<div dir=3D"ltr">
Muy buenos d=C3=ADas espero que se encuentren bien , env==C3=ADo registro de atenci=C3=B3n domiciliaria Pcte Tomas Campos.=C2=A0<div>
saludos.<br>
<div>
<br clear=3D"all">
<div>
<div dir=3D"ltr" class=3D"gmail_signature" data-smartmail=3D"gmail_signature">
<div dir=3D"ltr">
<div>
<div dir==3D"ltr">
<div dir=3D"ltr">
<div dir=3D"ltr">
<div dir=3D"ltr">
<div style=3D"text-align:left">
<b>
<font face=3D"times new roman, serif" color=3D"#000000">
EU. Catalina Aravena Bugue=C3=B1o=C2=A0</font>
</b>
</div>
<div style=3D"text-align:left">
<font face=3D"times new roman, serif" color=3D"#000000">
<b>
<a href=3D"mailto:c.alondra.aravena@gmail.com" target=3D"_blank">
c.alondra.aravena@gmail.com</a>
</b>
</font>
</div>
<div style=3D"text-align:left">
<font face=3D"times new roman, serif" color=3D"#000000">
<b>
(56)930732050</b>
</font>
</div>
<div style=3D"text-align:left">
<font face=3D"times new roman, serif" color=3D"#000000">
<b>
<br>
</b>
</font>
</div>
<div style=3D"text-align:left">
<div class=3D"gmail-m_-7181962239300846185ss-form-heading" style=3D"font-family:Roboto,RobotoDraft,Helvetica,Arial,sans-serif">
<h1 class=3D"gmail-m_-7181962239300846185ss-form-title" dir=3D"ltr" style=3D"margin:0.67em 0px">
Registro de Atenci=C3=B3n Domiciliaria Oncovida</h1>
<div class=3D"gmail-m_-7181962239300846185ss-form-desc gmail-m_-7181962239300846185ss-no-ignore-whitespace" style=3D"font:inherit;width:617.75px;margin:0px 0px 1em;white-space:pre-wrap">
Este es el sistema de registro de atenciones domiciliarias de Oncovida.   Debe ser llenado por el prestador individual, y debe realizarse un registro por cada visita domiciliaria.   Si usted no es prestador de Oncovida por favor no llene este formulario.   A continuaci=C3=B3n indique su correo electr=C3=B3nico.</div>
</div>
<div class=3D"gmail-m_-7181962239300846185ss-form" style=3D"font-family:Roboto,RobotoDraft,Helvetica,Arial,sans-serif">
<form method=3D"GET" id=3D"gmail-m_-7181962239300846185ss-form">
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-item-required gmail-m_-7181962239300846185ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185emailAddress">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Direcci=C3=B3n de correo electr=C3=B3nico=C2=A0<label for=3D"m_-7181962239300846185emailAddress">
</label>
<span class=3D"gmail-m_-7181962239300846185ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
</label>
<div class=3D"gmail-m_-7181962239300846185ss-q-text gmail-m_-7181962239300846185ss-printable-text-line" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:436.797px">
<a href=3D"mailto:c.alondra.aravena@gmail.com" target==3D"_blank">
c.alondra.aravena@gmail.com</a>
</div>
</div>
</div>
</div>
<div class=3D"gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-embeddable-object-container" style=3D"margin:12px 0px;max-width:100%">
<div class==3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"margin-top:0.83em;margin-bottom:0.83em">
</h2>
<div style=3D"text-align:right">
<img class=3D"gmail-m_-7181962239300846185ss-image gmail-CToWUd" title=3D"" src=3D"https://lh4.googleusercontent.com/7WxFGV5oEKKf6rzNb0Iw8YpwJxhebvN37sfEgvirGhVlOohE3P9pNEU3e4QpKhgH1mM-c1xwGQ" alt=3D"Imagen sin leyenda" style=3D"width: 78px; outline: none;">
</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-page-break" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_-7181962239300846185ss-page-title" style=3D"padding:0.4em;background-color:rgb(238,238,238)">
Identificaci=C3=B3n del Prestador</h2>
<div class=3D"gmail-m_-7181962239300846185ss-page-description gmail-m_-7181962239300846185ss-no-ignore-whitespace" dir=3D"auto" style==3D"white-space:pre-wrap">
Aqu=C3=AD debe ingresar sus datos personales</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class==3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-item-required gmail-m_-7181962239300846185ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_579114469">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Primer Nombre y Apellido Paterno=C2=A0<label for=3D"m_-7181962239300846185itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-7181962239300846185ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_-7181962239300846185ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:436.797px">
Catalina Aravena</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-item-required gmail-m_-7181962239300846185ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_1276273985">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style==3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
RUT=C2=A0<label for=3D"m_-7181962239300846185itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-7181962239300846185ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
RUT con Gui=C3=B3n y D=C3=ADgito Verificador, sin puntos ( Ej: 5632200-k)</div>
</label>
<div class=3D"gmail-m_-7181962239300846185ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:436.797px">
18013883-8</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class==3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-item-required gmail-m_-7181962239300846185ss-select" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_133691676">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Tipo=C2=A0<label for=3D"m_-7181962239300846185itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-7181962239300846185ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
Si asisten m=C3=A1s de 1 prestador simult=C3=A1neamente, cada uno debe hacer un registro independiente</div>
</label>
<select name=3D"entry.133691676" disabled id=3D"gmail-m_-7181962239300846185entry_133691676" style=3D"font-size:13px">
<option value=3D"">
</option>
=C2=A0<option value=3D"MEDICO" disabled>
MEDICO</option>
=C2=A0<option value=3D"ENFERMERA/O" disabled selected>
ENFERMERA/O</option>
=C2=A0<option value=3D"TENS" disabled>
TENS</option>
=C2=A0<option value=3D"KINESIOLOGA/O" disabled>
KINESIOLOGA/O</option>
=C2=A0<option value==3D"PSICOLOGO" disabled>
PSICOLOGO</option>
=C2=A0<option value=3D"NUTRICIONISTA" disabled>
NUTRICIONISTA</option>
</select>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-embeddable-object-container" style=3D"margin:12px 0px;max-width:100%">
<div class==3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"margin-top:0.83em;margin-bottom:0.83em">
</h2>
<div style=3D"text-align:right">
<img class=3D"gmail-m_-7181962239300846185ss-image gmail-CToWUd" title=3D"" src=3D"https://lh4.googleusercontent.com/3_W3VwwMo1GiMEhNrv87B57PDW8BccI5mhSfE6p-lSCi4ennEWvZyCNRVNh9IS3zA_JNCIBLbA" alt=3D"Imagen sin leyenda" style=3D"width: 78px; outline: none;">
</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-page-break" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_-7181962239300846185ss-page-title" style=3D"padding:0.4em;background-color:rgb(238,238,238)">
Identificaci=C3=B3n del Paciente</h2>
<div class=3D"gmail-m_-7181962239300846185ss-page-description gmail-m_-7181962239300846185ss-no-ignore-whitespace" dir=3D"auto" style==3D"white-space:pre-wrap">
En esta secci=C3=B3n debe ingresar los datos del paciente visitado</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-section-header" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_-7181962239300846185ss-section-title" style=3D"background-color:rgb(238,238,238);padding:0.4em">
Datos Personales del Paciente</h2>
<div class=3D"gmail-m_-7181962239300846185ss-section-description gmail-m_-7181962239300846185ss-no-ignore-whitespace" style=3D"margin-top:0.5em;white-space:pre-wrap">
</div>
</div>
</div>
</div>
<br>
<div class==3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-item-required gmail-m_-7181962239300846185ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_823811303">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Ingrese el Rut del Paciente=C2=A0<label for=3D"m_-7181962239300846185itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-7181962239300846185ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
