Formato de control de colocación de inyecciones subcutáneas

Antecedente
N° Fecha Cédula Nombre y apellido Etnia Edad DIRECCION TELEFONO LOTE MODELO
obstétrico

1 9/18/2019 22598439 YAMILETH AULAR M 28

PUEBLO DE PAZ 4244245544 IIG. IIP. IA T55038 T12136
2 9/18/2019 30318819 RAIRIS VILLEGAS M 20
LA MANGA 4144348794 OG. T55038 T12136
3 9/18/2019 26079799 ALONDRA PABON M 24
EL ROSAL IVG. IIIP. IA. T55038 T12136
4 9/18/2019 24014347 MAURIE GUERRA M 28
SABANETA 4148685270 IIG. IIP. IA T55038 T12136
5 9/18/2019 26518961 YEILA CASTRO M 21
ELROSAL IG. IP. T55038 T12136
6 9/18/2019 16157981 ELINDA GUERRA M 36
EL ROSAL 4244275544 IVG.IIIP.IA T55038 T12136
7 9/18/2019 19543655 MARIA ALVARADO M 29
EL ROSAL 4262421565 IG. IP. T55038 T12136
8 9/18/2019 24248854 YUSLEIDI AULAR M 25
SABANETA 4161739214 IIIG.IA.IIP. T55038 T12136
9 9/18/2019 22599802 RUT RODRIGUEZ M 28
TRAPICHITO 4161739214 IIG.IIP T55038 T12136
10 9/18/2019 20936968 MARIELIS RAMIREZ M 29
SABANETA 4140425306 IIG.IIC. T55038 T12136
11 9/18/2019 29803134 MARIANGEL CAMEJO M 18
EL ROSAL IG.IP. T55038 T12136
12 9/18/2019 16774662 YSMAYELA GUERRA M 36
SABANETA 4269009771 IIIG. IIA. IC. T55038 T12136
13 9/18/2019 27570378 MARIANGEL GONZALEZ M 20
SABANETA IG. IP. T55038 T12136
14 9/18/2019 20488025 LUISA CORREA M 26
SABANETA 4266412446 IIG.IIC. T55038 T12136
15 9/18/2019 17594379 ROSARIO RIVAS M 35
PUEBLO DE PAZ 4269324342 VIG.IA.VP. T55038 T12136
16 9/18/2019 27477275 ANDREINA ROCHE M 20
EL ROSAL 4161456746 OG. T55038 T12136

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17 9/18/2019 25332568 KEISA OLLARVES M 25
EL ROSAL 2587669494 IIIG.IP. IIA. T55038 T12136
18 9/18/2019 20270242 AMELIMAR CASTRO M 29
EL ROSAL 4123468211 IIIG. IIP. T55038 T12136
19 9/18/2019 17595119 TANIA GARRIDO M 36
EL HERRERO 4163455370 VG.IIA.IIP T55038 T12136
20 9/18/2019 18849639 YAURIS MERCADO M 35
EL HERRERO 4168430605 IIG.IIP. T55038 T12136
21 9/18/2019 26611057 VIRGINIA CASTILLO M 22 SABANETA 4161500189 IIIG.IIP.IC. T55038 T12136
22 9/18/2019 24014345 ANAIS LOPEZ M 25 EL PARADERO 4124383193 IG.IC T55038 T12136
23 9/18/2019 27244409 FRANCIS PADRON M 21 EL 200 4261434783 IG.IP. T55038 T12136
24 9/20/2019 15628249 YEIRIS GALINDEZ M 36 JABILLO 4262489595 T55038 T12136
25 9/20/2019 28066810 YOELIS RIVAS M 21 JABILLO 4120359230 T55038 T12136
26 9/20/2019 24014371 OSMARY CRUCES M 24 JABILLO 4124660606 T55038 T12136
27 9/20/2019 28241673 ROXANNY AGÜERO M 19 JABILLO 4124320528 T55038 T12136
28 9/20/2019 29867513 ANTONISMAR RIVAS M 19 JABILLO 4124299212 T55038 T12136
29 9/20/2019 28515154 BARBARA BELANDRIA M 17 JABILLO 4263954511 T55038 T12136
30 9/20/2019 19889888 MARIAELISA DUQUE M 30 JABILLO 4129433291 T55038 T12136
31 9/20/2019 24014124 NANCIRELYS GUEVARA M 26 JABILLO 4129433291 T55038 T12136
32 9/20/2019 27013561 LISNEIDY CASADIEGO M 22 JABILLO 4261383958 T55038 T12136
33 9/20/2019 26611076 KELLY GERDEZ M 22 JABILLO 4144226164 T55038 T12136
34 9/20/2019 18849861 MAURY ROJAS M 33 JABILLO 4149922545 T55038 T12136
35 9/20/2019 13733910 NOEGLIS DUQUE M 40 JABILLO 4161069922 T55038 T12136
36 9/20/2019 3066713 WINIFER TORO M 16 MONAGAS 4262098062 T55038 T12136
37 9/20/2019 17593016 LUISA REYES M 35 EL BOLIVAR 4144273941 T55038 T12136
38 9/20/2019 19182670 MARIA COLLAZO M 32 EL PEÑON T55038 T12136

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39 9/20/2019 30179424 LUSMARYS CACERES M 19 MONAGAS 4268494568 T55038 T12137
40 9/20/2019 27658617 ANAIRIS FIGUEREDO M 18 POTRERITO 4161107935 T55038 T12138
41 9/24/2019 27472061 DANIELA HERNANDEZ M 20 CASTAÑO 2 4244376544 T55038 T12139

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Fecha 1° Fecha 2° Fecha 3° Fecha 4°
Observaciones
dosis dosis dosis dosis

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9/24/2019