View
221
Download
0
Category
Preview:
Citation preview
8/19/2019 Registro Medico Escolar
1/3
REGISTRO MEDICO ESCOLAR
DATOS DE IDENTIFICACIÓNNombre: __________________________________________________________________________
Apellidos: _________________________________________________________________________
Fecha de acimie !o: ________________________________________________ Se"o: __________
L#$ar de acimie !o: ________________________________________________________________
Gr#po sa $#% eo: ____________________________________________ Fac!or rh: _______________
Domicilio ac!#al del i&o: ______________________________________________________________
Tel'(o o padre: _______________________________ Tel'(o o madre: ______________________
E caso de emer$e cia llamar a: ________________________________ Tel'(o o:
Obser)acio es
_________________________________________________________________________________ _________________________________________________________________________________ ______________________
Aler$ias* e (ermedades cr+ icas* e!c,
___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________
___________________________________________________________________________________ ___________________________________________________________________________________ _________________________________________________________________________________
8/19/2019 Registro Medico Escolar
2/3
8/19/2019 Registro Medico Escolar
3/3
ENFERMEDADES INFECCIOSAS
ACCIDENTES
ENFERMEDADES FECHA OBSERVACIONES
ACCIDENTE FECHA PRIMER AUXILIO
Recommended