RUT con Gui=C3=B3n y D=C3=ADgito Verificador, sin puntos ( Ej: 5632200-k)</div>
</label>
<div class=3D"gmail-m_-7181962239300846185ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:436.797px">
5569109-6</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-item-required gmail-m_-7181962239300846185ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_1959365839">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Ingrese el Primer Nombre y Apellido Paterno del Paciente=C2=A0<label for=3D"m_-7181962239300846185itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-7181962239300846185ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class==3D"gmail-m_-7181962239300846185ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:436.797px">
Tomas Campos</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-item-required gmail-m_-7181962239300846185ss-select" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_545002227">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Previsi=C3=B3n=C2=A0<label for=3D"m_-7181962239300846185itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-7181962239300846185ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<select name=3D"entry.545002227" disabled id=3D"gmail-m_-7181962239300846185entry_545002227" style=3D"font-size:13px">
<option value=3D"">
</option>
=C2=A0<option value=3D"BANMEDICA" disabled>
BANMEDICA</option>
=C2=A0<option value=3D"CAPREDENA" disabled>
CAPREDENA</option>
=C2=A0<option value=3D"COLMENA" disabled>
COLMENA</option>
=C2=A0<option value=3D"CONSALUD" disabled selected>
CONSALUD</option>
=C2=A0<option value=3D"CRUZ BLANCA" disabled>
CRUZ BLANCA</option>
=C2=A0<option value=3D"DIPRECA" disabled>
DIPRECA</option>
=C2=A0<option value=3D"FONASA" disabled>
FONASA</option>
=C2=A0<option value=3D"FUNDACION" disabled>
FUNDACION</option>
=C2=A0<option value==3D"ISAPRES DEL COBRE" disabled>
ISAPRES DEL COBRE</option>
=C2=A0<option value=3D"NUEVA MASVIDA" disabled>
NUEVA MASVIDA</option>
=C2=A0<option value=3D"VIDATRES" disabled>
VIDATRES</option>
=C2=A0<option value=3D"PARTICULAR" disabled>
PARTICULAR</option>
</select>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-item-required gmail-m_-7181962239300846185ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_1900161356">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Ciudad=C2=A0<label for=3D"m_-7181962239300846185itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-7181962239300846185ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_-7181962239300846185ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:436.797px">
Antofagasta </div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-item-required gmail-m_-7181962239300846185ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_1298871758">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Comuna=C2=A0<label for=3D"m_-7181962239300846185itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-7181962239300846185ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class==3D"gmail-m_-7181962239300846185ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:436.797px">
Antofagasta</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-embeddable-object-container" style=3D"margin:12px 0px;max-width:100%">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"margin-top:0.83em;margin-bottom:0.83em">
</h2>
<div style==3D"text-align:right">
<img class=3D"gmail-m_-7181962239300846185ss-image gmail-CToWUd" title=3D"" src=3D"https://lh3.googleusercontent.com/a--QM0tHOY2N-ywEy9inrBWw-4f6j9Ofzul9VQSNQn1ad8mPRl1_kCJQR9ynQdP2swvENM5UdQ" alt=3D"Imagen sin leyenda" style=3D"width: 78px; outline: none;">
</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185errorbox-good">
<div dir==3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-page-break" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_-7181962239300846185ss-page-title" style=3D"padding:0.4em;background-color:rgb(238,238,238)">
Registro de la Atenci=C3=B3n Domiciliaria</h2>
<div class==3D"gmail-m_-7181962239300846185ss-page-description gmail-m_-7181962239300846185ss-no-ignore-whitespace" dir=3D"auto" style=3D"white-space:pre-wrap">
En esta secci=C3=B3n debe ingresar los datos de la atenci=C3=B3n domiciliaria</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-item-required gmail-m_-7181962239300846185ss-radio" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_2073233714">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Tipo de Atenci=C3=B3n=C2=A0<label for=3D"m_-7181962239300846185itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-7181962239300846185ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<ul class=3D"gmail-m_-7181962239300846185ss-choices" style=3D"list-style:none;padding:0px;margin:0.5em 0px 0px">
<li class==3D"gmail-m_-7181962239300846185ss-choice-item" style=3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
<label>
<span class=3D"gmail-m_-7181962239300846185ss-choice-item-control gmail-m_-7181962239300846185goog-inline-block" style=3D"display:inline-block">
<input type=3D"radio" name=3D"entry.1222378237" disabled checked value=3D"Domicilio" id=3D"gmail-m_-7181962239300846185group_1222378237_1" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</span>
=C2=A0<span class=3D"gmail-m_-7181962239300846185ss-choice-label">
Domicilio</span>
</label>
</li>
<li class=3D"gmail-m_-7181962239300846185ss-choice-item" style=3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
<label>
<span class=3D"gmail-m_-7181962239300846185ss-choice-item-control gmail-m_-7181962239300846185goog-inline-block" style=3D"display:inline-block">
<input type=3D"radio" name=3D"entry.1222378237" disabled value=3D"Ambulatorio" id=3D"gmail-m_-7181962239300846185group_1222378237_2" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</span>
=C2=A0<span class=3D"gmail-m_-7181962239300846185ss-choice-label">
Ambulatorio</span>
</label>
</li>
</ul>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-item-required gmail-m_-7181962239300846185ss-date" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_1705849412">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Fecha de la Atenci=C3=B3n=C2=A0<label for=3D"m_-7181962239300846185itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-7181962239300846185ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_-7181962239300846185ss-q-date">
<div class=3D"gmail-m_-7181962239300846185ss-datetime-box gmail-m_-7181962239300846185goog-inline-block" style=3D"border:1px solid rgb(220,220,220);min-height:32px;padding-left:3px;vertical-align:middle;margin:4px 3px;display:inline-block">
<select name=3D"entry.1705849412_day" disabled class=3D"gmail-m_-7181962239300846185ss-day-dropdown" id=3D"gmail-m_-7181962239300846185entry.1705849412_day" style=3D"font-size:13px">
<option value=3D"">
D=C3=ADa</option>
=C2=A0<option value=3D"1">
1</option>
=C2=A0<option value=3D"2">
2</option>
=C2=A0<option value=3D"3">
3</option>
=C2=A0<option value=3D"4">
4</option>
=C2=A0<option value=3D"5">
5</option>
==C2=A0<option value=3D"6">
6</option>
=C2=A0<option value=3D"7">
7</option>
=C2=A0<option value=3D"8">
8</option>
=C2=A0<option value=3D"9">
9</option>
=C2=A0<option value=3D"10">
10</option>
=C2=A0<option value=3D"11">
11</option>
=C2==A0<option value=3D"12">
12</option>
=C2=A0<option value=3D"13">
13</option>
==C2=A0<option value=3D"14">
14</option>
=C2=A0<option value=3D"15">
15</option>
=C2=A0<option value=3D"16">
16</option>
=C2=A0<option value=3D"17">
17</option>
=C2=A0<option value=3D"18">
18</option>
=C2=A0<option value=3D"19">
19</option>
=C2=A0<option value=3D"20">
20</option>
=C2=A0<option value=3D"21">
21</option>
=C2=A0<option value=3D"22">
22</option>
=C2=A0<option value=3D"23">
23</option>
