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H01^	<title>MD-%s
H03^-%s-
H08^%s
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H36^	<th width=25%> <a href="#"><img border="0" src="https://eqt.inhedo.com/Logo%sweb.png" align="left"></a>
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INFORME MEDICO
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REPORTE<br>
H00^N<sup>o</sup> %s<br>
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		<th width=50% class="empresatit"><b>IDENTIFICACION DEL PACIENTE</th>
		<th width=50% class="empresatit"><b>IDENTIFICACION DEL PROFESIONAL</th>
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H03^		<th class="empresacont" style="vertical-align:center;">%s<br>
H04^%s<br<br></th>
H01^		<th class="empresacont" style="vertical-align:center;"><br>%s<br>
H02^%s<br><br></th>
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		<th class="empresatit" width=10%><b>EDAD</th>
		<th class="empresatit" width=50% style="text-align:left">&nbsp;<b>DIAGNOSTICO</th>
		<th class="empresatit" width=25% style="text-align:left">&nbsp;<b>ETAPA</th>
		<th class="empresatit" width=15%><b>FECHA VISITA</th>
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H05^		<th class="empresacont">%s</th>
H06^		<th class="empresacont" style="text-align:left; padding-left: 10px;">%s</th>
H07^		<th class="empresacont" style="text-align:left; padding-left: 10px;">%s</th>
H08^		<th class="empresacont" style="text-align:center;">%s</th>
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  <th class="itemtitc" width=70%><b>UBICACION METASTASIS</th>
  <th class="itemtitc" width=30%><b>TERAPIAS QMT/RDT/HRT/OTRAS</th>
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H10^  <th class="empresacont" style="text-align:left; padding-left: 10px;">%s</th>
H11^  <th class="empresacont" style="text-align:center;">%s</th>
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  <th class="itemtitc" width=100%><b>ESQUEMA QMT/RDT/HRT/OTRAS</b></th>
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H12^  <th class="empresacont" style="text-align:left; padding: 10px;">%s</th>
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  <th class="itemtitc" width=100%><b>ANAMNESIS</b></th>
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H13^  <th class="empresacont" style="text-align:left; padding: 10px;">%s</th>
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  <th class="itemtitc" width=100%><b>ESTADO ACTUAL</b></th>
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H14^  <th class="empresacont" style="text-align:left; padding: 10px;">%s</th>
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  <th class="itemtitc" width=15%><b>EVA</b></th>
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  <th class="itemtitc" width=15%><b>ECOG</b></th>
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H15^  <th class="empresacont" >%s</th>
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H16^  <th class="empresacont" >%s</th>
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<tr><th class="empresa" style="text-align: center;"><b>PLAN (PROFESIONALES, FRECUENCIA VISITAS , PROCEDIMIENTOS, INDICACIONES, OTROS) </th></tr>
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  <th class="itemtitc" width=100%><b>INDICACIONES FARMACOLOGICAS</b></th>
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H17^  <th class="empresacont" style="text-align:left; padding: 10px;">%s</th>
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  <th class="itemtitc" width=100%><b>INDICACIONES NO FARMACOLOGICAS</b></th>
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H18^  <th class="empresacont" style="text-align:left; padding: 10px;">%s</th>
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  <th class="itemtitc" width=100%><b>COMENTARIOS</b></th>
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H19^  <th class="empresacont" style="text-align:left; padding: 10px;">%s</th>
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  <th class="itemtitc" width=25%><b>ESPECIALIDAD</b></th>
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  <th class="itemtitc" width=10%><b>CANTIDAD</b></th>
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  <th class="itemtitc" width=10%><b>FRECUENCIA</b></th>
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  <th class="empresacont" style="text-align:left; padding-left: 10px;">MEDICO</th>
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H20^  <th class="empresacont">%s</th>
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H21^  <th class="empresacont">%s</th>
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  <th class="empresacont" style="text-align:left; padding-left: 10px;">ENFERMERA</th>
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H22^  <th class="empresacont">%s</th>
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H23^  <th class="empresacont">%s</th>
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  <th class="empresacont" style="text-align:left; padding-left: 10px;">KINESIOLOGO EN DOMICILIO</th>
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H24^  <th class="empresacont">%s</th>
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H25^  <th class="empresacont">%s</th>
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  <th class="empresacont" style="text-align:left; padding-left: 10px;">PSICOLOGO</th>
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H26^  <th class="empresacont">%s</th>
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H27^  <th class="empresacont">%s</th>
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  <th class="empresacont" style="text-align:left; padding-left: 10px;">NUTRICIONISTA</th>
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H28^  <th class="empresacont">%s</th>
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H29^  <th class="empresacont">%s</th>
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  <th class="empresacont" style="text-align:left; padding-left: 10px;">TENS</th>
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H30^  <th class="empresacont">%s</th>
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H31^  <th class="empresacont">%s</th>
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  <th class="empresacont" style="text-align:left; padding-left: 10px;">CURACIONES</th>
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H32^  <th class="empresacont">%s</th>
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H33^  <th class="empresacont">%s</th>
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  <th class="itemtitc" width=20%><b>FECHA DE VISITA</b></th>
  <th class="itemtitc" width=20%><b>FECHA DE RECEPCION</b></th>
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H08^  <th class="empresacont">%s</th>
H34^  <th class="empresacont">%s</th>
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H01^	<th style="font-size:12.0pt; font-family:Calibri, sans-serif;"><br><br><br><br>%s<br>
H02^%s<br><br></th>
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