Hoja de Evaluación

Fecha: ___________________________

Nombre: _______________________________________________

Edad: ________________

DXT: ________________

HR: _________________

BP: _________________

SPO2: _______________

R/R: _________________

Temp: ______________

Comentario: _______________________________________________________________________________________
Recomendaciones:
____________________________________________________________________________________________________________

__________________________________________________________________ __
Hoja de Evaluación

Fecha: ___________________________

Nombre: _______________________________________________

Edad: ________________

DXT: ________________

HR: _________________

BP: _________________

SPO2: _______________

R/R: _________________

Temp: ______________

Comentario: _______________________________________________________________________________________
Recomendaciones:
____________________________________________________________________________________________________________

_______________________________________________________________ _____
Hoja de Evaluación

Fecha: ___________________________

Nombre: _______________________________________________

Edad: ________________

DXT: ________________

HR: _________________

BP: _________________

SPO2: _______________

R/R: _________________

Temp: ______________

Comentario: _______________________________________________________________________________________
Recomendaciones:
____________________________________________________________________________________________________________

_______________________________________________________________ _____
Hoja de Evaluación

Fecha: ___________________________

Nombre: _______________________________________________

Edad: ________________

DXT: ________________

HR: _________________

BP: _________________

SPO2: _______________

R/R: _________________

Temp: ______________

Comentario: _______________________________________________________________________________________
Recomendaciones:
____________________________________________________________________________________________________________

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