R.E.N.O.S.

: 1-0430-6

Cartilla Médica
CIUDAD AUTÓNOMA
DE BUENOS AIRES
Y GRAN BUENOS AIRES
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R.E.N.O.S.: 1-0430-6
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• Servicios al Cliente Programa Preventivo 9

• Atención Secundaria 13
• Medicamentos 14
• Prestaciones Especiales 15
• Régimen de Seguro Paliativo 17
• Coseguro 17
• Nuestras Agencias y Delegaciones del País 19
• Autorizaciones 21
• Modalidad de Utilización de los Servicios 22
• Análisis, Estudios y Tratamientos - Psicología y Psiquiatría - Odontología. 23
• Internaciones Programadas 24
• Servicios de Guardia e lnternación de Urgencia 25
• Pautas para la Mejor Resolución de los Problemas de Salud 26
• Tratamientos o Medicación Especiales 27
• Plan Materno Infantil 27

Ciudad Autónoma de Buenos Aires

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 
 
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 
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 
 
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 Es derecho de todo beneficiario presentar reclamos ante
la Obra Social o la Superintendencia de Servicio de Salud.
En ambas entidades debe ser debidamente asesorado acerca de la
Resolución Nº075/98 - S.S.Salud.

Línea gratuita de la Superintendencia de Servicio de Salud:

0800-222-72583
www.sssalud.gob.ar
Av. Pte. Roque Sáenz Peña 530 - C.A.B.A.

GESTIONES ADMINISTRATIVAS

Ud. podrá consultar sobre

• Afiliaciones y Credenciales
• Actualizaciones de domicilio y teléfonos
• Altas, Bajas o modificaciones de afiliación de su grupo familiar
• Desregulación de obras sociales
• Cualquier trámite o información

En nuestra Sede Social:

Lunes a Viernes de 9 a 17 hs.
Humahuaca 4072 - C.A.B.A.
Tel.: 4862-2666 ó 0800-333-6772 ó 1140445694 (por WhatsApp)

En Internet:
www.ospacacerveceros.org.ar
Ud. podrá consultar la página, la cual se actualiza diariamente.

Vía E-mail: [email protected]

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8
 CARTILLA 2021

NORMAS (ANEXO I)

PROGRAMAS PREVENTIVOS
1. Plan Materno Infantil
La cobertura del Plan Materno Infantil en cuanto a la atención del Embarazo, Recién
Nacido y del Niño hasta el año de vida se realiza según lo establecido por el P.M.O., a
través de los efectores presentes en la cartilla y sin coseguro alguno para la madre
desde el diagnóstico del embarazo y hasta un mes después del parto y para el recién
nacido hasta el año de vida. La cobertura comprende la atención necesaria durante el
embarazo y parto, curso psicoprofiláctico, estudios de laboratorio, ecográficos,
evaluación cardiológica, vacuna antitetánica y las indicadas por el Plan Nacional del
Ministerio de Salud de la Nación, monitoreos fetales, internación y material descartable.
Para el recién nacido y hasta el primer año de vida la cobertura al 100% de internación,
medicamentos, métodos de diagnóstico, estudios de detección de Fenilcetonuria,
Hipotiroidismo, Enfermedad Fibroquística, Galactosemia, Hiperplasia Suprarrenal
Congénita, Deficiencia de Biotinidasa, Retinopatía del prematuro, Chagas y Sífilis,
consultas de seguimiento y control y todas las inmunizaciones del período indicado por
el Ministerio de Salud de la Nación. Se cubrirá el 100% del gasto de
medicamentos para la mujer embarazada y hasta un mes después del parto y del 40%
para medicamentos ambulatorios no relacionados.
Para este beneficio se debe presentar el certificado de embarazo extendido por el
profesional tratante donde conste fecha de última menstruación y fecha probable de
parto.
A fin de estimular la lactancia materna se cubrirá las leches maternizadas con expresa
indicación médica, resumen de historia clínica y evaluación de la auditoría médica. Las
leches medicamentosas se cubrirán en los términos de la Ley 27.305.
El bebe tendrá acceso a la cobertura del Plan a partir de su afiliación a la Obra Social.
Los primeros treinta días podrá atenderse con el carnet de la madre, luego sin excepción
deberá concurrir a la sede central para el alta y entrega del carnet correspondiente.
Deberá presentar: partida de nacimiento, DNI del recién nacido y Constancia de CUIL
del recién nacido.

2. Programa de Salud sexual y procreación responsable Ley 25673 y Ley 26730.

Este Programa apunta a dar cumplimiento a la Ley 25.673 y Decreto 1282/03,
orientando y acompañando a los progenitores en el ejercicio de la patria potestad.
Los objetivos son:
a) Alcanzar el nivel más elevado de salud sexual y procreación responsable con el fin
de que pueda la población adoptar decisiones libres de discriminación, coacciones o
violencia.
b) Disminuir la morbimortalidad materno-infantil.
c) Prevenir embarazos no deseados.
d) Promover la salud sexual de los adolescentes.
e) Contribuir a la prevención, detección precoz y tratamiento de enfermedades de
transmisión sexual, de VIH/sida, patologías genitales y mamarias, así como también la
prevención del aborto.
f) Garantizar a toda la población el acceso a la información, orientación, métodos y
prestaciones de servicios referidos a la salud sexual y procreación responsable.
g) Potenciar la participación femenina en la toma de decisiones relativas a su salud
sexual y procreación responsable.

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Población de referencia: beneficiarios mayores de 14 años (la salud sexual no tiene
límites de edad por eso se considera a toda la población a partir de la pubertad).
Se contemplan las consultas especializadas:
1. Para las mujeres: un examen ginecológico, papanicolaou, colposcopía, al menos
una vez al año y/o las veces necesarias y análisis de laboratorio (para detección
de enfermedades de transmisión sexual que incluye el VIH/sida, detección
precoz de cáncer, etc.).
2. Para los hombres: Un examen físico, penesocopía y análisis de laboratorio (para
detección de enfermedades de transmisión sexual que incluye el VIH/sida,
detección precoz de cáncer, etc.).
Se garantiza la cobertura del 100 % a cargo del Agente de Seguro de Salud
1. Los medicamentos anticonceptivos incluidos en los Anexos III y IV de la
Res. 310/04 MS y la 232/07 (anticoncepción hormonal) y que se encuentran
explícitamente comprendidos en la Ley 25 .673
2. Anticonceptivos intrauterinos, dispositivos de cobre
3. Implantes anticonceptivos subdérmicos
4. Condones con o sin espermicidas, diafragmas y espermicidas.

Ley Nº 26730: Régimen para las intervenciones de contracepción quirúrgica:

Se cubrirá al 100% a toda persona mayor de edad la realización de las prácticas
denominadas "ligaduras de trompa de Falopio" y "ligadura de conductos deferentes o
vasectomía".

3. Programa de prevención del cáncer de cuello uterino

• El cáncer de cuello uterino es una de las causas de mayor morbimortalidad
evitable de la patología oncológica de la mujer, la detección precoz es la manera
de disminuir dicha patología y permitir su curación.
• El programa está destinado a la población femenina mayor de 14 años, con la
finalidad de incrementar el número de pacientes en estudio a fin de diagnosticar
las displasias cervicales precancerosas y disminuir la mortalidad por cáncer de
cuello uterino en la población beneficiaria.
• Se realizarán acciones con el objeto de:
▪ Captar en forma oportuna y adecuada a las beneficiarias para su control
periódico a partir del inicio de las relaciones sexuales.
▪ Realizar examen ginecológico y toma de muestra de Papanicolau y
colposcopia según guías de práctica clínica, al menos una vez al año y/o las
veces necesarias.
▪ Realizar tratamiento oportuno de las lesiones detectadas en el examen
periódico
Las Beneficiarias podrán acudir en forma libre a los efectores contratados por la Obra
Social, que se encuentran en cartilla aprobada por la Superintendencia de Servicios de
Salud para realizar los exámenes y las prácticas relacionados con el Programa.

4. Programa de prevención del cáncer de mama

El cáncer de mama en la actualidad es una de las patologías que produce el mayor
número de muertes por cáncer en la población femenina, la única manera de prevenirlo
es la detección precoz por lo cual la obra social desarrolla el presente programa, el
mismo se encuentra destinado a la población beneficiaria femenina mayor de 30 años,
sin límite de edad.
El objetivo general es disminuir la mortalidad por cáncer de mama en la población
beneficiaria.
Para lo cual se determinó:
• Identificar a las mujeres de nuestra población con mayor riesgo que el estándar para
cáncer mamario y antecedentes de cáncer mamario en núcleo familiar primario.

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• Realizar examen mamario y mamografía en forma anual a las beneficiarias a partir
de los 30 años, sin límite de edad.
• Realizar tratamiento oportuno a las lesiones detectadas en el examen periódico.

Las Beneficiarias podrán acudir en forma libre a los efectores contratados por la Obra
Social, que se encuentran en cartilla aprobada por la Superintendencia de Servicios de
Salud para realizar los exámenes y las prácticas relacionados con el Programa.

La cobertura del Papanicolau corresponde a partir de los 18 años en forma anual y una
mamografía a partir de los 30 años una vez por año salvo otra indicación médica.

