PRIMARIA0DISA (1):RED (2):MICRORED (3):EESS_4IE_5CODIGO IE
(6):DISTRITO (7):RESPONSABLE PSE DEL EESSDE LA I.E. (8):TIPO DE
SEGURO (9):FECHADEEVALUACION_10GRADO_11SECCION_12turno_13N DE
ALUMNOS EVALUADOS (14):DNI15ApellidosyNombres17Sexo(18)Fecha de
Nacimiento (dd-mm-aa)
(19)Edad_aosymeses_20pesoneto_21tallacm_22imc_23T/E (25)-DxNCIE
10-DxN (26)IMC/E (30)-DxN (27)CIE 10-DxN (28)Consentimiento
informado aceptado (30)Consentimiento informado NO
aceptado(31)Fecha (32)-DHbResul33_DHBDx (34)-DHbCIE 10-DHb (35)Sin
muestra con C.I.(36)OD-AVSC(38)CIE 10-AVSC(39)OI-AVSC(40)CIE
10-AVSC(41)BIAVSC(42)CIE 10-AVSC(43)OD-AVCC(45)CIE
10-AVCC(46)OI-AVCC(47)CIE 10-AVCC(48)BI-AVCC(49)CIE 10-AVCC(50)1
DOSIS DT (52)3HEPATITIS B (53)3 PVH (54)EXAMEN ESTOMATOLOGICO
(55)CODIGO DE ESTABLECIMIENTO (56)CODIGO RENAES (57)EE.SS DE
REFERENCIA(58)DIRECCION DE EESS DE REFERENCIA (59)PATOLOGIA OCULAR
(SI / NO) (60)OBSESRVACIONES(61)1II LIMA SURBCO-CHO-SCOVILLAP.S
SANTA TERESA DE CHORRILLOS7077 LOS REYES
ROJOS774778CHORRILLOSDRA.MARA
BAZULE07-05-15TERCEROAMAANA2160825863ACEDO DE LOS SANTOS, ANDREINA
JULIETF03-08-068a
9m22.2126.114.0NZOO6NZOO6107-05-1513.6NZ01720/20H54.320/20H54.320/20H54.3000150108A309P.S
SANTA TERESA DE CHORRILLOS2II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZULS07-05-15TERCEROAMAANA2160943312AGUILAR MITMA, JOSEPH
ALFREDOM12-11-068a
5m24.6121.416.7NZOO6NZOO6100.020/25H54.320/25H54.320/20H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS3II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZULS07-05-15TERCEROAMAANA2161103776ALCA HURTADO, CARLA
FERNANDAF07-06-077a
11m24.5123.216.1NZOO6NZOO6100.020/40H54.320/40H54.320/30H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS4II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROAMAANA2170538373ALFARO ORTIZ, CYNTHIA
NICOLEF09-09-068a
7m29.0123.719.0NZOO6SPE660100.020/70H52.720/70H52.720/70H52.7150108A309P.S
SANTA TERESA DE CHORRILLOS5II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROAMAANA2160892599ARANDA APONTE, ROSSMERY
CECILIAF21-09-068a
7m30.6126.619.1NZOO6SPE660100.020/20H54.320/20H54.320/20H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS6II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROAMAANA2170594586ARROYO APONTE,
ARIANAF21-12-068a
4m31.5120.021.9NZOO6OBE669107-05-1512.0NZ01720/20H54.320/20H54.320/20H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS7II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROAMAANA21BERROCAL ROMERO, JAN PIERRO
ANTONIOM24-05-0410a
11m24.0121.116.4TBE45XNZOO6100.020/20H54.320/20H54.320/20H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS8II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROAMAANA2160080861BRAVO BERROSPI, DANNY
ENDERSONM17-03-078a
1m30.7129.718.2NZOO6SPE660107-05-1511.5NZ01720/25H54.320/25H54.320/25H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS9II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROAMAANA2160898574CAQUIPOMA ATAMARI, MEDALY
YUNSHUF23-12-068a
4m36.0126.722.4NZOO6OBE669107-05-1512.2NZ01720/20H54.320/20H54.320/20H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS10II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROAMAANA2160898223CARRASCO FLORES, ARACELY
JASMINF01-11-068a
6m27.4128.916.5NZOO6NZOO6107-05-1514.1NZ01720/30H54.320/30H54.320/30H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS11II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROAMAANA2160854167DAVILA VELASQUEZ, ADRIAN
ANTONIM25-09-068a