=C2=A0<option value=3D"24">
24</option>
=C2=A0<option value=3D"25">
25</option>
=C2=A0<option value=3D"26">
26</option>
=C2=A0<option value=3D"27">
27</option>
=C2=A0<option value=3D"28">
28</option>
=C2=A0<option value=3D"29">
29</option>
=C2=A0<option value=3D"30" selected>
30</option>
=C2=A0<option value==3D"31">
31</option>
</select>
=C2=A0<select name=3D"entry.1705849412_month" disabled class=3D"gmail-m_-7181962239300846185ss-month-dropdown" id=3D"gmail-m_-7181962239300846185entry.1705849412_month" style=3D"font-size:13px">
<option value=3D"">
Mes</option>
=C2=A0<option value=3D"1">
enero</option>
=C2=A0<option value=3D"2">
febrero</option>
=C2=A0<option value=3D"3">
marzo</option>
=C2=A0<option value=3D"4" selected>
abril</option>
=C2=A0<option value=3D"5">
mayo</option>
=C2=A0<option value=3D"6">
junio</option>
=C2=A0<option value=3D"7">
julio</option>
=C2=A0<option value=3D"8">
agosto</option>
=C2=A0<option value=3D"9">
septiembre</option>
=C2=A0<option value=3D"10">
octubre</option>
=C2=A0<option value=3D"11">
noviembre</option>
=C2=A0<option value=3D"12">
diciembre</option>
</select>
=C2=A0<select name=3D"entry.1705849412_year" disabled id=3D"gmail-m_-7181962239300846185entry.1705849412_year" style=3D"font-size:13px">
<option value=3D"">
A=C3=B1o</option>
=C2=A0<option value=3D"1896">
1896</option>
=C2=A0<option value=3D"1897">
1897</option>
=C2=A0<option value=3D"1898">
1898</option>
=C2=A0<option value=3D"1899">
1899</option>
=C2=A0<option value=3D"1900">
1900</option>
=C2=A0<option value=3D"1901">
1901</option>
=C2==A0<option value=3D"1902">
1902</option>
=C2=A0<option value=3D"1903">
1903</option>
=C2=A0<option value=3D"1904">
1904</option>
=C2=A0<option value=3D"1905">
1905</option>
=C2=A0<option value=3D"1906">
1906</option>
=C2=A0<option value=3D"1907">
1907</option>
=C2=A0<option value=3D"1908">
1908</option>
=C2=A0<option value=3D"1909">
1909</option>
=C2=A0<option value=3D"1910">
1910</option>
=C2=A0<option value=3D"1911">
1911</option>
=C2=A0<option value=3D"1912">
1912</option>
=C2=A0<option value=3D"1913">
1913</option>
=C2=A0<option value=3D"1914">
1914</option>
=C2=A0<option value=3D"1915">
1915</option>
=C2=A0<option value=3D"1916">
1916</option>
=C2=A0<option value=3D"1917">
1917</option>
=C2=A0<option value=3D"1918">
1918</option>
=C2=A0<option value=3D"1919">
1919</option>
=C2=A0<option value=3D"1920">
1920</option>
=C2=A0<option value=3D"1921">
1921</option>
=C2=A0<option value=3D"1922">
1922</option>
=C2=A0<option value==3D"1923">
1923</option>
=C2=A0<option value=3D"1924">
1924</option>
=C2=A0<option value=3D"1925">
1925</option>
=C2=A0<option value=3D"1926">
1926</option>
==C2=A0<option value=3D"1927">
1927</option>
=C2=A0<option value=3D"1928">
1928</option>
=C2=A0<option value=3D"1929">
1929</option>
=C2=A0<option value=3D"1930">
1930</option>
=C2=A0<option value=3D"1931">
1931</option>
=C2=A0<option value=3D"1932">
1932</option>
=C2=A0<option value=3D"1933">
1933</option>
=C2=A0<option value=3D"1934">
1934</option>
=C2=A0<option value=3D"1935">
1935</option>
=C2=A0<option value=3D"1936">
1936</option>
=C2=A0<option value=3D"1937">
1937</option>
=C2=A0<option value=3D"1938">
1938</option>
=C2=A0<option value==3D"1939">
1939</option>
=C2=A0<option value=3D"1940">
1940</option>
=C2=A0<option value=3D"1941">
1941</option>
=C2=A0<option value=3D"1942">
1942</option>
==C2=A0<option value=3D"1943">
1943</option>
=C2=A0<option value=3D"1944">
1944</option>
=C2=A0<option value=3D"1945">
1945</option>
=C2=A0<option value=3D"1946">
1946</option>
=C2=A0<option value=3D"1947">
1947</option>
=C2=A0<option value=3D"1948">
1948</option>
=C2=A0<option value=3D"1949">
1949</option>
=C2=A0<option value=3D"1950">
1950</option>
=C2=A0<option value=3D"1951">
1951</option>
=C2=A0<option value=3D"1952">
1952</option>
=C2=A0<option value=3D"1953">
1953</option>
=C2=A0<option value=3D"1954">
1954</option>
=C2=A0<option value==3D"1955">
1955</option>
=C2=A0<option value=3D"1956">
1956</option>
=C2=A0<option value=3D"1957">
1957</option>
=C2=A0<option value=3D"1958">
1958</option>
==C2=A0<option value=3D"1959">
1959</option>
=C2=A0<option value=3D"1960">
1960</option>
=C2=A0<option value=3D"1961">
1961</option>
=C2=A0<option value=3D"1962">
1962</option>
=C2=A0<option value=3D"1963">
1963</option>
=C2=A0<option value=3D"1964">
1964</option>
=C2=A0<option value=3D"1965">
1965</option>
=C2=A0<option value=3D"1966">
1966</option>
=C2=A0<option value=3D"1967">
1967</option>
=C2=A0<option value=3D"1968">
1968</option>
=C2=A0<option value=3D"1969">
1969</option>
=C2=A0<option value=3D"1970">
1970</option>
=C2=A0<option value==3D"1971">
1971</option>
=C2=A0<option value=3D"1972">
1972</option>
=C2=A0<option value=3D"1973">
1973</option>
=C2=A0<option value=3D"1974">
1974</option>
==C2=A0<option value=3D"1975">
1975</option>
=C2=A0<option value=3D"1976">
1976</option>
=C2=A0<option value=3D"1977">
1977</option>
=C2=A0<option value=3D"1978">
1978</option>
=C2=A0<option value=3D"1979">
1979</option>
=C2=A0<option value=3D"1980">
1980</option>
=C2=A0<option value=3D"1981">
1981</option>
=C2=A0<option value=3D"1982">
1982</option>
=C2=A0<option value=3D"1983">
1983</option>
=C2=A0<option value=3D"1984">
1984</option>
=C2=A0<option value=3D"1985">
1985</option>
=C2=A0<option value=3D"1986">
1986</option>
=C2=A0<option value==3D"1987">
1987</option>
=C2=A0<option value=3D"1988">
1988</option>
=C2=A0<option value=3D"1989">
1989</option>
=C2=A0<option value=3D"1990">
1990</option>
==C2=A0<option value=3D"1991">
1991</option>
=C2=A0<option value=3D"1992">
1992</option>
=C2=A0<option value=3D"1993">
1993</option>
=C2=A0<option value=3D"1994">
1994</option>
=C2=A0<option value=3D"1995">
1995</option>
=C2=A0<option value=3D"1996">
1996</option>
=C2=A0<option value=3D"1997">
1997</option>
=C2=A0<option value=3D"1998">
1998</option>
=C2=A0<option value=3D"1999">
1999</option>
=C2=A0<option value=3D"2000">
2000</option>
=C2=A0<option value=3D"2001">
2001</option>
=C2=A0<option value=3D"2002">
2002</option>
=C2=A0<option value==3D"2003">
2003</option>
=C2=A0<option value=3D"2004">
2004</option>
=C2=A0<option value=3D"2005">
2005</option>
=C2=A0<option value=3D"2006">
2006</option>
==C2=A0<option value=3D"2007">
2007</option>
=C2=A0<option value=3D"2008">
2008</option>
=C2=A0<option value=3D"2009">
2009</option>
=C2=A0<option value=3D"2010">
2010</option>
=C2=A0<option value=3D"2011">
2011</option>
=C2=A0<option value=3D"2012">
2012</option>
=C2=A0<option value=3D"2013">
2013</option>
=C2=A0<option value=3D"2014">
2014</option>
=C2=A0<option value=3D"2015">
2015</option>
=C2=A0<option value=3D"2016">
2016</option>
=C2=A0<option value=3D"2017">
2017</option>
=C2=A0<option value=3D"2018">
2018</option>
=C2=A0<option value==3D"2019" selected>
2019</option>
=C2=A0<option value=3D"2020">
2020</option>
==C2=A0<option value=3D"2021">
2021</option>
=C2=A0<option value=3D"2022">
2022</option>
=C2=A0<option value=3D"2023">
2023</option>
=C2=A0<option value=3D"2024">
2024</option>
=C2=A0<option value=3D"2025">
2025</option>
=C2=A0<option value=3D"2026">
2026</option>
=C2=A0<option value=3D"2027">
2027</option>
=C2=A0<option value=3D"2028">
2028</option>
=C2=A0<option value=3D"2029">
2029</option>
=C2=A0<option value=3D"2030">
2030</option>
=C2=A0<option value=3D"2031">
2031</option>
=C2=A0<option value=3D"2032">
2032</option>
=C2=A0<option value==3D"2033">
2033</option>
=C2=A0<option value=3D"2034">
2034</option>
=C2=A0<option value=3D"2035">
2035</option>
=C2=A0<option value=3D"2036">
2036</option>
==C2=A0<option value=3D"2037">
2037</option>
=C2=A0<option value=3D"2038">
2038</option>
=C2=A0<option value=3D"2039">
2039</option>
=C2=A0<option value=3D"2040">
2040</option>
=C2=A0<option value=3D"2041">
2041</option>
=C2=A0<option value=3D"2042">
2042</option>
=C2=A0<option value=3D"2043">
2043</option>
=C2=A0<option value=3D"2044">