5. Programa de odontología preventiva

El programa tiene por objeto lograr que los beneficiarios de la obra social, todos, pero
con mayor énfasis los niños menores de 15 años y mujeres embarazadas, adquieran
hábitos de higiene y cuidado de la dentadura a través de prácticas de prevención y
promoción de la salud bucal. Las acciones planificadas son:
• Realizar al menos una consulta preventiva odontológica de la embarazada.
• Impartir educación acerca del cuidado de la salud bucal de 1 niño.
• Promover la primera consulta odontológica preventiva en el niño a partir de los
3 años de edad.
• Capacitar a los beneficiarios sobre técnicas de cepillado y fluoración.
• Estimularla consulta odontológica periódica a partir de los 6 años de edad.
Los beneficiarios podrán ingresar al presente programa a través del personal
perteneciente a la red de odontólogos, contratados por la Obra Social, que se
encuentran en cartilla aprobada por la Superintendencia de Servicios de Salud.
Se realizan todas las prestaciones del PMO.

6. Programa de detección temprana de hipoacusia. Ley 25415 y Res. 939/00 del

M.S.:
Incluyen: estudios y prácticas a todo Recién Nacido hasta el tercer mes de vida.
Provisión de audífonos, prótesis auditivas y rehabilitación foniátrica. Inmunización contra
la rubéola y enfermedades inmunoprevenibles.

7. Programa de Prevención y Control de Diabetes: Ley 26.914

Incluyen: La Obra Social brindará el 100% de cobertura en medicamentos y reactivos
de autocontrol para pacientes diabéticos (cualquier tipo). Así como también en
cantidades necesarias según lo prescriba su médico. De acuerdo con el Artículo 2 de la
Ley 26.914 y resolución 764/2018 del MSyDS.
El paciente deberá acreditar certificación médica de una institución sanitaria pública ó
prestador de cartilla, su condición de paciente diabético y seguirá vigente mientras el
paciente revista el carácter de enfermo crónico.

8. Programa de Identificación de factores de riesgo y prevención primaria de

enfermedades cardiovasculares.
Visto que los factores de riesgo para desarrollar enfermedades cardiovasculares están
suficientemente identificados, se ejecutarán acciones orientadas a identificar tales
factores en la población beneficiaria, para implementar estrategias de promoción de la
salud y prevención de la enfermedad. Dirigido a hombres mayores de 45 años y mujeres
menopáusicas o mayores de 55 años.
Se promoverá la consulta preventiva en población sana a partir de los 20 años.
Factores de riesgo:
• Edad
• Hipertensión Arterial
• Tabaquismo
• Dislipidemias

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 • Diabetes
• Antecedentes heredo familiares de enfermedades cardiovascular
• Sedentarismo
• Sobrepeso y/u obesidad
• Stress

Actividad de promoción y difusión relacionadas con otras temáticas

La Obra Social pondrá a disposición de los prestadores y de los beneficiarios, material
informativo a través de diversas vías, página web, folletería, cartilla, desarrollando
también actividades de difusión.
• Salud Mental
• Prevención de HIV - SIDA
• Tabaquismo -Alcoholismo
• Obesidad
• Enfermedad de Chagas
• Prevención de enfermedades colónicas a través de video colonoscopia
• Dengue / Chikungunya
•
Identidad de Género de las Personas: Ley 26.743
Se garantiza su salud integral, acceder a intervenciones quirúrgicas totales y
parciales y/o Tratamientos generales de hormonización contemplados en la
Resolución 3159/2019 para adecuar su cuerpo, incluida su genitalidad judicial o
administrativa, salvo los menores de 18 años que deberán efectuarlo a través de sus
representantes legales y con expresa conformidad del menor.

Salud Mental: Ley 26.657 y Dec. Reglamentario 603/13 del PEN

Se incluyen todas aquellas actividades de fortalecimiento y desarrollo
de comportamientos y hábitos de vida saludables como forma de promoción de la
salud en general y de la salud mental en particular. Así también actividades
específicas que tienden a prevenir comportamientos que puedan generar
trastornos y malestares psíquicos en temas específicos como la depresión,
suicidio, adicciones, violencia, violencia familiar, maltrato infantil.
La obra social propiciará las prácticas de promoción de salud mental mediante
el desarrollo de actividades acordes a las modalidades que consideren pertinentes
para su población beneficiaria. Prestaciones cubiertas: las atención ambulatoria
necesarias por año calendario. Esto incluye las modalidades de entrevista psiquiátrica,
psicológica, psicopedagogía, psicoterapia individual, psicoterapia grupal, psicoterapia
de familia y de pareja, psicodiagnóstico.
Internación: se cubrirán patologías agudas en las modalidades institucionales
u hospital de día. Internaciones sin limitaciones por año calendario.

PACIENTES EN TRÁNSITO
Cuando requiera de los servicios asistenciales por una urgencia y se encuentre fuera
de su área de residencia, deberá contactarse con la Delegación local de O.S.P.A.C.A.
para comunicar su necesidad. Recuerde que para los pacientes en tránsito sólo se
autorizará la atención para casos de urgencia por guardia. También puede hacerlo en
O.S.P.A.C.A. Central, o al teléfono 0810-333-6772.

REINTEGROS
Sólo se aceptarán solicitudes de reintegros que estuvieran previamente autorizados
por la Auditoria Médica de la Obra Social. No se podrán utilizar servicios por fuera
de la cartilla y solicitar posterior reintegro.
En caso de cobros indebidos por parte de los prestadores de la cartilla
médico asistencial deberá solicitar su reintegro con una nota que relate el hecho y la
factura o ticket correspondiente.
12
ACCIDENTES DE TRÁNSITO
En caso de requerir los servicios de la Obra Social por un accidente de tránsito, se
brindará la asistencia, posteriormente el afiliado deberá presentar la denuncia policial
del hecho, a efectos de accionar ante los estamentos que correspondan.

ACCIDENTES LABORALES
Ante la eventualidad de un accidente de trabajo o "in itinere", se brindará la asistencia,
posteriormente el afiliado deberá presentar la denuncia ante la ART correspondiente.

PACIENTES DISCAPACITADOS
Los pacientes con certificado oficial de discapacidad deberán presentar una copia del
mismo a la Obra Social para poder recibir los beneficios enmarcados en la Ley 24.901.

ATENCION SECUNDARIA
Las especialidades para la atención secundaria son las reconocidas por la autoridad
sanitaria nacional y según lo establecido en el P.M.O. Consultas en consultorio y en
internación, Consultas en urgencia y emergencia domiciliaria, Consultas programadas
en domicilio, Prácticas y estudios complementarios ambulatorios, diagnósticos y
terapéuticos. Se cubren todas las prácticas diagnósticas y terapéuticas detalladas en el
PMO, como así también las contempladas en la Resolución 1048 y su modificatoria
resolución 46/17, Programa de Cobertura de Alta Complejidad y sus modificaciones,
considerando el material descartable y los medios de contraste como parte de la
prestación que se realiza. Toda práctica que no figure en el catálogo del PMO - Res.
2001/02 y sus modificatorias- requiere autorización previa quedando a consideración de
la Auditoria Médica según aplicación de los criterios de la Medicina Basada en la
Evidencia.
Se brinda el 100% de cobertura en la internación en cualquiera de sus modalidades
(institucional, hospital de día o domiciliaria). Todas las prestaciones y prácticas
detalladas en el PMO vigente se encuentran incluidas dentro de la cobertura. Las
mismas se extienden sin 1ímite de tiempo a excepción de lo contemplado en el ítem
Salud Mental.
La modalidad es de libre acceso a través de los prestadores y efectores enunciados en
cartilla.
Especialidades

Anatomía Patológica Ginecología

Anestesiología Hematología
Cardiología Hemoterapia
Cirugía cardiovascular Medicina familiar y General
Cirugía de cabeza y cuello Medicina nuclear: diagnóstico y tratamiento
Cirugía general Nefrología
Cirugía infantil Neonatología
Cirugía plástica reparadora Neurología
Cirugía de tórax Nutrición
Clínica médica Obstetricia
Dermatología Oftalmología
Diagnóstico por imágenes: Oncología
Radiología, tomografía computada, Ortopedia y traumatología
resonancia magnética y ecografía. Otorrinolaringología
Endocrinología Pediatría
Infectología Psiquiatría
Fisiatría (medicina física y rehabilitación) Reumatología
Gastroenterología Terapia intensiva
Geriatría Urología

13
REHABILITACIÓN MÉDICA
Las prácticas que brinda la obra social son las estipuladas en el P.M.O. con los alcances
y coseguros presentes en las resoluciones vigentes, el beneficiario podrá acceder a la
mismas como se estipula en la presente cartilla y con los prestadores estipulados.
Kinesioterapia: hasta 25 sesiones por beneficiario por año
Fonoaudiología: hasta 25 sesiones por beneficiario por año
Estimulación Temprana sin límite

