INSTITUTO HONDUREÑO DE SEGURIDAD SOCIAL
UNIDAD MATERNO INFANTIL
NOTA OPERATORIA
Nombre del paciente: ______________________________________________________________
Afiliación:
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Fecha de operación: ___________________________ Servicio o Sala:
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Diagnostico Pre Operatorio: _________________________________________________________
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Diagnostico Post Operatorio:
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Operación Practicada: _____________________________________________________________
Cirujano: _________________________________ Autorizo Operación: _____________________
Superviso: ________________________________ Asistente: _____________________________
Anestesista o Anestesiólogo: ___________________________Anestesia: ____________________
Hallazgos Operatorios: _____________________________________________________________
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Descripción Operatoria: ____________________________________________________________
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NOMBRE : _____________________________________ FIRMA
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