2044</option>
=C2=A0<option value=3D"2045">
2045</option>
=C2=A0<option value=3D"2046">
2046</option>
=C2=A0<option value=3D"2047">
2047</option>
=C2=A0<option value=3D"2048">
2048</option>
=C2=A0<option value==3D"2049">
2049</option>
=C2=A0<option value=3D"2050">
2050</option>
=C2=A0<option value=3D"2051">
2051</option>
=C2=A0<option value=3D"2052">
2052</option>
==C2=A0<option value=3D"2053">
2053</option>
=C2=A0<option value=3D"2054">
2054</option>
=C2=A0<option value=3D"2055">
2055</option>
=C2=A0<option value=3D"2056">
2056</option>
=C2=A0<option value=3D"2057">
2057</option>
=C2=A0<option value=3D"2058">
2058</option>
=C2=A0<option value=3D"2059">
2059</option>
=C2=A0<option value=3D"2060">
2060</option>
=C2=A0<option value=3D"2061">
2061</option>
=C2=A0<option value=3D"2062">
2062</option>
=C2=A0<option value=3D"2063">
2063</option>
=C2=A0<option value=3D"2064">
2064</option>
=C2=A0<option value==3D"2065">
2065</option>
=C2=A0<option value=3D"2066">
2066</option>
=C2=A0<option value=3D"2067">
2067</option>
=C2=A0<option value=3D"2068">
2068</option>
==C2=A0<option value=3D"2069">
2069</option>
</select>
</div>
</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-item-required gmail-m_-7181962239300846185ss-time" style=3D"margin:12px 0px;font:inherit">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_206244955">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Hora de la Atenci=C3=B3n=C2=A0<label for=3D"m_-7181962239300846185itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-7181962239300846185ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_-7181962239300846185ss-q-time">
<div class=3D"gmail-m_-7181962239300846185ss-datetime-box gmail-m_-7181962239300846185goog-inline-block" dir=3D"ltr" style=3D"border:1px solid rgb(220,220,220);min-height:32px;padding-left:3px;vertical-align:middle;margin:4px 3px;display:inline-block">
<select name=3D"entry.206244955_hour" disabled id=3D"gmail-m_-7181962239300846185entry.206244955_hour" style=3D"font-size:13px">
<option value=3D"">
h</option>
=C2=A0<option value=3D"00">
00</option>
==C2=A0<option value=3D"01">
01</option>
=C2=A0<option value=3D"02">
02</option>
=C2=A0<option value=3D"03">
03</option>
=C2=A0<option value=3D"04">
04</option>
=C2=A0<option value=3D"05">
05</option>
=C2=A0<option value=3D"06">
06</option>
=C2=A0<option value=3D"07">
07</option>
=C2=A0<option value=3D"08">
08</option>
=C2=A0<option value=3D"09">
09</option>
=C2=A0<option value=3D"10">
10</option>
=C2=A0<option value=3D"11" selected>
11</option>
=C2=A0<option value=3D"12">
12</option>
=C2=A0<option value=3D"13">
13</option>
=C2=A0<option value=3D"14">
14</option>
=C2=A0<option value=3D"15">
15</option>
=C2=A0<option value==3D"16">
16</option>
=C2=A0<option value=3D"17">
17</option>
=C2=A0<option value=3D"18">
18</option>
=C2=A0<option value=3D"19">
19</option>
=C2=A0<option value=3D"20">
20</option>
=C2=A0<option value=3D"21">
21</option>
=C2=A0<option value=3D"22">
22</option>
=C2=A0<option value=3D"23">
23</option>
</select>
=C2=A0:=C2=A0<select name=3D"entry.206244955_minute" disabled id=3D"gmail-m_-7181962239300846185entry.206244955_minute" style=3D"font-size:13px">
<option value=3D"">
min</option>
=C2=A0<option value=3D"00" selected>
00</option>
=C2=A0<option value=3D"01">
01</option>
=C2=A0<option value=3D"02">
02</option>
=C2=A0<option value=3D"03">
03</option>
=C2=A0<option value=3D"04">
04</option>
=C2=A0<option value=3D"05">
05</option>
=C2=A0<option value=3D"06">
06</option>
=C2==A0<option value=3D"07">
07</option>
=C2=A0<option value=3D"08">
08</option>
==C2=A0<option value=3D"09">
09</option>
=C2=A0<option value=3D"10">
10</option>
=C2=A0<option value=3D"11">
11</option>
=C2=A0<option value=3D"12">
12</option>
=C2=A0<option value=3D"13">
13</option>
=C2=A0<option value=3D"14">
14</option>
=C2=A0<option value=3D"15">
15</option>
=C2=A0<option value=3D"16">
16</option>
=C2=A0<option value=3D"17">
17</option>
=C2=A0<option value=3D"18">
18</option>
=C2=A0<option value=3D"19">
19</option>
=C2=A0<option value=3D"20">
20</option>
=C2=A0<option value=3D"21">
21</option>
=C2=A0<option value=3D"22">
22</option>
=C2=A0<option value=3D"23">
23</option>
=C2=A0<option value=3D"24">
24</option>
=C2=A0<option value=3D"25">
25</option>
=C2=A0<option value=3D"26">
26</option>
=C2=A0<option value=3D"27">
27</option>
=C2=A0<option value=3D"28">
28</option>
=C2=A0<option value=3D"29">
29</option>
=C2=A0<option value=3D"30">
30</option>
=C2=A0<option value=3D"31">
31</option>
=C2=A0<option value=3D"32">
32</option>
=C2=A0<option value=3D"33">
33</option>
=C2=A0<option value=3D"34">
34</option>
=C2=A0<option value=3D"35">
35</option>
=C2=A0<option value=3D"36">
36</option>
=C2=A0<option value=3D"37">
37</option>
=C2=A0<option value=3D"38">
38</option>
=C2=A0<option value=3D"39">
39</option>
=C2=A0<option value=3D"40">
40</option>
=C2=A0<option value=3D"41">
41</option>
=C2=A0<option value==3D"42">
42</option>
=C2=A0<option value=3D"43">
43</option>
=C2=A0<option value=3D"44">
44</option>
=C2=A0<option value=3D"45">
45</option>
=C2=A0<option value=3D"46">
46</option>
=C2=A0<option value=3D"47">
47</option>
=C2=A0<option value=3D"48">
48</option>
=C2=A0<option value=3D"49">
49</option>
=C2=A0<option value=3D"50">
50</option>
=C2=A0<option value=3D"51">
51</option>
=C2=A0<option value=3D"52">
52</option>
=C2=A0<option value=3D"53">
53</option>
=C2=A0<option value=3D"54">
54</option>
=C2=A0<option value=3D"55">
55</option>
=C2=A0<option value=3D"56">
56</option>
=C2=A0<option value=3D"57">
57</option>
=C2=A0<option value=3D"58">
58</option>
=C2=A0<option value=3D"59">
59</option>
</select>
==C2=A0<div class=3D"gmail-m_-7181962239300846185ss-datetime-box-spacer gmail-m_-7181962239300846185goog-inline-block" style=3D"height:32px;vertical-align:middle;display:inline-block">
</div>
</div>
</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-item-required gmail-m_-7181962239300846185ss-select" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_1747608258">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Performance Status ECOG del Paciente=C2=A0<label for=3D"m_-7181962239300846185itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-7181962239300846185ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<select name=3D"entry.1747608258" disabled id=3D"gmail-m_-7181962239300846185entry_1747608258" style=3D"font-size:13px">
<option value=3D"">
</option>
=C2=A0<option value=3D"0" disabled>
0</option>
=C2=A0<option value=3D"1" disabled>
1</option>
=C2=A0<option value=3D"2" disabled>
2</option>
=C2==A0<option value=3D"3" disabled selected>
3</option>
=C2=A0<option value=3D"4" disabled>
4</option>
</select>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-scale" style=3D"margin:12px 0px;overflow-x:auto">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_1716090865">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Escala Dolor EVA Actual</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<table border=3D"0" cellpadding=3D"5" cellspacing=3D"0" id=3D"gmail-m_-7181962239300846185entry_1421689035">
<tbody>
<tr>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1421689035_1" style=3D"display:block;padding:0.5em 0px">
0</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1421689035_2" style=3D"display:block;padding:0.5em 0px">
1</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1421689035_3" style=3D"display:block;padding:0.5em 0px">
2</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1421689035_4" style=3D"display:block;padding:0.5em 0px">
3</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1421689035_5" style=3D"display:block;padding:0.5em 0px">
4</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1421689035_6" style=3D"display:block;padding:0.5em 0px">
5</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1421689035_7" style=3D"display:block;padding:0.5em 0px">
