/E"HAINI"IO
/E"HA T0RMIN
O"OSTO
A"UENT
A
N,RE"I-
OSALDO
NOTA
INTEGRAL2 I3a4el D5az 6ui37e
289$892 292292 'er ;o<trol
ORTODON"IA 2
"aroli<a Alara!oLo=a
M A N T E D O R
D E E
S P A " I O
2 /lor Mama<i Lu>ue$2 ma<te<e!or !ee37a;io *?
S9?(*?$$ S9? $@$$
S9?(*@$$
( /lor Mama<i Lu>ue
$2 ma<te<e!or !e
e37a;io +?
S9?
(*?$$ S9? $@$$
S9?
(*@$$ II "ONTROL
'Ro3er Sai;oHuamB<
$2 ma<te<e!or !ee37a;io *?
S9?(*?$$ S9? $@$$
S9?(*@$$ Im7re3i#<
2 /lor Mama<i Lu>ue$2 ;oro<a a<teriorre3i<a )?(
S9?2)?$$ S9? $@$$
S9?2)@$$ PULIDO
(Ro3er Sai;oHuamB< $2 ;oro<a 7o3terior +?
S9?2)@$$ S9? $@$$
S9?2)@$$ im7re3i#<
/ L
O2 /lor Mama<i Lu>ue $2 /luoriza;i#< S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
S E L L
2 /lor Mama<i Lu>ue $2 3ella<te3 2?) S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o ( /lor Mama<i Lu>ue $2 3ella<te3 (?) S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
7/26/2019 Modelo de Hoja de Resumen de Integral Del Niño 2014 II
http://slidepdf.com/reader/full/modelo-de-hoja-de-resumen-de-integral-del-nino-2014-ii 4/4
A N T E S D
E / O S A S / I S U R A S
' /lor Mama<i Lu>ue $2 3ella<te3 '?) S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
/lor Mama<i Lu>ue $2 3ella<te3 ?) S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
* Jime<a "aataMara;a $2 3ella<te3 *?* S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
) Jime<a "aataMara;a $2 3ella<te3 *? S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
+ Jime<a "aataMara;a $2 3ella<te3 )? S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
% Jime<a "aataMara;a $2 3ella<te3 )?* S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
8 Eel< D5az 6ui37e $2 3ella<te3 (? S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o2$ Eel< D5az 6ui37e $2 3ella<te3 (?* S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
22 Jo3ue /lore3 DueCaz $2 3ella<te3 2?) S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
2( Jo3ue /lore3 DueCaz $2 3ella<te3 (?) S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
2' Jo3ue /lore3 DueCaz $2 3ella<te3 '?) S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
2 Jo3ue /lore3 DueCaz $2 3ella<te3 ?) S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
2* "amila Gil Mira<!a $2 3ella<te3 2?) S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
2) "amila Gil Mira<!a $2 3ella<te3 (? S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
2+ "amila Gil Mira<!a $2 3ella<te3 (?* S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
2% "amila Gil Mira<!a $2 3ella<te3 (?) S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
28 "amila Gil Mira<!a $2 3ella<te3 '? S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o($ "amila Gil Mira<!a $2 3ella<te3 '?* S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
(2 "amila Gil Mira<!a $2 3ella<te3 ? S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
(( "amila Gil Mira<!a $2 3ella<te3 ?* S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
('Maria<ela Sai;oHuamB< $2 3ella<te3 2?) S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
(Maria<ela Sai;oHuamB< $( Sella<te3 (?) S9? )?$$ S9? $@$$ S9? )?$$ termi<a!o
/ I S I O T E R A P I A
2 /lor Mama<i Lu>ue $2 /i3iotera7ia &S9?(?$$ S9? $@$$
S9?(?$$ termi<a!o
(Ro3er Sai;oHuamB< $2 /i3iotera7ia &
S9?(?$$ S9? $@$$
S9?(?$$ termi<a!o
'Maria<ela Sai;oHuamB< $2 /i3iotera7ia &
S9?(?$$ S9? $@$$
S9?(?$$ termi<a!o
T E R A P I A
P U L P A R 2
Ro3er Sai;oHuamB< $2 Pul7otom5a +?*
S9?2$?$$ S9? $@$$
S9?2$?$$ RESTAURA"IN
(maria<ela Sai;oHuamB< $2 7ul7otom5a +?*
S9?2$@$$ S9? $@$$
S9?2$@$$ /ORMO"RESOL
'?Ro3er Sai;oHuamB< $2 7ul7e;tom5a %?*
S9?2$@$$ S9? $@$$
S9?2$@$$ Me!i;a;i#< i<tra;o<!u;to