MEDICAMENTOS
Todos los prestadores y efectores de la Obra Social, propios y/o contratados deberán
recetar medicamentos por su nombre genérico, y se aplicarán los mecanismos de
sustitución y precios de referencia para establecer la cobertura a cargo del agente del
Seguro (Ley 25649 y Decreto 987 /03) Res 310/07 y alternativas terapéuticas, Res
1991/05 (anexo II) y 1747/05.
Medicamentos en ambulatorios 40%
Medicamentos en internación 100%
Medicamentos con cobertura del 70%: según Res. 310/04 M.S., para las patologías
crónicas prevalentes que requieran de modo permanente o recurrente del empleo de
fármacos para su tratamiento, las mismas se podrán consultar en la página de la
Superintendencia de Servicios de Salud: www.sssalud.gob.ar
Entre otras patologías: arritmias cardíacas, artritis reumatoidea; asma bronquial,
dislipemias, enfermedad coronaria, de Parkinson, epilepsia, glaucoma, hipertensión
arterial, hipo e hipertiroidismo, insuficiencia cardíaca, etc.
Para ser beneficiarios de este Programa de tratamiento crónico deberán presentar
resumen de historia clínica del médico tratante para presentar al Médico Auditor para su
aprobación.
Tendrán cobertura del 100 % los siguientes medicamentos:
• Eritropoyetina en el tratamiento de la anemia por Insuficiencia Renal Crónica.
• Dapsona (tratamiento de la lepra).
• Inmunoglobulina antihepatitis B (según recomendaciones de uso Anexo III
Res.310/04)
• Drogas para el tratamiento de tuberculosis.
• Piridostigmina (Res. 719/99MS y AS).
• Medicamentos anticonceptivos incluidos en los Anexos 111 y IV, anticonceptivos
intrauterinos (dispositivos de cobre), implantes subdérmicos, condones con o sin
espermicida, diafragmas y espermicidas.
• Insulina (Res.301/99 MS y AS).
• Medicamentos antidiabéticos orales 100%.
• Medicamentos oncológicos y medicación de soporte clínico de la quimioterapia
destinada a la prevención y tratamiento de los vómitos inducidos por agentes
antineoplásicos según protocolos oncológicos aprobados por la autoridad de
aplicación.
• Medicación analgésica destinada al manejo del dolor de pacientes oncológicos,
según protocolos oncológicos aprobados por la autoridad de aplicación.
• Antihemofílicos.
• Mestinón 60 mg para el tratamiento de la Miastenia Gravis. Res.791/99 MSy AS:
Tendrán cobertura del 100% por la obra social con apoyo financiero del Fondo Solidario
de Redistribución, según las normas que dicte la Administración de Programas
Especiales los siguientes medicamentos como también los programas comprendidos en
leyes de protección de grupos vulnerables y aquellos que se agreguen según normativa:
• Interferón en el tratamiento de: Esclerosis Múltiple para pacientes con dos o más
brotes en los últimos dos años.
• La Hepatitis crónica por virus B o C comprobada por laboratorio y/o anatomía
patológica.

14
 • Copolímero: en la Esclerosis Múltiple, con iguales indicaciones que el lnterferón.
Teicoplamina: en tratamiento ambulatorio de infecciones documentadas por
estafilococos meticilinorresistentes.
• Factores estimulantes de Colonias granulocíticas: en neutropenias severas
(menos de 1000 neutrófilos pormm3).
• Tobramicina aerosolizada: en la Enfermedad Fibroquística con infección
bronquial por Pseudomona areuginosa documentada.
• Riluzole: en el tratamiento de la Esclerosis Lateral Amiotrófica.
• Factor VIII y Antihemofílicos.
• Somatotropina: en síndrome de Turner hipopituitarismo con trastornos de
crecimiento, hasta el cierre de los cartílagos de crecimiento.
• Octreotide: en síndrome carcinoide y tumores hipofisarios del tipo de la
acromegalia
• Cerezyme: tratamiento de la Enfermedad de Gaucher.
• Medicación anti HIV y anti SIDA.
• Inmunosupresores.

PRESTACIONES ESPECIALES
De acuerdo con la Resolución 1048/14, se dará cumplimiento a lo establecido en la
resolución 400/2016 SSSALUD y 46/2017 SSSALUD que contiene la actualización de
los medicamentos, insumos y prestaciones contempladas por el Sistema Único de
Reintegro.

Obesidad: Ley N° 26.396.

Conforme lo establece el Art. 2° de la Resolución N° 310/2004-M.S., modificatoria de la
Resolución N° 201/2002-M.S., se modifica el apartado 7 del anexo I de la Resolución
N°201/2002-M.S. y Resolución Nº 742/09-M.S. En virtud de ello debe contemplarse:
Cobertura de medicamentos de alternativa terapéutica, según las recomendaciones de
uso establecidas en el Anexo V.Cobertura Ambulatoria, y seguimiento del tratamiento,
farmacológico y quirúrgico al 100%.

E. Celíaca: Ley 27.196 (actualización de la Ley 26.588), su reglamentación, decreto

528/11, res. 102/11 M.S. y Resolución 219-775 APN-565 MSyDS. Cobertura del 70%
del costo de los productos libres de gluten, de acuerdo con el listado de la CONAL, y
prácticas de detección y diagnóstico temprano: anticuerpo IgA antitransglutaminasa
tisular humana y la biopsia.

Reproducción medicamente asistida: Ley 26.862 Dec. Reglamentario Nº 956/2013

Cobertura al 100%.

Trastornos del Aprendizaje: (Ley 27.306). Abordaje integral e interdisciplinario del

sujeto con dificultades específicas del aprendizaje.

OTRAS PRESTACIONES
*RES. 1991/05
Sistema Derivación ventrículo-Peritoneal
Implantes cocleares
Materiales descartables para cirugías cardiovasculares
Prótesis de ortopedia y traumatología
Injertos de miembros con microcirugía
Trasplantes de Médula Ósea
Genotipificación virus Hepatitis C en Pacientes HIV +
Vertebroplastia percutánea
Radioterapia Tridimensional Conformada para pacientes con cáncer de próstata
Angioplastia Coronaria con Sten liberadores de fármacos

15
Antivirales de uso sistémico: 100%
Acción anti viral directa: atazanavir, fosamprenavir, delavirdina, entecavir, enfurvirtide.
Factores estimulantes de las colonias: Filgrastin (100%), Molgramostin (100 %)
Factores de coagulación sanguínea

*RES.1747/05:
Psoriasis: moderada a severa en mayores de 18 años con 10 % o más de la superficie
corporal afectada, cubertura al 100 % del medicamento Efalizumab (Sist. de Tutelaje).
Hipercolesterolemia con riesgo cardiovascular y con al menos dos comorbilidades
(+de 240 mg/dl): Ezetimibe (70%).
Enfermedad de Parkinson con pacientes refractarios a la L-Dopa: Piribedil (70%).
Onicomicosis y otras enfermedades: Uso sistémico de: itraconazol (40%).
Asma: en niños y ancianos, inhalatorio, Budesonide, solo o con Formoterol, (70%).
Infecciones Urinarias resitentes: Cefadroxilo (40%).
Diabetes: con riesgo de hipoglucemias. Glucagón: según prescripción médica.

HEMODIÁLISIS Y DIÁLISIS PERITONEAL CONTINUA AMBULATORIA:

La cobertura será del 100 % siendo requisito indispensable la inscripción del paciente
en el INCUCAI dentro de los primeros 30 días de iniciado el tratamiento.

OTOAMPLIFONOS
Cobertura 100% a niños de hasta 15 años.

ANTEOJOS CON LENTES ESTANDAR

Cobertura 100% a niños de: hasta 15 años.

PROTESIS Y ORTESIS
La cobertura será del 100%, en prótesis e implantes interna permanente y del 50% en
ortesis y prótesis externas, se reconocen las prótesis bioeléctricas, miogénicas y
otras, las mismas serán cubiertas bajo los términos de la Res.46/17-S.S.S. El monto
máximo que erogar por el agente de salud será el de la menor cotización en plaza.
Las indicaciones médicas se efectuarán por nombre genérico; sin aceptar sugerencias
de marcas proveedor u especificaciones que orienten a determinado producto. El
agente de Salud deberá proveer las prótesis nacionales, solo se admitirá prótesis
importada cuando no exista similar nacional. Res.27071 de los dispositivos bolsas
Ostomía: Cobertura al 100% para todas las personas ostomizadas.
Res. 26872 Cobertura del 100% de la cirugía reconstructiva como consecuencia de una
Mastectomía por patología mamaria, como así la provisión de la prótesis necesaria.

CALZADO ORTOPÉDICO:
Menores de 18 años, 1 par por año calendario en cobertura 50 %.
Plantillas: Menores de 15 años, 1 par por año calendario en cobertura 100 %.
REGIMEN DE CUIDADOS PALIATIVOS
Está destinado a aquellos pacientes con enfermedades crónicas invalidantes,
oncológicas cuyo tratamiento necesita la contención del enfermo y su grupo familiar,
ejemplo enfermedades oncológicas, neurológicas evolutivas o degenerativas, renales
crónicas, SIDA, enfermedades metabólicas y genéricas.
Esta obra social cuenta con la atención domiciliaria de médico, enfermería,
fisioterapeuta y cobertura de medicamentos al 100 %. Atención psicológica del grupo
familiar. En caso de necesidad y/o pedido familiar de internación, se evaluará la
derivación a centros asistenciales acordes a cada situación en particular de acuerdo con
evaluación de equipo multidisciplinario.

16
ANÁLISIS, RADIOGRAFÍAS Y ESTUDIOS ESPECIALIZADOS
El beneficiario podrá hacer uso de los laboratorios, centros de diagnóstico o servicios
especializados que figuren en la cartilla, presentando ante los mismos su credencial,
documento de identidad, y la orden del médico tratante.

