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DATOS PERSONALES

NOMBRE______________________________________

DIRECCIÓN____________________________________

TEL CASA________________ CEL__________________

E-MAIL_______________________________________

DIRECCION TRABAJO____________________________

TEL TRABAJO__________________________________

EN CASO DE EMERGENCIA INFORMAR A:


NOMBRE______________________________________

DIRECCION____________________________________

TEL CASA_____________________________________

E-MAIL_______________________________________

INFORMACION IMPORTANTE:
SERVICIO MUTUAL______________________________

TEL__________________________________________

TIPO DE SANGRE_______________________________

ALERGIAS_____________________________________
HORARIO SEMANAL

NOTAS
CALENDARIO 2023
CALENDARIO 2024
INGRESOS

EGRESOS
ENERO

NOTAS

2023
DICIEMBRE

VIERNES 30

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SABADO 31 DOMINGO 1

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ENERO

LUNES 2

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MARTES 3

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ENERO

MIERCOLES 4

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JUEVES 5

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ENERO

VIERNES 6

08:00_____________________________________________________________________________
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SABADO 7 DOMINGO 8

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