7m24.4125.915.4NZOO6NZOO6107-05-1512.6NZ01720/25H54.320/25H54.320/20H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS12II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROAMAANA2161023252ESCOBAR BAUTISTA, CORAIMA
MICIELOF30-03-078a
1m24.2125.715.3NZOO6NZOO6107-05-1512.8NZ017000150108A309P.S SANTA
TERESA DE CHORRILLOSLENTES13II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROAMAANA2160916026LLOCLLE CONTRERAS, SNEYDER
DARIKSONM27-11-068a
5m25.3124.416.3NZOO6NZOO6107-05-1512.4NZ01720/25H54.320/25H54.320/20H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS14II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROAMAANA21MAMANI FLORES, GUSTAVO
SEBASTIANM29-06-068a
10m33.2136.117.9NZOO6NZOO6107-05-1513.6NZ01720/50H52.720/50H52.720/50H52.7150108A309P.S
SANTA TERESA DE CHORRILLOS15II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROAMAANA2177206175MENDOZA CARMONA, SELENA
SHIARAF02-08-059a
9m33.5135.718.2NZOO6NZOO6100.020/100H54.320/100H54.320/100H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS16II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROAMAANA2160790468REYMUNDO REYNALDO,
RONNYM31-05-068a
11m41.7125.426.5NZOO6OBE669107-05-1513.6NZ01720/20H54.320/20H54.320/20H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS17II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROAMAANA2160892487RODRIGUEZ TEVES, STIF
JHONATANM12-10-068a
6m37.8127.623.2NZOO6OBE669100.020/20H54.320/50H52.720/20H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS18II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROAMAANA2160855904SALVADOR HUANCAS LUCERO
DANAEF29-08-068a
8m30.6133.417.2NZOO6NZOO6107-05-1511.8NZ01720/20H54.320/20H54.320/20H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS19II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROAMAANA2161578283TAMINCHI MANUYAMA,
GISELAF27-07-068a
9m24.0123.515.7NZOO6NZOO6107-05-1513.0NZ01720/20H54.320/20H54.320/20H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS20II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROAMAANA2161008320YARANGA ROJAS. RINALD0
RICARDOM12-03-078a
1m23.1118.916.3NZOO6NZOO6100.020/20H54.320/20H54.320/20H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS21II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROAMAANA2161033676ZEA PERALTA, FIORELLA DE LOS
ANGELESF18-03-078a
1m28.5126.217.9NZOO6SPE660107-05-1513.5NZ01720/30H54.320/30H54.320/30H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS22II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROBMAANA1762618953AQUITUARI TAMINCHI,
MILAGROSF26-01-078a
3m19.6116.714.4NZOO6NZOO6107-05-1512.1NZ01720/50H52.720/50H52.720/50H52.7150108A309P.S
SANTA TERESA DE CHORRILLOS23II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROBMAANA1775743241ARONES CHAMBI, SEBASTIAN
MANUELM01-05-069a
0m44.5135.524.2NZOO6OBE669100.020/25H54.320/30H54.320/25H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS24II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROBMAANA1760895344BELLIDO POMA, JUAN
CARLOSM28-09-068a
7m37.8129.522.5NZOO6OBE669107-05-1512.1NZ01720/20H54.320/30H54.320/20H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS25II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROBMAANA1761330401BOCANGEL GUTIERREZ, YADIRA
GERALDINE MIKELEF09-03-078a
1m28.6131.116.6NZOO6NZOO6100.020/20H54.320/25H54.320/20H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS26II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROBMAANA1776759561CAHUANA RONDINEL, ROSARIO