COSEGUROS (VALOR MAXIMO DE COSEGUROS)

Consultas
Médicos de Familia / Generalistas / Hasta $ 167.-
Pediatras/ Tocoginecólogo
Médicos Especialistas Hasta $ 314.-
Programa HIV Exento
Oncología Exento
Discapacidad Exento
Plan Materno Infantil Exento
1.1.1. PMI: se dará cobertura durante el embarazo y el parto a partir del
diagnostico y hasta el primer mes luego del nacimiento.
1.1.2. Atención del recién nacido hasta cumplir un año de edad. Todo con
cobertura al 100% tanto en la internación como en ambulatorio y exceptuado
del pago de todo tipo de coseguros para las atenciones y medicaciones
específicas. Esta cobertura comprende: a) Embarazo y parto: consultas,
estudios de diagnóstico exclusivamente relacionados con el embarazo, el parto
y puerperio, ya que otro tipo de estudios tendrá la cobertura que rige el resto
del PMO. Psicoprofilaxis Obstétrica, medicamentos únicamente relacionados
con el embarazo y el parto: Cobertura 100%. b) Infantil: Será obligatoria la
realización perinatológica de los estudios para detección de la fenilcetonuria,
del hipotiroidismo congénito y en enfermedad fibroquística en el recién nacido.
Consultas de seguimiento y control, inmunizaciones del período, cobertura del
100% de la medicación requerida para el primer año de vida siempre que esta
figure en el listado de medicamentos esenciales. A fin de estimular la lactancia
materna no se cubrirán las leches maternizadas o de otro tipo, salvo expresa
indicación médica, con evaluación de la auditoría médica.
Psicología
Psicología incluidas en el art. 4.1 Hasta $209.-
del PMO
Sesiones excedentes Hasta $419.-
Prácticas de Laboratorio
Prácticas de Laboratorio Básicas Hasta $105.- por 6 determinaciones de laboratorio básicas
Prácticas de Laboratorio Básicas Valor extra por prestación adicional a las 6 definidas: hasta
Extras $42.- por práctica
Prácticas Diagnósticas
Terapéuticas
Imágenes de baja complejidad. Hasta $105.-
Incluye RX simple y ecografía
simple.
Prácticas diagnósticas y Hasta $209.-
terapéuticas de mediana
complejidad
Prácticas diagnósticas terapéuticas Hasta $300.- por práctica
de alta complejidad: TAC, RMN,
RIE, Laboratorio Biomolecular
Genético, Medica Nuclear,
Endoscopía.
Práctica Kinesio-Fisiátricas
Por sesión. Hasta $105.- (hasta 30 sesiones anuales)
Por sesión excedente Hasta $188.- (con tope máximo de 60 sesiones)
Prácticas de Enfermería Exento
Prácticas de Fonoaudiología y
Foniatría
Por sesión. Hasta $105.-
Atención domiciliaria. Consultas

17
 Diurna (código verde) Hasta $523.-
Nocturna (código verde) Hasta $733.-
Emergencias (código rojo) Exento
Mayores de 65 años Hasta $209.-
Odontología
Consultas Hasta $209.-
Consulta para menores de 15 años Hasta $105.-
y mayores de 65 años
Prácticas odontológicas Hasta $209.- cada práctica

No abonan coseguros:
• Mujer embarazada: desde el diagnóstico hasta 30 días después del parto solo en
prestaciones inherentes al embarazo parto y puerperio. Complicaciones y
enfermedades derivadas del embarazo, parto y puerperio
• Niños de hasta un año de edad
• Pacientes oncológicos
• Programas preventivos
• Discapacidad
EXCLUSIONES
No se cubrirán todos aquellos tratamientos, prácticas, cirugías y medicamentos
enunciados a continuación:
• Se encuentren en etapa experimental.
• Se opongan a normativas legales vigentes.
• Se contrapongan al proceso natural de la vida del individuo.
• Cosmetología.
• Cirugías estéticas no reparadoras.
• Medicamentos por recetas magistrales.
• Tratamientos de rejuvenecimiento.
• Tratamientos de adelgazamiento no fundamentados en la MBE.
• Consultas, tratamientos, estudios, prácticas e intervenciones realizadas con
profesionales o instituciones que no figuren en la cartilla prestacional.
• Cualquier otro tratamiento sin evidencia científica.

18
PROCEDIMIENTOS (ANEXOII)

AGENCIAS Y DELEGACIONES DEL PAIS

19
CARTILLA
Los beneficiarios cuentan con una cartilla impresa que se actualiza periódicamente.

CREDENCIALES
Tanto la credencial como el DNI son indispensables para acceder a las prestaciones, su
uso es personal e intransferible.
Para obtener la credencial por primera vez, el afiliado deberá presentar la
documentación solicitada: DNI del titular, recibo de sueldo; si tuviera grupo familiar: DNI,
partida de nacimiento, acta de matrimonio o convivencia; en Obra Social central o
delegación correspondiente, y se le entregará la credencial de acuerdo con la fecha de
alta.
La renovación de la credencial la reciben los beneficiarios en sus domicilios, al mes
previo de su vencimiento; también pueden ser retiradas en las delegaciones
correspondientes. Además, se implementaron las credenciales virtuales que las puede
obtener bajando el APP correspondiente.

TRASLADOS AMBULANCIA
Será para aquellos pacientes que no puedan movilizarse por sus propios medios desde,
hasta o entre establecimientos de Salud, con o sin internación, para diagnósticos o
tratamientos de su enfermedad. Cobertura: 100%.
La solicitud de ambulancias para traslados entre Instituciones o por altas al domicilio
son solicitadas por las clínicas o Sanatorios. En caso de traslados programados
solicitados por el médico actuante el paciente deberá enviar vía mail o por fax a la Obra
Social la solicitud con 48 hs. hábiles a realizarse el traslado con la fecha, el horario y
dirección del tumo firmada por dicho profesional.

INDICACIONES PREVENTIVA
Ud. ha sido informado en esta cartilla y en la guías enviadas a su casa (Hombres,
Mujeres y Adolescentes) de los programas de prevención autorizados por la S.S.S.
En cada uno de los programas: Ca. de cuello uterino, Ca. de mama, control del niño
menor de un año, Plan Materno Infantil, salud sexual y procreación responsable y
prevención odontológica, se indican las consultas y practicas medicas aconsejables
realizar, para arribar a un diagnóstico y/o tratamiento temprano de las enfermedades de
esos programas. Los mismos se entregan a través de folletos y comunicaciones vía mail
directamente al trabajador en su lugar de trabajo o en la Obra Social.
L a O.S. le comunicará la novedades y/o actualizaciones sobre los programas
preventivos a través de mails, faxes, cartas personales, teléfonos, etc., desde nuestras
agencias, delegaciones o sindicatos del país, Ej: Cobertura de la Vacuna anti HPV al 100%.

UTILIZACION Y ACCESO A LOS SERVICIOS

Servicios al Beneficiario
En nuestra Sucursal de Servicios al Beneficiario nuestro personal lo asesorará en
consultas relacionadas con:
• Servicios.
• Prestadores, farmacias, ópticas, etc.
• Alcance de su cobertura médica.
• Copagos de su plan.
• Reintegros.
• Solicitud de credenciales.
• Modificación de sus datos personales.
• Facturación, modalidades de pago.
• Gestión de autorizaciones y órdenes de internación.
• Sugerencias y reclamos.

20
 Usted puede acercarse a nuestras Sucursales de Servicios al
Beneficiario de Lunes a Viernes de 9 a 18 hs. o comunicarse al

0-810-222-7828 Galeno

0-800-333-0075 Medifé

0342-455-2000 Amur

O directamente a su Obra Social Central comunicándose al teléfono

0-800-333-6772

de Lunes a Viernes de 9 a 18 hs.

Mail de atención al afiliado:

[email protected]

www.ospacacerveceros.org.ar

21
Modalidad de Utilización de los servicios

En esta sección ponemos a su disposición información sobre el acceso a los distintos

servicios que comprenden su cobertura asistencial.

Consultas Médicas

Usted podrá realizar consultas con cualquiera de los médicos detallados en su Cartilla
Médica solicitando directamente el turno al profesional elegido. Recuerde tener su
credencial vigente y su documento de identidad para la consulta.

Al concurrir al consultorio, el profesional le presentará la planilla el ticket o recetario de

consulta que deberá firmar como constancia.

Se abonará un coseguro estipulado por Resolución 58-6/2017, que se encuentra en la

Cartilla en Anexo 1.

Rehabilitación Médica
Si su médico le indicó algún tratamiento de rehabilitación o estudios, llame directamente
al profesional de su elección detallado en su cartilla Médica y confirme si es necesario
solicitar autorización.

Para autorizar las prácticas que así se requieran, usted podrá comunicarse al 0-810-
222-(7828) o concurrir personalmente a cualquiera de nuestras Sucursales de Servicios
al Beneficiario, de lunes a viernes de 9 a 18 hs.

En la orden del médico tratante deberá constar de puño y letra del mismo, apellido y
nombre, número de Socio, diagnóstico y tratamiento indicado.

Recuerde tener su credencial vigente y la orden expedida por el médico solicitante

autorizada al asistir al consultorio.

Superintendencia de Servicios de Salud

Gerencia de Servicios al Usuario
0-800-222-SALUD (72583)

22
Análisis, Estudios y Tratamientos
Si su médico le indicó algún análisis, estudio o tratamiento, llame directamente al
profesional o centro médico de su elección detallado en su Cartilla Médica y confirme si
es necesario solicitar autorización.
Para autorizar las prácticas que así lo requieran, usted podrá comunicarse al
0-810-222 -7828
A efectos de agilizar nuestra respuesta en la orden médica debe constar de puño y letra
del profesional:
• Nº de socio, Apellido y Nombre
• Práctica para efectuarse
• Diagnóstico presuntivo y tratamiento
• Firma y sello del profesional solicitante
• Fecha de emisión

Con la orden del médico tratante autorizada en caso de ser necesario, concurra a los
Institutos o profesionales que figuran en su cartilla, previa solicitud del turno.
Recuerde tener su credencial vigente y la orden expedida por el médico solicitante al
asistir al consultorio.