6</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1421689035_8" style=3D"display:block;padding:0.5em 0px">
7</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1421689035_9" style=3D"display:block;padding:0.5em 0px">
8</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1421689035_10" style=3D"display:block;padding:0.5em 0px">
9</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1421689035_11" style=3D"display:block;padding:0.5em 0px">
10</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
</td>
</tr>
<tr>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow gmail-m_-7181962239300846185ss-leftlabel" style=3D"text-align:right;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em 0.5em 0px">
<div class=3D"gmail-m_-7181962239300846185aria-todo">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled checked value=3D"0" id=3D"gmail-m_-7181962239300846185group_1421689035_1" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"1" id=3D"gmail-m_-7181962239300846185group_1421689035_2" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"2" id=3D"gmail-m_-7181962239300846185group_1421689035_3" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value==3D"3" id=3D"gmail-m_-7181962239300846185group_1421689035_4" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"4" id=3D"gmail-m_-7181962239300846185group_1421689035_5" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"5" id=3D"gmail-m_-7181962239300846185group_1421689035_6" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"6" id=3D"gmail-m_-7181962239300846185group_1421689035_7" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name==3D"entry.1421689035" disabled value=3D"7" id=3D"gmail-m_-7181962239300846185group_1421689035_8" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"8" id=3D"gmail-m_-7181962239300846185group_1421689035_9" class==3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"9" id=3D"gmail-m_-7181962239300846185group_1421689035_10" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1421689035" disabled value=3D"10" id=3D"gmail-m_-7181962239300846185group_1421689035_11" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow gmail-m_-7181962239300846185ss-rightlabel" style=3D"color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0px 0.5em 0.25em">
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-scale" style=3D"margin:12px 0px;overflow-x:auto">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_2064050596">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Escala Dolor EVA M=C3=A1ximo</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<table border=3D"0" cellpadding=3D"5" cellspacing=3D"0" id=3D"gmail-m_-7181962239300846185entry_1244707512">
<tbody>
<tr>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1244707512_1" style=3D"display:block;padding:0.5em 0px">
0</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1244707512_2" style=3D"display:block;padding:0.5em 0px">
1</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1244707512_3" style=3D"display:block;padding:0.5em 0px">
2</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1244707512_4" style=3D"display:block;padding:0.5em 0px">
3</label>
</td>
<td class==3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1244707512_5" style=3D"display:block;padding:0.5em 0px">
4</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1244707512_6" style=3D"display:block;padding:0.5em 0px">
5</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1244707512_7" style=3D"display:block;padding:0.5em 0px">
6</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1244707512_8" style=3D"display:block;padding:0.5em 0px">
7</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1244707512_9" style=3D"display:block;padding:0.5em 0px">
8</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1244707512_10" style=3D"display:block;padding:0.5em 0px">
9</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_1244707512_11" style=3D"display:block;padding:0.5em 0px">
10</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
</td>
</tr>
<tr>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow gmail-m_-7181962239300846185ss-leftlabel" style=3D"text-align:right;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em 0.5em 0px">
<div class=3D"gmail-m_-7181962239300846185aria-todo">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"0" id=3D"gmail-m_-7181962239300846185group_1244707512_1" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name==3D"entry.1244707512" disabled value=3D"1" id=3D"gmail-m_-7181962239300846185group_1244707512_2" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"2" id=3D"gmail-m_-7181962239300846185group_1244707512_3" class==3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"3" id=3D"gmail-m_-7181962239300846185group_1244707512_4" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"4" id=3D"gmail-m_-7181962239300846185group_1244707512_5" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"5" id=3D"gmail-m_-7181962239300846185group_1244707512_6" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled checked value=3D"6" id=3D"gmail-m_-7181962239300846185group_1244707512_7" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"7" id=3D"gmail-m_-7181962239300846185group_1244707512_8" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"8" id=3D"gmail-m_-7181962239300846185group_1244707512_9" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class==3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class==3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"9" id=3D"gmail-m_-7181962239300846185group_1244707512_10" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.1244707512" disabled value=3D"10" id=3D"gmail-m_-7181962239300846185group_1244707512_11" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow gmail-m_-7181962239300846185ss-rightlabel" style=3D"color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0px 0.5em 0.25em">
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-scale" style=3D"margin:12px 0px;overflow-x:auto">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_2000523015">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Escala Dolor EVA M=C3=ADnimo</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<table border=3D"0" cellpadding=3D"5" cellspacing=3D"0" id=3D"gmail-m_-7181962239300846185entry_853118630">
<tbody>
<tr>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_853118630_1" style=3D"display:block;padding:0.5em 0px">
0</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_853118630_2" style=3D"display:block;padding:0.5em 0px">
1</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_853118630_3" style=3D"display:block;padding:0.5em 0px">
2</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_853118630_4" style=3D"display:block;padding:0.5em 0px">
3</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_853118630_5" style=3D"display:block;padding:0.5em 0px">
4</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_853118630_6" style=3D"display:block;padding:0.5em 0px">
5</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_853118630_7" style=3D"display:block;padding:0.5em 0px">
6</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_853118630_8" style=3D"display:block;padding:0.5em 0px">
7</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_853118630_9" style=3D"display:block;padding:0.5em 0px">
8</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_853118630_10" style=3D"display:block;padding:0.5em 0px">
9</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
<label class=3D"gmail-m_-7181962239300846185ss-scalenumber" for=3D"m_-7181962239300846185group_853118630_11" style=3D"display:block;padding:0.5em 0px">
10</label>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalenumbers" style=3D"text-align:center">
</td>
</tr>
