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<th scope="col">FUA</th><th scope="col">SERVICIO</th><th
scope="col">FEC. ATENCION</th><th scope="col">EESS</th><th scope="col">NOMBRE
EESS</th><th scope="col">TIPO PRESTACION</th><th scope="col">ESTADO FUA</th><th
scope="col">HISTORIA CLINICA</th><th scope="col">NRO GE</th><th scope="col">VALOR
NETO DE LA PRESTACION</th>
</tr><tr>
<td>270-20-00002157</td><td>065</td><td>01/02/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>04028979</td><td>0</td><td>1118.7818</td>
</tr><tr>
<td>270-20-00002471</td><td>067</td><td>22/03/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>45362094</td><td>0</td><td>1144.6150</td>
</tr><tr>
<td>270-20-00002580</td><td>063</td><td>06/01/2021 10:46:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>04039787</td><td>0</td><td>668.3472</td>
</tr><tr>
<td>270-20-00002752</td><td>067</td><td>24/02/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>60409304</td><td>0</td><td>1052.7500</td>
</tr><tr>
<td>270-20-00002766</td><td>067</td><td>27/02/2021 12:10:00
p.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>04041234</td><td>0</td><td>1042.2100</td>
</tr><tr>
<td>270-20-00002848</td><td>063</td><td>17/04/2021 10:10:00
p.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>04082233</td><td>0</td><td>672.3000</td>
</tr><tr>
<td>270-20-00002859</td><td>065</td><td>02/01/2021 11:20:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>06576118</td><td>0</td><td>1105.2150</td>
</tr><tr>
<td>270-20-00003186</td><td>065</td><td>30/03/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>04032324</td><td>0</td><td>1065.2300</td>
</tr><tr>
<td>270-20-00003236</td><td>065</td><td>12/01/2021 10:20:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>04065814</td><td>0</td><td>1100.7760</td>
</tr><tr>
<td>270-20-00003431</td><td>065</td><td>23/01/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>04039924</td><td>0</td><td>1065.3418</td>
</tr><tr>
<td>270-20-00003612</td><td>067</td><td>06/01/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>47903432</td><td>0</td><td>1109.7200</td>
</tr><tr>
<td>270-20-00003615</td><td>067</td><td>08/01/2021 11:56:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>04215760</td><td>0</td><td>1093.0850</td>
</tr><tr>
<td>270-20-00003762</td><td>065</td><td>25/01/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>04012527</td><td>0</td><td>1077.1536</td>
</tr><tr>
<td>270-20-00003800</td><td>065</td><td>09/02/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>80597851</td><td>0</td><td>1078.3496</td>
</tr><tr>
<td>270-20-00003834</td><td>065</td><td>01/02/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>04015225</td><td>0</td><td>1060.2868</td>
</tr><tr>
<td>270-20-00003838</td><td>065</td><td>28/01/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>04026685</td><td>0</td><td>1123.2618</td>
</tr><tr>
<td>270-20-00003896</td><td>067</td><td>27/01/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>71819251</td><td>0</td><td>1116.6900</td>
</tr><tr>
<td>270-20-00003972</td><td>067</td><td>27/01/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>42951179</td><td>0</td><td>1093.3840</td>
</tr><tr>
<td>270-20-00003978</td><td>067</td><td>08/02/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>71036907</td><td>0</td><td>1121.7650</td>
</tr><tr>
<td>270-20-00004108</td><td>065</td><td>25/02/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>42474612</td><td>0</td><td>1114.1050</td>
</tr><tr>
<td>270-20-00004402</td><td>065</td><td>01/02/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>04037620</td><td>0</td><td>1077.0860</td>
</tr><tr>
<td>270-20-00004403</td><td>065</td><td>03/02/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>70210501</td><td>0</td><td>1059.8700</td>
</tr><tr>
<td>270-20-00004628</td><td>071</td><td>04/02/2021 10:10:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>04025486</td><td>0</td><td>17.5900</td>
</tr><tr>
<td>270-20-00004721</td><td>055</td><td>11/02/2021 12:00:00
p.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>42702344</td><td>0</td><td>901.0678</td>
</tr><tr>