Psicología y Psiquiatría
Para acceder a sesiones de psicología o psiquiatría usted deberá autorizar previamente
la orden emitida por un profesional de nuestra cartilla.
A efectos de agilizar nuestra respuesta en la orden médica debe constar de puño y letra
del profesional:
• Nº de socio, Apellido y Nombre
• Diagnóstico presuntivo y tratamiento
• Cantidad de sesiones
• Firma y sello del profesional solicitante
• Fecha de emisión

Odontología
Se asegura la cobertura al 100% de odontología, tanto para Pediatría como adultos
consulta preventiva/educacional y asistencial, diagnóstico, fichado y plan de
tratamiento) tanto programado como de urgencia incluyendo tratamiento, obturaciones,
tratamientos endodónticos y extracciones.
El blanqueamiento de piezas dentarias 1 vez por año a mayores de 18 años al 100 %
como así también topicación con flúor 2 veces por año.
En menores hasta 15 años se cubrirá al 100 %, sellados de surcos, fosas y fisuras,
consultas de motivación.
En pacientes menores de 8 años tiene cobertura al 100 % de los mantenedores de
espacios, coronas o bandas.
El afiliado debe realizarla consulta a odontólogo de cartilla para su plan y tratamiento.

Con la orden usted podrá comunicarse a URGENCIAS:

0-810-222-7828 Galeno
0-800-333-0075 Medifé
0342-455-2000 Amur

Superintendencia de Servicios de Salud

Gerencia de Servicios al Usuario
0-800-222-SALUD (72583)

23
Internaciones Programadas
Para toda internación programada o cirugía ambulatoria usted deberá autorizar
previamente la orden emitida por un profesional de nuestra cartilla.

Las ordenes deberán incluir:

• Nº de socio, Apellido y Nombre
• Diagnóstico presuntivo o certeza
• Procedimiento quirúrgico para realizar
• Fecha de internación y duración aproximada de la internación
• Firma y sello profesional

En los casos internación por maternidad o cirugía programada es necesario que se

comunique al

0-810-222-7828 Galeno
0-800-333-0075 Medifé
0342-455-2000 Amur

Lunes a Viernes de 9 a 18 hs. para gestionar la correspondiente orden con un mínimo

de 5 días hábiles de anticipación a la fecha de internación.

Cumplimentar el trámite de autorización es condición indispensable para realizar la

admisión en la Institución Sanatorial.

Recuerde tener consigo su credencial vigente al momento de internarse.

El capítulo "Sanatorios y Clínica" de su Cartilla Médica consigna las instituciones

sanatoriales y sus distintos niveles de acceso. Estos últimos podrán ser modificados por
la Dirección Médica.

Internaciones de Urgencia
Para los casos de internación de URGENCIA deberá comunicarse al

0-810-222-7828 Galeno
0-800-333-0075 Medifé
0342-455-2000 Amur

Si por el contrario usted se dirige a una institución sanatorial de cartilla, desde la

institución se contactarán con nosotros para darnos aviso de su internación. No
obstante, le agradeceremos que algún familiar se acerque a nuestras oficinas para
cumplimentar el trámite de internación tan pronto sea posible.

Recuerde tener consigo su documento de identidad y su credencial vigente al momento

de internarse

Superintendencia de Servicios de Salud

Gerencia de Servicios al Usuario
0-800-222-SALUD (72583)

24
Servicios de Guardia e Internación de Urgencia

Central de Urgencias y Emergencias

Ante una Emergencia con riesgo de vida, una Urgencia Médica, o la solicitud de
Médico a Domicilio o traslado:

Comuníquese al teléfono

0-810-666-8743 Galeno
0-800-333-0075 Medifé
0342-455-2000 Amur

Fuera de su área de cobertura

(más de 100 km desde su lugar de residencia en todo el país)

0-810-333-4253

Ante una emergencia comunicarse telefónicamente con la Central de Urgencias y

Emergencias las 24 hs. los 365 días del año al número antes indicado, donde se le
requerirán los siguientes datos respecto de la persona afectada:

• Nombre del beneficiario.

• Dirección y número de teléfono donde se encuentra.
• Número de credencial.
• Motivo del pedido de atención, síntomas y situación en la que se encuentra.
•
Recuerde tener siempre a mano la credencial ya que le facilitará la obtención
rápida de la información requerida.

Nuestros operadores colaborarán con usted en la identificación del mejor servicio a

proveerle y le informarán acerca de que acción deberá tomar frente a la situación
planteada.

En caso de que el médico deba concurrir a su domicilio no deberá realizar ningún pago
ante una Urgencia o emergencia.

Superintendencia de Servicios de Salud

Gerencia de Servicios al Usuario
0-800-222-SALUD (72583)

25
PAUTAS GENERALES PARA LA MEJOR RESOLUCIÓN DE LOS
PROBLEMAS AGUDOS DE SALUD:
Es importante diferenciar 3 conceptos

• Emergencia con riesgo de vida: Situación de salud que se presenta

repentinamente, requiere inmediato tratamiento o atención y puede significar riesgo de
vida. Ejemplos de posibles casos: Asfixia, Pérdida de conocimiento, Pérdida de sangre
abundante, Dificultad respiratoria, Dolor intenso en la zona del pecho, Convulsiones,
Electrocución, Asfixia por inmersión, Caídas desde alturas, Accidentes de tránsito,
Reacciones alérgicas.

• Urgencias: Situación de salud que también se presenta repentinamente que necesita

asistencia médica adecuada y razonablemente rápida, sin presentar riesgo de vida
inminente.

• Consulta Médica a Domicilio: Atención Médica que no reviste urgencia, pero

requerida en casos de imposibilidad de movilización o traslado del paciente a un
establecimiento asistencial o consultorio.

• Traslados: Disposición de una ambulancia en los casos de necesidad de trasladó

con cuidados especiales exclusivamente ordenadas por profesionales.

IMPORTANTE: La categorización en alguna de las situaciones

mencionadas anteriormente estará a cargo de los operadores de la
Central de Urgencias y Emergencias de acuerdo con la información
por usted aportada.

Si usted es trasladado a otra institución sanatorial, y a los efectos de

asegurar su mejor tratamiento comuníquelo o hágalo comunicar de
inmediato a nuestra Sucursal de Servicios al Beneficiario al
0-810-222-7828 para ser visitado a la brevedad por un médico de
nuestro equipo.

Superintendencia de Servicios de Salud

Gerencia de Servicios al Usuario
0-800-222-SALUD (72583)

26
Tratamiento o Medicación especial

Para aquellos casos en que Usted requiera un tratamiento especial sobre patologías
explícitamente indicadas en esta condición en el PMO, ponemos a su disposición un
Programa de Tratamientos y medicamentos Especiales e fin de proveerlo directamente
los medicamentos por usted requeridos.

Para tal fin solicitamos se acerque personalmente, de Lunes a viernes de 9 a 18 hs, a

cualquiera de nuestras oficinas donde le entregarán la Solicitud de Tratamiento o
Medicación Especial que deberá ser completada por el médico tratante. Asimismo,
deberá acompañar la planilla con la documentación respaldatoria allí solicitada.

Una vez aprobada la solicitud por parte de nuestra Auditoría Médica, se indicará en que
farmacia retirarla.

Tratamiento Pacientes Diabéticos

Hemos implementado un Programa de Prestaciones Médicas destinado al tratamiento

de Pacientes Diabéticos con el objetivo de mejorar su calidad de vida a través de
asistencia médica efectiva y un seguimiento evolutivo de la enfermedad. Asimismo,
busca lograr regularidad en las consultas y prácticas, proveer los insumos básicos y
prevenir el desarrollo de las complicaciones crónicas.

Para acceder a este programa solicitamos se acerque personalmente, de Lunes a

Viernes de 9 a 18 hs., a cualquier de nuestras oficinas donde le entregarán una Ficha
de Relevamiento de datos y Recetario de Prescripción que deberá ser completada por
su médico tratante.
La medicación se retirará directamente a través de la Red de farmacias adheridas al
Programa y la cobertura es del 100%

Plan Materno Infantil

Se cubre los medicamentos inherentes al embarazo, puerperio hasta 30 días después

de parto o cesárea y del recién nacido hasta el primer año de vida, al 100%.

Para gozar del beneficio deberá presentar por única vez el certificado de embarazo
extendido por si ginecólogo u obstetra que acredite embarazo, fecha de última
menstruación y fecha probable de parto.

Una vez que el trámite haya sido gestionado y autorizado se le entregará una credencial
especial para que pueda acceder a este beneficio directamente en cualquiera de las
farmacias de su cartilla.

Superintendencia de Servicios de Salud

Gerencia de Servicios al Usuario
0-800-222-SALUD (72583)

27
 Es derecho de todo beneficiario presentar reclamos ante
la Obra Social o la Superintendencia de Servicio de Salud.
En ambas entidades debe ser debidamente asesorado acerca de la
Resolución Nº075/98 - S.S.Salud.

Línea gratuita de la Superintendencia de Servicio de Salud:

0800-222-72583
www.sssalud.gob.ar
Av. Pte. Roque Sáenz Peña 530 - C.A.B.A.