<tr>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow gmail-m_-7181962239300846185ss-leftlabel" style=3D"text-align:right;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em 0.5em 0px">
<div class=3D"gmail-m_-7181962239300846185aria-todo">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled checked value=3D"0" id=3D"gmail-m_-7181962239300846185group_853118630_1" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"1" id=3D"gmail-m_-7181962239300846185group_853118630_2" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"2" id=3D"gmail-m_-7181962239300846185group_853118630_3" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"3" id=3D"gmail-m_-7181962239300846185group_853118630_4" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"4" id=3D"gmail-m_-7181962239300846185group_853118630_5" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class==3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class==3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"5" id=3D"gmail-m_-7181962239300846185group_853118630_6" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"6" id=3D"gmail-m_-7181962239300846185group_853118630_7" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"7" id=3D"gmail-m_-7181962239300846185group_853118630_8" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"8" id=3D"gmail-m_-7181962239300846185group_853118630_9" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"9" id=3D"gmail-m_-7181962239300846185group_853118630_10" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow" style=3D"text-align:center;color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0.25em">
<div class=3D"gmail-m_-7181962239300846185ss-scalerow-fieldcell">
<input type=3D"radio" name=3D"entry.853118630" disabled value=3D"10" id=3D"gmail-m_-7181962239300846185group_853118630_11" class=3D"gmail-m_-7181962239300846185ss-q-radio" style=3D"font-size:13px">
</div>
</td>
<td class=3D"gmail-m_-7181962239300846185ss-scalerow gmail-m_-7181962239300846185ss-rightlabel" style=3D"color:rgb(102,102,102);border-width:1px 0px;border-top-style:solid;border-bottom-style:solid;border-top-color:rgb(211,216,211);border-bottom-color:rgb(211,216,211);border-left-style:initial;border-left-color:initial;border-right-style:initial;border-right-color:initial;padding:0.5em 0px 0.5em 0.25em">
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir==3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-item-required gmail-m_-7181962239300846185ss-paragraph-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_2140974612">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Anamnesis/Evoluci=C3=B3n=C2=A0<label for=3D"m_-7181962239300846185itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-7181962239300846185ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_-7181962239300846185ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:436.797px">
visita de seguimiento, paciente en buenas condiciones generales, orientado y cooperador durante la atenci=C3=B3n, con dolor m=C3=ADnimo en sitio de inserci=C3=B3n de cat=C3=A9ter de drenaje y solo a la movilizaci=C3=B3n de este, comenta a dem=C3==A1s que ha mejorado la movilidad en su EEID permitiendo la deambulancion del paciente situaci=C3=B3n que lo mantiene con mejor estado an=C3=ADmico, comenta cambio de tto ATB (UNASYN) el cual mantendr=C3=A1 por 7 d=C3=ADas mas.refiere toma de ex=C3=A1menes (hemograma) y pendiente cultivo de drenaje.</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-item-required gmail-m_-7181962239300846185ss-paragraph-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_824006088">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Examen F=C3=ADsico=C2=A0<label for=3D"m_-7181962239300846185itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-7181962239300846185ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_-7181962239300846185ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:436.797px">
al momento del examen paciente se encuentra orientado en tiempo y espacio, consciente glasgow 15 con adecuada respuesta verbal, normotenso bien hidratado, en buenas condiciones generales, ABD  BDI sin presencia de globo vesical, no presenta LPP , ap=C3=B3sito de sitio de inserci=C3=B3n de cat=C3=A9ter de drenaje con exudado moderado de tipo serohematico, piel circundante enrojecida, dolor EVA 4-6/10 max al movilizar cat=C3=A9ter el cual cede con FCO,  se observa mejora en la movilizaci=C3=B3n de extremidad inferior afectada, tono y movilidad conservada en extremidades, pulsos presentes sin edemas presentes.durante visita niega v=C3=B3mitos, nauseas o mareos. refiere mejora de apetito.patr=C3=B3n de eliminaci=C3=B3n de heces normal (diaria) , orina clara, sin olor.par=C3=A1metros vitales:- PA : 133/99- FC:  89 lpm- FR: 16 rpm- Sato2:  97% ambiental- t=C2=B0: 37,3 =C2=B0C- glice: 98 mg/DL- EVA 0/10.    </div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-item-required gmail-m_-7181962239300846185ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for==3D"m_-7181962239300846185entry_1690694733">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Diagn=C3=B3stico=C2=A0<label for=3D"m_-7181962239300846185itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-7181962239300846185ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_-7181962239300846185ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:436.797px">
Ca prostata </div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-item-required gmail-m_-7181962239300846185ss-paragraph-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_1255665248">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style==3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Plan de Tratamiento e Indicaciones=C2=A0<label for=3D"m_-7181962239300846185itemView.getDomIdToLabel()">
</label>
<span class=3D"gmail-m_-7181962239300846185ss-required-asterisk" style=3D"color:rgb(196,59,29)">
*</span>
</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_-7181962239300846185ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:436.797px">
 - Sultamicilina 375 mg  c/12 hrs- Pregabalina  50 mg c/ 12 hrs.se le indica aumentar frecuencia de deambulacion, ademas de reforzar cuidados para disminuir riesgo de LPP.</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-paragraph-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_1648939075">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Medicamentos Indicados</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_-7181962239300846185ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:436.797px">
</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-date" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_2063615873">
<div class==3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Fecha aproximada del Pr=C3=B3ximo Control con usted</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_-7181962239300846185ss-q-date">
<div class=3D"gmail-m_-7181962239300846185ss-datetime-box gmail-m_-7181962239300846185goog-inline-block" style=3D"border:1px solid rgb(220,220,220);min-height:32px;padding-left:3px;vertical-align:middle;margin:4px 3px;display:inline-block">
<select name=3D"entry.2063615873_day" disabled class=3D"gmail-m_-7181962239300846185ss-day-dropdown" id=3D"gmail-m_-7181962239300846185entry.2063615873_day" style=3D"font-size:13px">
<option value=3D"">
D=C3=ADa</option>
=C2=A0<option value=3D"1">
1</option>
=C2=A0<option value=3D"2">
2</option>
=C2=A0<option value=3D"3">
3</option>
=C2=A0<option value=3D"4">
4</option>
=C2=A0<option value=3D"5">
5</option>
=C2=A0<option value=3D"6">
6</option>
=C2=A0<option value=3D"7" selected>
7</option>
=C2=A0<option value=3D"8">
8</option>
=C2=A0<option value=3D"9">
9</option>
=C2=A0<option value=3D"10">
10</option>
=C2=A0<option value=3D"11">
11</option>
=C2==A0<option value=3D"12">
12</option>
=C2=A0<option value=3D"13">
13</option>