<td>270-20-00004855</td><td>065</td><td>09/02/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>80169519</td><td>0</td><td>1139.7984</td>
</tr><tr>
<td>270-20-00004971</td><td>067</td><td>10/02/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>04218565</td><td>0</td><td>1112.6700</td>
</tr><tr>
<td>270-20-00004978</td><td>067</td><td>25/02/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>74128435</td><td>0</td><td>1079.4150</td>
</tr><tr>
<td>270-20-00004980</td><td>067</td><td>18/03/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>47062744</td><td>0</td><td>1040.0100</td>
</tr><tr>
<td>270-20-00004982</td><td>067</td><td>20/03/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>48743165</td><td>0</td><td>1119.3300</td>
</tr><tr>
<td>270-20-00005053</td><td>067</td><td>06/03/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>71054109</td><td>0</td><td>1051.7400</td>
</tr><tr>
<td>270-21-00000318</td><td>067</td><td>09/04/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>71309415</td><td>0</td><td>1068.3666</td>
</tr><tr>
<td>270-21-00000658</td><td>066</td><td>18/03/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>04068830</td><td>0</td><td>701.3350</td>
</tr><tr>
<td>270-21-00001516</td><td>067</td><td>26/03/2021 11:45:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>70781308</td><td>0</td><td>1149.1950</td>
</tr><tr>
<td>270-21-00002320</td><td>055</td><td>07/05/2021 07:27:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>42823908</td><td>0</td><td>907.7107</td>
</tr><tr>
<td>270-21-00002591</td><td>066</td><td>16/04/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>04004668</td><td>0</td><td>710.0950</td>
</tr><tr>
<td>270-21-00002596</td><td>067</td><td>19/04/2021 09:49:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>04200854</td><td>0</td><td>1069.7340</td>
</tr><tr>
<td>270-21-00002597</td><td>066</td><td>19/04/2021 11:20:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>10398441</td><td>0</td><td>711.3400</td>
</tr><tr>
<td>270-21-00002690</td><td>065</td><td>24/04/2021 11:40:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>80570630</td><td>0</td><td>1077.8800</td>
</tr><tr>
<td>270-21-00002834</td><td>055</td><td>21/04/2021 05:15:00
p.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>70748996</td><td>0</td><td>908.9750</td>
</tr><tr>
<td>270-21-00002840</td><td>055</td><td>22/04/2021 12:04:00
p.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>71070648</td><td>0</td><td>905.1357</td>
</tr><tr>
<td>270-21-00003248</td><td>067</td><td>30/04/2021 11:10:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>80167904</td><td>0</td><td>1056.6200</td>
</tr><tr>
<td>270-21-00003306</td><td>071</td><td>27/04/2021 10:00:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>43883869</td><td>0</td><td>17.9400</td>
</tr><tr>
<td>270-21-00003323</td><td>055</td><td>02/05/2021 10:35:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>75131099</td><td>0</td><td>908.0957</td>
</tr><tr>
<td>270-21-00003503</td><td>067</td><td>30/04/2021 10:20:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>60009888</td><td>0</td><td>1111.8400</td>
</tr><tr>
<td>270-21-00003552</td><td>065</td><td>06/05/2021 11:20:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>04201105</td><td>0</td><td>1081.1520</td>
</tr><tr>
<td>270-21-00003553</td><td>065</td><td>06/05/2021 01:00:00
p.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>04205551</td><td>0</td><td>1099.7600</td>
</tr><tr>
<td>270-21-00003710</td><td>067</td><td>08/05/2021 10:20:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>72768010</td><td>0</td><td>1124.9100</td>
</tr><tr>
<td>270-21-00004267</td><td>055</td><td>22/05/2021 12:16:00
p.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>71610629</td><td>0</td><td>897.0257</td>
</tr><tr>
<td>270-21-00004373</td><td>067</td><td>21/03/2021 11:10:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>81287633</td><td>0</td><td>1088.1590</td>
</tr><tr>
<td>270-21-00005943</td><td>055</td><td>22/06/2021 09:28:00
a.m.</td><td>190113A101</td><td>DR.DANIEL ALCIDES CARRION
GARCIA.</td><td>CONSUMO</td><td>NO
REVISADA</td><td>76365369</td><td>0</td><td>906.2650</td>
</tr>
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