GESTIONES ADMINISTRATIVAS

Ud. podrá consultar sobre

• Afiliaciones y Credenciales
• Actualizaciones de domicilio y teléfonos
• Altas, Bajas o modificaciones de afiliación de su grupo familiar
• Desregulación de obras sociales
• Cualquier trámite o información

En nuestra Sede Social:

Lunes a Viernes de 9 a 17 hs.
Humahuaca 4072 - C.A.B.A.
Tel.: 4862-2666 ó 0800-333-6772 ó 1140445694 (por WhatsApp)

En Internet:
www.ospacacerveceros.org.ar
Ud. podrá consultar la página, la cual se actualiza diariamente.

Vía E-mail: [email protected]

28
 Señor Beneficiario de las Obras
Sociales y Otros Agentes del
Seguro de Salud
Ud. cuenta con un procedimiento de
formulación y solución de reclamos frente a
hechos que afecten su normal cobertura
Médico-Asistencial.

Resolución 075 / 98 - S.S.Salud

Superintendencia de Servicios de Salud

Gerencia de Servicios al Usuario
R.E.N.O.S.: 1-0430-6
0-800 - 222 - 72583

29
30
 Ciudad Autónoma de
Buenos Aires

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



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





 0-810-666-(8743) Galeno
 0-800-333-0075 Medifé
 0342-455-2000 Amur



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
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 0-810-666-(8743) Galeno
 0-800-333-0075 Medifé
 0342-455-2000 Amur


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

  

  Hospital Privado de Niños

  (Fundación Hospitalaria -Ceni-)
  Av. Cramer 4601
  Tel: 4704-2350/4704-2399


 
 
 
 
 


 
 
 




 
 
 










 
 


 







 C.A.B.A.



  

 
 

 


  
 
  
  
 



 

 

 

 
  

 
  
 
 
 
 
 
  
 
 

  
  
 
 

 
 
  
 
 

 
  
 
 
 

 
 



  
  
  
  

  

  
  
  
 


 

 

 

 
 
  
  
  
  


 
 
 

 


  
 
 

 


  
 
 

 


  
 
 

 


  
 
 

 

 




 C.A.B.A.
  
  
  
  

  

  
  
  

 
  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 







  
  
  
  

  

  
  
  

  

  
  
  

  

  
  
  

 
  
  
  

  
 
  
  

  
  
 
  
 
  
  
 
  
  

 
 

 

 



 
 
 
 


 C.A.B.A.
  
  
  
  

 
  
  
  

 
  
  
  

 
  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 






  
  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 



  
  
 

 
 

 

 


 
 
  
  
 
 
 
 

 




 

 

 



 

 

 





 C.A.B.A.
  
  
  
  

  

  
  
  

  

  
  
  
 



 
 
  
 



 
 
  
 



 
 
  
 



 
 
  
 



 

 
 



 
  
  
 












  
  
  
  
 



 
 
  
  


 

 

 

 


 

 

 

 


  
  
 
 


  
  
  
 

  
  
  
  

 

 
  
  
 
 
 
 
 
 
 
 




 C.A.B.A.
  
  
  
  

 
  
  
  
 
 



 
  
 
 

 


 

 




 

 

 

 



 
  
  
  

 
  
  
  
 
 
  
 
  
 
 
  
 
  
 





  
  
  
  


 

 
 
  
 



 

 
 
 



 

 
 
 



 

 
 
 



 

 
 
 
 




 
 
 
 




 
 
 
 




 
 
 
 




 C.A.B.A.
 
 
 
 


 
 
 


 
 
 
 




 
 
 


 
 
 


 
 
 


 
 
 















 C.A.B.A.



  

 



 
 
  
 
 
 


  
  
 
 
 
 

  


  
 
 
  


  
  
  
  

 
  
  
  
 
 
  
  
 
 
  
 
  
 


  
  
  
  
 


 

 
 
 


  
  
 
 


  
 
 
  
  
  
 

 
 
 

 

 

 










 

 

 
  
 
 
 

 
  
 











 C.A.B.A.
  
  
  
  


 

 

 

 


  
  
  
  


 

 

 

 


  
 
 
 










 
 
 
 


 
 
 
 

 
 


 
 
 



  
  
  
  

  

  
  
  
  


 

 

 

 


  
 
 
  


 

 
 
  


 

 
 
  


 

 
 
  
 

 
 
 
  
  


  
 
 
  





 C.A.B.A.
  
  
  
  

  

  
  
  
 



 
 
  
  


 
 
  
  
  
 


 
  
  
 

 
 

 

 

 
 
 
  
 

 
 
 
  
 

 
 

 

 





  
  
 
 


  
  
  
 


  
  
  
 
 
 
  
  
  

 
 
 

 

 


 
  
 

 
 
 
  
  
 
 
 
 

 
  
 
 
 








 C.A.B.A.
  Cirugía General
 
 

 



 



 



 

 
 


 
 





 

 

 



 




 


 

  
 

 

  
  
 
 
 
 
 
  
  
 
 


 





  
  
  
  
 


 

 

 



  
  
  
 

  
  
  
  

 
  
  
  
 

  
  
  
 

  
  
  
  

  

  
  
  

 
 
 
 
 


 C.A.B.A.
  
 
 

 


  
 
  


 
  
  
  
 

  
  
 
 


  
  
 
 


  
  
  
 


 

 

 

 


 

 

 

 


 
 
 



 
 
 



   
 
 

 



 
  
 
  
 

  

  
 
  

  
  
 
  
  


 

 

 
 
 
 
  
  
 



 

 
 
 



 

 
 
 



 

 
 
 


 C.A.B.A.
  
  
 
 


  
  

 
 

 

 




 
 
 


 
  
  
  

 
 
 


  



 

 
 
 
  
 
 


  
  
  




 

 

 



 
 
  
  



  
  
 
 


  
  
 
 
  

 
 
 
 
 
 

  
 
 
 
 

 
 
 

 




 

 
 

 
 
 
 
 
  
  
 


  




 
  
 
 



 
 





 C.A.B.A.
  
  
  
  


 

 
 
  
 


 




 







 
  
 
 



 
  
 
 



 
  
 
 




 
 
 
 




 
 
 
 




 

 
 
 





  
  
  
  
 



 
 
  
 



 

 




 

 



 


  

  
  
  



  
  
  
 

  
  
  
 

  
  
  
 


 
 




 C.A.B.A.
  
 
 

 



 



 
 



 
 
  
 
 
  
  
 
  


 
 
 
 

 
  
 
  
 





 

 




  

  
  

 
  
 
 



 
 
 
 


  
  
  
  
  


  
 

 
 
 
 

 


 

 
  
  
 
 



 

 


 
  
 
  
 

 
  
  
 

 
  
 





 
  
  
 
 







 C.A.B.A.
  
  
  
  

 
 
 

 

 


 
 
  
 

  
  
  
 
 

  
 
 
 




 

 

 
 




 

 
 

 

 

 


 
 

 

 

 
 
 
 

 




  
  
 
 
 

 
  
 
 
  
  
 

 
  
  
 



 

 



 
 
 
 

 



 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 









 C.A.B.A.
  
 
 

 


  
 
  
  


 

 

 

 


  
  
  
  
 



 

 

 



 
 
 
  
 


 

 
 
 

 
 
 




 
 




  
  
  
  

 

 

 

 

 

 

 


  
  
  
  


 

 

 

 



 
  
  
  
  
 

 
 
 
  
  
  
 


 
  
  
 


 
  
  
 








 C.A.B.A.
  
  
  
  

 
  
  
  

  
 
  
  
 
 



 
  
 
 




 
 
 
  
 
  
 
 
  
 
  
 
 
  
  
 
 
 
  
  
  
 
 
 
 
 
 


  
  
  
  

 
  
  
  
 


 
 
 



 
  
 
 




 
 
  
  
  


 
 
  
  

  

 


  
  
 
 

 
 
 
 
 



  
 




 C.A.B.A.
  
  
  
  
 

  
  
  
 
 


  
  
 
  

  
  
 
  

  
  
 
  

  
  
 
  
 
 
  
 
  
 
 
  
 
  
 
 
  
 
  
 




  
  
  
  

  

  
  
  
 


 

 
 
 


  
 
 

 
 
  
 
  
 
 
 

 
  
 
  

 


 

 



  

  
 
 
 

 
  
 
 
 





 C.A.B.A.
  
 



 

 
 

 




  
 
  
  


 

 

 

 
 





 
  
 
 
  
 
  
 
 



 
  
  
 
  



 
  
  
  
  

 
 
 
 


  


 

 

 
 

 

 


 
 

 

 
 



 
 
 
 
  
 
 


 
  
  
  


 



 
 
 
  
 
 
 
  
  
  


 
 
 



 C.A.B.A.
  Neumonología Infantil
 
 

 




 


 
  
 
 
  
 

 
 
 
  
 

 
 
 
  
 

 
  
 
 
 

 
 

 
 
 
 
 
 
 
 
  
 
 
 

 
  
 

 
 
 
 



  
 
 

 



 
 
 
 




 

 


 
 
 

 

 

 


  
  
 
 


 

 

 

 
  
 
 


  
  
 
  
 



 




 
  
 
  
 



 C.A.B.A.
  Neurología Infantil
 
 

 


  
 
  
  

  

  
  
  
 

 





 

 
  
 
 
 

 
  
 
 
 

 
  
 
 
 

 
  
  
 




 

 

 












   
 
 

 



 



 

 

 

 


 
  
  
  
 


 
  
  
 


 
  
  
  


 
  
  
  
 


  
  
  
 


  
  
  
 


 
 
 



 C.A.B.A.
  