CAMERON CIELOF22-03-0411a
1m34.3135.618.7NZOO6NZOO6107-05-1513.3NZ01720/30H54.320/30H54.320/30H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS27II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROBMAANA1760943082CHUMBIPUMA, BRANDON
JOELM10-12-068a
4m43.3123.628.3NZOO6OBE669107-05-1513.9NZ01720/25H54.320/20H54.320/20H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS28II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROBMAANA1760962494DEMANUEL HUAMANI, ALISON
CAROLINAF03-02-078a
3m55.9128.533.9NZOO6OBE669107-05-1512.4NZ01720/25H54.320/40H54.320/30H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS29II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROBMAANA1760898484GARCIA PINO, CAMILA
ANGELAF09-12-068a
4m40.1131.523.2NZOO6OBE669100.020/50H52.720/50H52.720/30H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS30II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROBMAANA1760961975MALCA CRISTOBAL, BRENDA
KAROLINAF29-12-068a
4m22.7122.415.2NZOO6NZOO6107-05-1511.4AD50920/20H54.320/20H54.320/20H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS31II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROBMAANA1760871908MARTINEZ TAPIA, ADRIAN
ALEXM13-04-0510a
0m37.0132.221.2NZOO6SPE660100.020/20H54.320/20H54.320/20H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS32II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROBMAANA1760898127MILLAN HUISA, SERGIO
SDYLANM08-10-068a
6m31.2127.819.1NZOO6SPE660100.020/20H54.320/50H52.720/25H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS33II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROBMAANA1760923300QUISPE SOTO CAMILA
ELIZABETHF25-10-068a
6m43.3135.223.7NZOO6OBE669107-05-1515.4NZ01720/20H54.320/20H54.320/20H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS34II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROBMAANA1761033746RODRIGUEZ GONZALES, NOEMI
MERCEDESF03-11-068a
6m24.6114.018.9TBE45XSPE660107-05-1511.9NZ01720/30H54.320/25H54.320/25H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS35II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROBMAANA1760812180VALENCIA QUISPE, KORAYMA
MAGDYELF22-04-078a
0m33.7122.222.6NZOO6OBE669107-05-1512.7NZ01720/20H54.320/20H54.320/20H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS36II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROBMAANA17VILLEGAS SOTELO, KEYLA
MASSYELF29-07-068a
9m44.1138.523.0NZOO6OBE669107-05-1513.0NZ01720/20H54.320/20H54.320/20H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS37II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROBMAANA17QUISPE SARMIENTO, MANUEL
ADRIANM25-08-068a
8m33.7128.820.3NZOO6OBE66900.020/40H54.320/30H54.320/25H54.3150108A309P.S
SANTA TERESA DE CHORRILLOS38II LIMA SURBCO-CHO-SCOVILLAP.S SANTA
TERESA DE CHORRILLOS7077 LOS REYES ROJOS774778CHORRILLOSDRA.MARA
BAZUL07-05-15TERCEROBMAANA17SARATE MEZA,
ARTUROM31.8127.319.600100.020/30H54.320/25H54.320/25H54.3150108A309P.S
SANTA TERESA DE CHORRILLOSLENTESLENTESLENTES0a 0m0a 0m0a 0m0a 0m0a
0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a
0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a 0m0a
0m0a 0m0a 0m
60943312
CONSOLIDADORED BCO CHO SCOIEPESO-TALLA-IMCHEMOGLOBINAAGUDEZA
VISUALTOTAL ATENDIDOSDIAGNOSTICADOSRELACION
IMC-EDADDIAGNOSTICADOSTALLA -EDADTOTAL ATENDIDOSNORMALANEMIA
LEVEANEMIA MODERADAANEMIA SEVERATOTAL ATENDIDOSNORMALPATOLOGICO
20/50 a msNORMALDELGADEZSOBREPESOOBESIDADNORMALTALLA
-ALTATALLA-BAJA
