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UCI 0.

00
LABORATORIO 1,027.64 375.31
PROCEDIMIENTO 0.00
TOPICO 4,433.14 52.25 106.88 7.13 4,064.50 188.13
RAYOS X 1,109.44 21.89 317.03 250.00
INTERCONSULTA 0.00
EMERGENCIA 323.00 38.00 38.00 38.00 38.00
cirugia 9,409.75 5,642.35
EKG 0.00
HOSPITALIZACION 2,191.63 57.00 110.00 256.50
TERAPIA Y REHABILITACION 0.00
USO DE AMBULANCIA 0.00
trauma 0.00
GASTOA ADM 0.00
MEDICAMENTOS 5,103.98
23,598.58 90.25 201.88 67.02 10,547.19 694.63
229.62 422.71

14.25
20.52 250.00 250.00

38.00 95.00 38.00


674.73 2,935.92 156.75

847.50 920.63

5,103.98
1,810.37 4,624.26 459.00 5,103.98 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00

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