  
 
 
 
 
  
  
 
  


 
 
  
  
 
 
 
 

 
  
 
 
  
 
  
 
 
  
 
  
 
 
 
 
  
  
 
 




 
 

 





  
  
  
  

 

 

 

 



 
  
  
  
  

 
 

 

 




 

 

 




 




 

 

 
 


 

 















 





 C.A.B.A.
  
  
  
  

 
  
  
  
 



  
  
  



  
  
  
 

  
  
  
 

  
  
  
 
  
 
 
 



 

 
 
 
 




 
  
  
  



  
 
 

 


  
 
 

 




 
 
 
  
 
 



 
 

 

 

 

  
  
  
 
  

 
 

 

 

 
 
 
 
 




 

 
 
 
 

 





 C.A.B.A.
  Otorrinolaringología
 
 

 


  

 

 




 

  
  
 
 
 

 
 




  

 
 


 

 

 
 


  


 
  
 
 



 
 

 

  
 

 
 








 
  
  
  

  
 
 

 




 

 

 

 

 


 
  
  
  
 


 
  
  
  

 
  
  
  


  
  
 
 


  
  
 
 
 

  
  
 
 
 



 C.A.B.A.
  Otorrinolaringología
  Infantil
 
 
 

 
  
 
 
 
 
 
 
  
 
 
 

 
  
  
 




  
  
 
 


  
  
 
 


  
  
  
 


  
  
  
  
 

 
 
 
  
 


  
  
  
  







 

 

 
  
 
  
  

 


 



 

 

 

 



 



 

 

 


 
  
 
 


 
 

 



 



 

 

 

 



 C.A.B.A.
  
  
  
  


  



 




 




 




 




 

 

 

 
  

  

 

  
 
 

 



 
 
 
  
  


 
 

 

 

 










  
  
  
  

  

  
  
  

 
  
  
  


 
 
  
  


 

 
 
  

  
  
 
  
  

 




 
 
 
  
 
  
 
 

 
 
  
 
 

 
 



 C.A.B.A.
  
  
  
  

  

  
  
  

  

  
  
  

  

  
  
  
 



 
 
  
 
 



 
  
 
 



 
  
 
 
  
 
  
 
  
 
 
  
 
 

 




  
  
  
  
  

 
  
 
 
  

 
 
 
  
 
  
 
 
 
 
 


 



  

 




 
  
  
  



 

 
 
 

 




 

 
  
  
 

 
 
 
 
 
  




 C.A.B.A.
 Traumatología y
 

Ortopedia Infantil
 
  

 

 

 
 



 
  
  
  
 

 
  
 
 
  


  
  
 



 
  
  
  


 
 

 

 

 



 
 

 
 



 

 

 

 



  
  
  
  

 

 

 

 



 
  
  
  
 

 

 

 




 

 

 



 


 

 

 
 

 

 

 






 
 
 



 
 
 
 


 C.A.B.A.
  
  
  
  

  

  
  
  

  

  
  
  

  

  
  
  

  

 
 

 



 
 
  
 

 
 

 

 
 



 

 







 

 





























 C.A.B.A.



  

 
 

 


  
 
  
 


  
  
  
 


 
  
  
 
 


  
  
 
 


  
  
 
 
  


  
  
  
  

  

  
  
  
 


  
  
  
  


 

 
 
  
  
  
 


 
  
  
 


 
  
 
 
 

 
  
 
  

 
 

 

 



 
 
  
  
 


 
  
  
 


 
  
  
 




 C.A.B.A.
  
  
  
  

 
 
 

 

 
  
  

 



 

 

 
 
 

 
  
 
 
 
 
  
  


 
 
  
  
 
 


  
  
  
  

 
  
  
  
 
 
 
 



  
  
  
  


 

 
 
  


 

 

 

 







 

 




 

 







 

 







 

 




 
 
 
 




 
 
 
 











 C.A.B.A.
  
  
  
  


 

 
 
  
 
 

 
 
  
 
 

 

 

 
 
  
  
  

  
  
 
  

  
  
  
  

 
  
  
  


 
  
  
  
 


  
  
  
  
  
 



  
  
  
  


 
 
  
  


 
 
  
  
  
  

  

  
  
  
 


 
  
  
 
 




 
 
 
 




 
 
 
 




 
 
 
 

 

 



 





 C.A.B.A.
  
  
 
 


  
  
  
 


 
  
  
 


 
  
  
 


 
  
  
 


 
  
  
  



 




 




 

 
 
 



 

 

 

 

 

 

 



  
  
  
  

 
  
  
  

 
  
  
  

 
  
  
  
 

  
  
  
 


 
  
  
  
 

 
  
 
 
 
 
  
 

 
 
 
  
  
  








 C.A.B.A.





























 C.A.B.A.



  

 
 

 


  
  
 
 
 

 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
  
 

 
  
 


 
  
  
  
 


 
 
 
 


   
 



 

 
 
 
 
 
 
 
 
 
 
 
  

 
 
 
  
  
 
  
  
 
 
 

 
  
 
 
 

 

 

 

 


 
  
  
 
 

 
 
 
 


 C.A.B.A.
  
  
  
  
 



 

 

 

 






 

 

 

 

 

  
  
  
  

 
  
  
  
  


 
 
  
 
 
 
  
 
  

 
 
 
 
 













   


 

 
 
  
 
 

 
  
  
 
 
 

 
  
  
 


 
 
  
 
 

 
 
  


 
 
  
  

 
 
 
 
  
  
 
 
 
 
  
 
 
 
 
 
 
 




 C.A.B.A.
  
  
  
  
 

  
  
  
 

  
  
  
  


 

 
 
  
  
 
 

 




 

 
  
  

 



 

 

 
 
 




 
 
 
 




 
 
 
 




  
  
  
  

 
 
 

 

 


 
  
  
  

  
  
 
 
 

 




 
 

 
 

 

 

 


 


 

 

 

 

 
 
 
 
 
 
 


 
 
 
 
 
 



 C.A.B.A.
  Electroencefalogramas




Infantiles
 
  
 
 
 
 
 
 
  
  
 
 

 
 
  
 


 
  
  

 

 
  
  
 

  
  
  
  
 


 
  
  
  



 
 
 




  
  
  
  
  

  


 

 

 
  
 



 
 
  
  


 

  
  
 
 



 
  
  

  

 

 

 

 
  
 


 
 
 


 
 




 C.A.B.A.
  Laboratorio de
 

Análisis Clínicos

  
 
 
  
 

 
 
 
  
  
 
 
 
 
  

 
  
  
  
  

  

  
  
  

 
  
  
  
  
 

 
  
  
 


 
  
  
 
 






  
  
  
  
  

  

  
  
  
 



 

 

 

 

 
 
 
  
 
 
 

 



  




 







 

 

 
 
 
 
 

 




 

 
 
  
 
 
  





 C.A.B.A.
  
  
  
  
  


  
  
  
 
 
 
 
  
 

 
  
  
  


  
  
  
 
 


  
  
  
  
  

  

 
 

 



 
 
 

 

 




  
  
  
 


  
  
  
  
 



 

 

 

 

 



 
 
 
 
 
 

 
 

 
 


 
 
 
 
 
 
 
 

 
 

 




 
 
  
 
 

 

 

 
  
 
 
  
  
  
 


 C.A.B.A.
  
 
 

 


  
  
 
 
 

 
  
 
 
 

 
  
  
 
 
 
 
 
 
 
 
 
 
 

 

 



 

 

 

 
 
  
  
  
 
 
 
 
  

  
 
 
 
 


  
  
 
 
  
 
 
 

 
 

 
  
  
  

 
 

  

  
 
 

 
 

 
  
  
  

 
  
 
 
  
 
 
 
 
  
 


 
 
 



 
 
 





 C.A.B.A.
  
  
  
  


 
 
  
  
 
 
 

 

 

 




 
 


 


 


 
 




















 
 
 
 


 








 C.A.B.A.



  

  
 
 
 

 
  
 
 
 

 
  
  
 

 
 

 

  

 
  
 
 
 

  
  
  
  

  

 
 
 
 

 
 
 
 
 
 
 






 
 
 
 
 











































 C.A.B.A.



  

 
 



 
  
 

 
 
 
 

 


  
 
 


  
 
 


  
 
 


  
 
 


  
 
 


  
 
 


 
 



   
 
 


  
 
 



 
 
 

 
  

 

 
  

 

 
  

 

 
  
 
 
 

 
 
 
  
 
 
  
 
 
 
  
  

 
  
  

 

 
 


 C.A.B.A.
  
  
  
 

  
  
 

  
  
 
 
  

 
 
  
 
 


  
 
  

  
 
  

  
  
 


 
  
  

 
  
  


 
 
  

  
 
 



  
  
  

  

 
 



 
 
 

 
  

 

 
  

 

 
  

 

 
  

 

 
  

 

 
  
 
 


  
 
 


  
 
 


  
 



 C.A.B.A.
  
  
  

  

  
  

  

 
 


  
 
 


  
 
 



 
 
 

 


 
  
  
  

  

  
  
 

  
  
 
  
 
 
 
  
  

 
 
 



  
 
 


  
 
 


  
 
 


  
 
 


  
 
 



 
 
 

 
  
 
 
 
 

 
 
 
 

 
 
 
 

 
 
 




 
 



 C.A.B.A.
  