==C2=A0<option value=3D"14">
14</option>
=C2=A0<option value=3D"15">
15</option>
=C2=A0<option value=3D"16">
16</option>
=C2=A0<option value=3D"17">
17</option>
=C2=A0<option value=3D"18">
18</option>
=C2=A0<option value=3D"19">
19</option>
=C2=A0<option value=3D"20">
20</option>
=C2=A0<option value=3D"21">
21</option>
=C2=A0<option value=3D"22">
22</option>
=C2=A0<option value=3D"23">
23</option>
=C2=A0<option value=3D"24">
24</option>
=C2=A0<option value=3D"25">
25</option>
=C2=A0<option value=3D"26">
26</option>
=C2=A0<option value=3D"27">
27</option>
=C2=A0<option value=3D"28">
28</option>
=C2=A0<option value=3D"29">
29</option>
=C2=A0<option value=3D"30">
30</option>
=C2=A0<option value=3D"31">
31</option>
</select>
=C2=A0<select name=3D"entry.2063615873_month" disabled class=3D"gmail-m_-7181962239300846185ss-month-dropdown" id=3D"gmail-m_-7181962239300846185entry.2063615873_month" style=3D"font-size:13px">
<option value=3D"">
Mes</option>
=C2=A0<option value=3D"1">
enero</option>
=C2=A0<option value=3D"2">
febrero</option>
=C2=A0<option value=3D"3">
marzo</option>
=C2=A0<option value=3D"4">
abril</option>
=C2=A0<option value=3D"5" selected>
mayo</option>
=C2=A0<option value=3D"6">
junio</option>
=C2=A0<option value=3D"7">
julio</option>
=C2=A0<option value=3D"8">
agosto</option>
=C2=A0<option value=3D"9">
septiembre</option>
=C2=A0<option value=3D"10">
octubre</option>
=C2=A0<option value=3D"11">
noviembre</option>
=C2=A0<option value=3D"12">
diciembre</option>
</select>
=C2=A0<select name=3D"entry.2063615873_year" disabled id=3D"gmail-m_-7181962239300846185entry.2063615873_year" style=3D"font-size:13px">
<option value=3D"">
A=C3=B1o</option>
=C2=A0<option value=3D"1896">
1896</option>
=C2=A0<option value=3D"1897">
1897</option>
=C2=A0<option value=3D"1898">
1898</option>
=C2=A0<option value=3D"1899">
1899</option>
=C2=A0<option value=3D"1900">
1900</option>
=C2=A0<option value=3D"1901">
1901</option>
=C2=A0<option value=3D"1902">
1902</option>
=C2=A0<option value=3D"1903">
1903</option>
=C2=A0<option value=3D"1904">
1904</option>
=C2=A0<option value=3D"1905">
1905</option>
=C2=A0<option value=3D"1906">
1906</option>
=C2=A0<option value=3D"1907">
1907</option>
=C2=A0<option value=3D"1908">
1908</option>
=C2=A0<option value==3D"1909">
1909</option>
=C2=A0<option value=3D"1910">
1910</option>
=C2=A0<option value=3D"1911">
1911</option>
=C2=A0<option value=3D"1912">
1912</option>
==C2=A0<option value=3D"1913">
1913</option>
=C2=A0<option value=3D"1914">
1914</option>
=C2=A0<option value=3D"1915">
1915</option>
=C2=A0<option value=3D"1916">
1916</option>
=C2=A0<option value=3D"1917">
1917</option>
=C2=A0<option value=3D"1918">
1918</option>
=C2=A0<option value=3D"1919">
1919</option>
=C2=A0<option value=3D"1920">
1920</option>
=C2=A0<option value=3D"1921">
1921</option>
=C2=A0<option value=3D"1922">
1922</option>
=C2=A0<option value=3D"1923">
1923</option>
=C2=A0<option value=3D"1924">
1924</option>
=C2=A0<option value==3D"1925">
1925</option>
=C2=A0<option value=3D"1926">
1926</option>
=C2=A0<option value=3D"1927">
1927</option>
=C2=A0<option value=3D"1928">
1928</option>
==C2=A0<option value=3D"1929">
1929</option>
=C2=A0<option value=3D"1930">
1930</option>
=C2=A0<option value=3D"1931">
1931</option>
=C2=A0<option value=3D"1932">
1932</option>
=C2=A0<option value=3D"1933">
1933</option>
=C2=A0<option value=3D"1934">
1934</option>
=C2=A0<option value=3D"1935">
1935</option>
=C2=A0<option value=3D"1936">
1936</option>
=C2=A0<option value=3D"1937">
1937</option>
=C2=A0<option value=3D"1938">
1938</option>
=C2=A0<option value=3D"1939">
1939</option>
=C2=A0<option value=3D"1940">
1940</option>
=C2=A0<option value==3D"1941">
1941</option>
=C2=A0<option value=3D"1942">
1942</option>
=C2=A0<option value=3D"1943">
1943</option>
=C2=A0<option value=3D"1944">
1944</option>
==C2=A0<option value=3D"1945">
1945</option>
=C2=A0<option value=3D"1946">
1946</option>
=C2=A0<option value=3D"1947">
1947</option>
=C2=A0<option value=3D"1948">
1948</option>
=C2=A0<option value=3D"1949">
1949</option>
=C2=A0<option value=3D"1950">
1950</option>
=C2=A0<option value=3D"1951">
1951</option>
=C2=A0<option value=3D"1952">
1952</option>
=C2=A0<option value=3D"1953">
1953</option>
=C2=A0<option value=3D"1954">
1954</option>
=C2=A0<option value=3D"1955">
1955</option>
=C2=A0<option value=3D"1956">
1956</option>
=C2=A0<option value==3D"1957">
1957</option>
=C2=A0<option value=3D"1958">
1958</option>
=C2=A0<option value=3D"1959">
1959</option>
=C2=A0<option value=3D"1960">
1960</option>
==C2=A0<option value=3D"1961">
1961</option>
=C2=A0<option value=3D"1962">
1962</option>
=C2=A0<option value=3D"1963">
1963</option>
=C2=A0<option value=3D"1964">
1964</option>
=C2=A0<option value=3D"1965">
1965</option>
=C2=A0<option value=3D"1966">
1966</option>
=C2=A0<option value=3D"1967">
1967</option>
=C2=A0<option value=3D"1968">
1968</option>
=C2=A0<option value=3D"1969">
1969</option>
=C2=A0<option value=3D"1970">
1970</option>
=C2=A0<option value=3D"1971">
1971</option>
=C2=A0<option value=3D"1972">
1972</option>
=C2=A0<option value==3D"1973">
1973</option>
=C2=A0<option value=3D"1974">
1974</option>
=C2=A0<option value=3D"1975">
1975</option>
=C2=A0<option value=3D"1976">
1976</option>
==C2=A0<option value=3D"1977">
1977</option>
=C2=A0<option value=3D"1978">
1978</option>
=C2=A0<option value=3D"1979">
1979</option>
=C2=A0<option value=3D"1980">
1980</option>
=C2=A0<option value=3D"1981">
1981</option>
=C2=A0<option value=3D"1982">
1982</option>
=C2=A0<option value=3D"1983">
1983</option>
=C2=A0<option value=3D"1984">
1984</option>
=C2=A0<option value=3D"1985">
1985</option>
=C2=A0<option value=3D"1986">
1986</option>
=C2=A0<option value=3D"1987">
1987</option>
=C2=A0<option value=3D"1988">
1988</option>
=C2=A0<option value==3D"1989">
1989</option>
=C2=A0<option value=3D"1990">
1990</option>
=C2=A0<option value=3D"1991">
1991</option>
=C2=A0<option value=3D"1992">
1992</option>
==C2=A0<option value=3D"1993">
1993</option>
=C2=A0<option value=3D"1994">
1994</option>
=C2=A0<option value=3D"1995">
1995</option>
=C2=A0<option value=3D"1996">
1996</option>
=C2=A0<option value=3D"1997">
1997</option>
=C2=A0<option value=3D"1998">
1998</option>
=C2=A0<option value=3D"1999">
1999</option>
=C2=A0<option value=3D"2000">
2000</option>
=C2=A0<option value=3D"2001">
2001</option>
=C2=A0<option value=3D"2002">
2002</option>
=C2=A0<option value=3D"2003">
2003</option>
=C2=A0<option value=3D"2004">
2004</option>
=C2=A0<option value==3D"2005">
2005</option>
=C2=A0<option value=3D"2006">
2006</option>
=C2=A0<option value=3D"2007">
2007</option>
=C2=A0<option value=3D"2008">
2008</option>
==C2=A0<option value=3D"2009">
2009</option>
=C2=A0<option value=3D"2010">
2010</option>
=C2=A0<option value=3D"2011">
2011</option>
=C2=A0<option value=3D"2012">
2012</option>
=C2=A0<option value=3D"2013">
2013</option>
=C2=A0<option value=3D"2014">
2014</option>
=C2=A0<option value=3D"2015">
2015</option>
=C2=A0<option value=3D"2016">
2016</option>
=C2=A0<option value=3D"2017">
2017</option>
=C2=A0<option value=3D"2018">
2018</option>
=C2=A0<option value=3D"2019" selected>
2019</option>
=C2=A0<option value=3D"2020">
2020</option>
=C2=A0<option value=3D"2021">
2021</option>
=C2=A0<option value=3D"2022">
2022</option>
=C2=A0<option value=3D"2023">
2023</option>
=C2=A0<option value=3D"2024">
2024</option>
=C2=A0<option value=3D"2025">
2025</option>
=C2=A0<option value=3D"2026">
2026</option>
=C2=A0<option value=3D"2027">
2027</option>
=C2=A0<option value=3D"2028">
2028</option>
=C2=A0<option value=3D"2029">
2029</option>
=C2=A0<option value=3D"2030">
2030</option>
=C2=A0<option value=3D"2031">
2031</option>
=C2=A0<option value=3D"2032">
2032</option>
=C2=A0<option value=3D"2033">
2033</option>
=C2=A0<option value=3D"2034">
2034</option>
=C2=A0<option value=3D"2035">
2035</option>
