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Nro. 120411985 Fecha 2012/04/19 Hora 01:37:13a.m .

CAJA COLOMBIANA DE SUBSIDIO FAMILIAR NIT. 860.007.336-1. Nro. 120411985 Fecha 2012/04/19 Hora 01:37:13a.m. CENTRO MEDICO QUIROGA INCAPACIDAD MEDICA GENERAL. Cliente: 52955480 DIANA MARCELA ARDILA DIAZ Convenio: FAM COLS RESTREPO Empresa:.

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Nro. 120411985 Fecha 2012/04/19 Hora 01:37:13a.m .

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  1. CAJA COLOMBIANA DE SUBSIDIO FAMILIAR NIT. 860.007.336-1 Nro. 120411985 Fecha 2012/04/19 Hora 01:37:13a.m. CENTRO MEDICO QUIROGA INCAPACIDAD MEDICA GENERAL Cliente: 52955480 DIANA MARCELA ARDILA DIAZ Convenio: FAM COLS RESTREPO Empresa: DURACION (Días): 4 Desde : 2012/04/19 Hasta: 2012/04/22 Contingencia: ENFERMEDAD GENERAL Clase: INCAPACIDAD TEMPORAL Manejo: AMBULATORIO DIAGNOSTICO J22 INFECCION AGUDA DE LAS VIAS RESPIRATORIAS BAJAS INFERIORES (BRONQUITIS) PROCEDIMIENTO ORDENADO POR: 52987847 SANDRA MARCELA HERNANDEZ GONZALEZ FIRMA:

  2. CAJA COLOMBIANA DE SUBSIDIO FAMILIAR NIT. 860.007.336-1 Nro. 120411680 Fecha 2012/04/23 Hora 02:58:43p.m. CENTRO MEDICO QUIROGA INCAPACIDAD MEDICA GENERAL Cliente: 52955480 DIANA MARCELA ARDILA DIAZ Convenio: FAM COLS RESTREPO Empresa: DURACION (Días): 4 Desde : 2012/04/23 Hasta: 2012/04/26 Contingencia: ENFERMEDAD GENERAL Clase: INCAPACIDAD TEMPORAL Manejo: AMBULATORIO DIAGNOSTICO J22 PERSISTE INFECCION AGUDA DE LAS VIAS RESPIRATORIAS BAJAS INFERIORES PROCEDIMIENTO ORDENADO POR: 52987847 SANDRA MARCELA HERNANDEZ GONZALEZ FIRMA:

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