=C2=A0<option value=3D"2036">
2036</option>
=C2=A0<option value=3D"2037">
2037</option>
=C2=A0<option value=3D"2038">
2038</option>
=C2=A0<option value=3D"2039">
2039</option>
=C2=A0<option value=3D"2040">
2040</option>
=C2=A0<option value=3D"2041">
2041</option>
=C2=A0<option value=3D"2042">
2042</option>
=C2=A0<option value=3D"2043">
2043</option>
=C2=A0<option value==3D"2044">
2044</option>
=C2=A0<option value=3D"2045">
2045</option>
=C2=A0<option value=3D"2046">
2046</option>
=C2=A0<option value=3D"2047">
2047</option>
==C2=A0<option value=3D"2048">
2048</option>
=C2=A0<option value=3D"2049">
2049</option>
=C2=A0<option value=3D"2050">
2050</option>
=C2=A0<option value=3D"2051">
2051</option>
=C2=A0<option value=3D"2052">
2052</option>
=C2=A0<option value=3D"2053">
2053</option>
=C2=A0<option value=3D"2054">
2054</option>
=C2=A0<option value=3D"2055">
2055</option>
=C2=A0<option value=3D"2056">
2056</option>
=C2=A0<option value=3D"2057">
2057</option>
=C2=A0<option value=3D"2058">
2058</option>
=C2=A0<option value=3D"2059">
2059</option>
=C2=A0<option value==3D"2060">
2060</option>
=C2=A0<option value=3D"2061">
2061</option>
=C2=A0<option value=3D"2062">
2062</option>
=C2=A0<option value=3D"2063">
2063</option>
==C2=A0<option value=3D"2064">
2064</option>
=C2=A0<option value=3D"2065">
2065</option>
=C2=A0<option value=3D"2066">
2066</option>
=C2=A0<option value=3D"2067">
2067</option>
=C2=A0<option value=3D"2068">
2068</option>
=C2=A0<option value=3D"2069">
2069</option>
</select>
</div>
</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-text" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_74766472">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Tratamiento Realizado (si corresponde)</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
</div>
</label>
<div class=3D"gmail-m_-7181962239300846185ss-q-text" dir=3D"auto" style=3D"background-color:rgb(238,238,238);max-width:90%;border:1px solid rgb(192,192,192);padding:5px;white-space:pre-wrap;color:rgb(84,84,84);width:436.797px">
</div>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185ss-form-question gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-checkbox" style=3D"margin:12px 0px">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<label class=3D"gmail-m_-7181962239300846185ss-q-item-label" for=3D"m_-7181962239300846185entry_1219705969">
<div class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"font-weight:bold;margin-top:0.83em;margin-bottom:0.83em">
Derivaci=C3=B3n a otro Prestador Domiciliario</div>
<div class=3D"gmail-m_-7181962239300846185ss-q-help gmail-m_-7181962239300846185ss-secondary-text" dir=3D"auto" style=3D"margin:0.1em 0px 0.25em;color:rgb(102,102,102)">
S=C3=B3lo llene esta secci=C3=B3n si es m=C3=A9dico y solicita la visita de otro prestador del equipo</div>
</label>
<ul class=3D"gmail-m_-7181962239300846185ss-choices" style=3D"list-style:none;padding:0px;margin:0.5em 0px 0px">
<li class=3D"gmail-m_-7181962239300846185ss-choice-item" style=3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
<label>
<span class=3D"gmail-m_-7181962239300846185ss-choice-item-control gmail-m_-7181962239300846185goog-inline-block" style=3D"display:inline-block">
<input type=3D"checkbox" name=3D"entry.503039759" disabled value=3D"ENFERMERA" id=3D"gmail-m_-7181962239300846185group_503039759_1" class=3D"gmail-m_-7181962239300846185ss-q-checkbox" style=3D"font-size:13px">
</span>
=C2=A0<span class=3D"gmail-m_-7181962239300846185ss-choice-label">
ENFERMERA</span>
</label>
</li>
<li class=3D"gmail-m_-7181962239300846185ss-choice-item" style=3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
<label>
<span class=3D"gmail-m_-7181962239300846185ss-choice-item-control gmail-m_-7181962239300846185goog-inline-block" style=3D"display:inline-block">
<input type=3D"checkbox" name=3D"entry.503039759" disabled value=3D"TENS" id=3D"gmail-m_-7181962239300846185group_503039759_2" class=3D"gmail-m_-7181962239300846185ss-q-checkbox" style=3D"font-size:13px">
</span>
=C2=A0<span class==3D"gmail-m_-7181962239300846185ss-choice-label">
TENS</span>
</label>
</li>
<li class=3D"gmail-m_-7181962239300846185ss-choice-item" style=3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
<label>
<span class=3D"gmail-m_-7181962239300846185ss-choice-item-control gmail-m_-7181962239300846185goog-inline-block" style=3D"display:inline-block">
<input type=3D"checkbox" name=3D"entry.503039759" disabled value=3D"NUTRICIONISTA" id=3D"gmail-m_-7181962239300846185group_503039759_3" class=3D"gmail-m_-7181962239300846185ss-q-checkbox" style=3D"font-size:13px">
</span>
=C2=A0<span class=3D"gmail-m_-7181962239300846185ss-choice-label">
NUTRICIONISTA</span>
</label>
</li>
<li class=3D"gmail-m_-7181962239300846185ss-choice-item" style=3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
<label>
<span class=3D"gmail-m_-7181962239300846185ss-choice-item-control gmail-m_-7181962239300846185goog-inline-block" style=3D"display:inline-block">
<input type=3D"checkbox" name=3D"entry.503039759" disabled value=3D"KINESIOLOGO" id=3D"gmail-m_-7181962239300846185group_503039759_4" class=3D"gmail-m_-7181962239300846185ss-q-checkbox" style=3D"font-size:13px">
</span>
=C2=A0<span class=3D"gmail-m_-7181962239300846185ss-choice-label">
KINESIOLOGO</span>
</label>
</li>
<li class=3D"gmail-m_-7181962239300846185ss-choice-item" style=3D"margin:0px;line-height:1.3em;padding-bottom:0.5em">
<label>
<span class=3D"gmail-m_-7181962239300846185ss-choice-item-control gmail-m_-7181962239300846185goog-inline-block" style=3D"display:inline-block">
<input type=3D"checkbox" name=3D"entry.503039759" disabled value=3D"PSICOLOGO" id=3D"gmail-m_-7181962239300846185group_503039759_5" class==3D"gmail-m_-7181962239300846185ss-q-checkbox" style=3D"font-size:13px">
</span>
=C2=A0<span class=3D"gmail-m_-7181962239300846185ss-choice-label">
PSICOLOGO</span>
</label>
</li>
</ul>
</div>
</div>
</div>
<br>
<div class=3D"gmail-m_-7181962239300846185errorbox-good">
<div dir=3D"auto" class=3D"gmail-m_-7181962239300846185ss-item gmail-m_-7181962239300846185ss-embeddable-object-container" style=3D"margin:12px 0px;max-width:100%">
<div class=3D"gmail-m_-7181962239300846185ss-form-entry" style=3D"margin-bottom:1.5em;vertical-align:middle;margin-left:0px;margin-top:0px;max-width:100%">
<h2 class=3D"gmail-m_-7181962239300846185ss-q-title" style=3D"margin-top:0.83em;margin-bottom:0.83em">
</h2>
<div style=3D"text-align:right">
<img class=3D"gmail-m_-7181962239300846185ss-image gmail-CToWUd" title=3D"" src=3D"https://lh6.googleusercontent.com/ho5-aEhqapElKPfY3C043hrFRDZHbYmYQL4MdTOUr9VmGAzMIk1T6XQ9jJN3CuGBWoqcxaMG3A" alt=3D"Imagen sin leyenda" style=3D"width: 78px; outline: none;">
</div>
</div>
</div>
</div>
</form>
</div>
<br class=3D"gmail-Apple-interchange-newline">
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div id=3D"DAB4FAD8-2DD7-40BB-A1B8-4E2AA1F9FDF2">
<br>
 <table style=3D"border-top:1px solid #d3d4de">
	<tr>
      <td style=3D"width:55px;padding-top:18px">
<a href=3D"https://www.avast.com/sig-email?utm_medium=3Demail&amp;utm_source=3Dlink&amp;utm_campaign==3Dsig-email&amp;utm_content=3Dwebmail" target=3D"_blank">
<img src=3D"https://ipmcdn.avast.com/images/icons/icon-envelope-tick-round-orange-animated-no-repeat-v1.gif" alt=3D"" width=3D"46" height=3D"29" style=3D"width: 46px; height: 29px;">
</a>
</td>
		<td style=3D"width:470px;padding-top:17px;color:#41424e;font-size:13px;font-family:Arial,Helvetica,sans-serif;line-height:18px">
Libre de virus. <a href=3D"https://www.avast.com/sig-email?utm_medium=3Demail&amp;utm_source=3Dlink&amp;utm_campaign=3Dsig-email&amp;utm_content=3Dwebmail" target=3D"_blank" style=3D"color:#4453ea">
www.avast.com</a>
 		</td>
	</tr>
</table>
<a href=3D"#DAB4FAD8-2DD7-40BB-A1B8-4E2AA1F9FDF2" width=3D"1" height=3D"1">
</a>
</div>
--000000000000f464690587d4331d--