 
 



 
 
 

 
 
 
 

 
 
 
 

 

 

 

 

 
  
  

 
  
  

 
 
  
 
 
 
  

 
  
  

 
  
  

 
 
 



  
  
  

 
  
  

 
  
  
 

  
  
 

  
  
 

  
  
 

  
  
 
 
 
 
 
  
 


 
  
 



 
 
 
 
 

 
 




 C.A.B.A.
  
 


 
  
 


 
  
 


 
  
 


 
  
  

 
  
 
 
 

 
  
 

 
 
 
 



 
 
 
 



 
 
 



 
 
 



 




  
  
  


 
 
  

  

  

  
  


 
  
  


 
 

 



 

 
 

 

 

 
 



 

 

 
  
  
 


 
  
 
 
 
  
 



 C.A.B.A.
  
  
  

  

  
  

 
  
  

 
  
  

 
  
  
 


 
  
 
 
 
  
 
 

  
  
 

  
  
 


 
  
  
 

 

 

 


  
  
  

 
  
  

 
  
  

 
  
  

  
 
  

  
  
 

  
  
 

  
  
 

  
  
 

  
  
  

  

  
  

  

  
  



 C.A.B.A.
  Parque Chas
 
 


  
 
 

  

 
 

 
 
 
 

 
 

 
 

 
 
 


 
 




 

 


 
 








 

 




 

 









  
  
  

  

  
  

  

 
 


  
 
 


  
  
 

  
  
 


 
  
 


 
  
 



 
  
 
 


  



 
 
 

 
 
 
  




 C.A.B.A.
  
  
  
 

  
  
 

  
  
 
 
 
  
 
 
 
  
 
 
 
  
 
 
 
  
 
 
 
  
  

 
  
  

  

 

 
  

 

 
  
 



  
  
  

  

  
  

  

 
 



 
 
 



 
 
 



 
 


 
  
  

 
  
  

 
  
  
 

  
 

 
 
 
 

 
 
 
 




 C.A.B.A.
  
  
  
 

  
  
 

  
  
 

  
  
 

  
  
 
 


  
 
  
 
 
 
  
 
  

 

 
  
 
 
 
  
 
  
 
 
  
 
  
 



  
 
 


  
 
 
 

 

 




 

 




  
 
  


 
 
  


 
 
  
 



 

 




 

 




 

 




 







 C.A.B.A.
  
  
  

  

  
  

  

 
 


  
 
 



 
 
 

 
 
 
 

 
 
 


 
  
 



 
 
 
 
 

 
  


 
 
  


 
 
  




  
 
 


  
 
 


  
 
 



  
 

 
 
 
 
 
 
 
 


  





 



 

 




 

 


























 C.A.B.A.
  
  
  

 
  
  
 

 
 
 

 
 




 




 
 



 


 
 
 

 

 

 

 

 

 

 






 C.A.B.A.



  

 
 


  


 


 

  


 
 
  
 
 


  
 
 
 

 
 
 
 

 

 



  


 

 
 

 




 
 
 




  

 
 
 
 












































 C.A.B.A.




























 





















 0-810-666-(8743) Galeno
 0-800-333-0075 Medifé
 0342-455-2000 Amur









 0-810-666-(8743) Galeno
 0-800-333-0075 Medifé
 0342-455-2000 Amur
















 

















































 



  

 
 

 


  
  
 
  


 
 
 

 


  
 
 

 


  
 
 

 



 
  
 
 

 
 
  
 
 

 
 
  
 
 

 
 
 




  
  
  
  

 
  
  
  

 
  
  
  


 
 
  
  


 
 
  
  
 


 
  
  
 


 
  
  
 



 
 
  
  
 


 
  
  
 
 


 
  
  
  
  

  

  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 






  
  
  
  

  

  
  
  

  

  
  
  

  

  
  
  

  

  
  
  

  

  
  
  

  

  
  
  

  

  
  
  

  

  
  
  
 








 
  
  
  
  

  

  
  
  

  

  
  
  

  

  
  
  

 
  
  
  

 
  
  
  
 



 

 
 
 
 
 

 

 
 
 
 

 

 
 
  
  
  
 


  
  
  
  

  

  
  
  


 

 
 
  


 

 
 
  


 

 
 
  
 

 
 
 
 
  
 
 



 
  
 
 
 

 
 
  
 




 
  
 
 



 
  
  
  
  


 
 
  
 



 

 
 
 
 




 
 
 
 

 

 




 

 

 




 

 

 




 

 

 




 

 
  
 
 
 
 
 
 




  
  
  
  


 

 
 
 



 

 
 
 



 

 
 
 



 

 
 
 



 

 
 
 



 

 

 

 
  
  
  

 
  
  
  
 

 
 
 



 
  
  
  
  


 

 
 
  


 

 

 
 

  
  
  
 

  
  
  
 
 
 
 

 

 


 
 

 

 


 
 

 

 

 


 
 

 





 
 
 



  
  
  
  

  

  
  
  

 
  
  
  
 

  
  
  
 
 



 
  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 


 
 
 
 
 














































 



  

 
 

 


  
 


 


 




 

 

 

 

 

 



 
 
 

 

 


  

 

 

 
  

 

 

 

 

 
 

 





   
 
 

 




 

 


 
 
 

 

 

 

 

 

 



  
  
  
  

 
 
 
 
 



 
 
 
 
 


  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 



 
  
  
  
  

  

  
  
  

  

  
  
  


 

 

 
 
 
 

 

 


 
 

 

 


 
 

 

 


 
 

 

 




  
  
  
 

  
  
  
 


  
  
  
  

 
  
  
  

 
 
 
 
 
 
 
  
 
 
  
 
 
 

 
 
 
 

  
 
  
  
 
 
 

 
  
 

 
 
 
  
 
 
 
  
 



 
  
  
  
  


 
 
  
 


 
  
  
  




 

 

 

 



 
  
  
  
 

 
 

 
 



 
 
  
 
  
  
 
 
 
  
  
 
 




 
 




  
  
  
  

  

  
  
  

  

  
  
  

  

  
  
  
 

  
  
  
 

  
  
  
 
 
 
  
  
 
 
 
  
  
 

 
 
 
 





 
  
 
 

 



 
  
 
  
 



 


  
 
 
  
 


 

 

 

 





  
  
 

 
 

 
 
 

 


 

  
 
 

 



 

 

 

 

 




  
  
  
  


 

 

 




 

 


 
 
 
  

 
  
  
  
  

 
  
  
  
 

  
  
  
 

 
 

 

 



 
 
 
  
 
 
 






 
  
  
  
  

 
  
  
  

 
  
  
  

  
  
  
 

  
  
  
  

 

 
  
  

 

 
  
  

 

 
  
  




 
 








   
 
 

 



 
 
 

 




 
 
  
 


  
  
  
 
 
  
  
 
 
 
  
 
 


  
  
  
 
  
 
 
 

 
 
 
 
 
 
 
 
 
 
 
 
 
 



 
  
  
 
 


  
  
 
 


  
  
 
 
 

 
  
 
 
 
 
 
  
  
  


 
 
  
  
 
 


  
 
 
 

 

 
  

 
 

 
 
  
 
 
 


  
 
 

 


  
  
 
  



  
  
  
 

 
  
 


 
  
  
 
 
  
 


 
 
  
  
 


 

 
  
  
 

 



 
 
 
 


 
  
  
  
  

  

  
  
  

  

  
  
  

 
  
  
  

 
  
  
  
 



 
 
  
 



 
 
  
 
  


 
  
 
  


 
  
 
  







  
  
  
  

  

  
  
  

 
  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 
 
 
  
  
 
  

  
  
 
  





 
  
  
  
  

  

  
 
 
  
 

 
  
 
  
 
 
  
  
  
  


  
  
  
  
 


 
 
 

 

 
  
 
 


  
  
  
  
 

 

 
  
 
  
  




  
  
  
  

  

  
  
  


 

 
 
  


 

 
 
  


 

 

 
 

  
  
  
 
 
 
  
  
 
  


 

 

 

 




 

 

 

 





 
  
  
  
  
 



 
 
  
 
 




 
 
 
 
 
  
 


 

 
 

 

 






 

 

 

 



 

 
  
 


 

 

 
 
 
 
 




  
 
 

 




 

 
 

 
  

  
  
  
 
  
 
 


  
  
  
 

  
 
 




  
 
 
 
 

 
  


 
 
  
  
  









 
  
  
  
  

  

  
  
  

  

  
  
  

  

 
 

 


  
 


 




 







 
  
  
 


 
  
  
 


 
  
  
  


 
  
  
  
  


  
  
  
  
 
 


  
 
 
 

 
  
  
 



 
  
  
 

 

 
 
 



  
 
 
  
 
 
  
 

 
 



 

 
 
  

 
  
 
 
  
 
 
 


 
  
  
  
  

  

  
 
 


  
  
 
 

 
  
  
  


  
  
 
 


  
  
 
 


  
  
 
 
 

  
  
  
  

  
  
  
  



  
  
  
  

  

  
  
  
  

 
  
  
  

 
  
  
  
 

  
  
  
 

  
  
  
  

  

  
  
  

 
  
  
  
 

  
  
  
 


 
  
  
  
  

  

  
  
  

  

 
 

 


  
  
 
  


 
 
 

 


  
  
 
 


  
  
  
 


 
 
  
  


  
 
  
  

  
 
 
 


  
  
  
  

 
  
 
 
  
 
 
  


  
 
 
  


  

 
 
 
 
  
  
 
 

 
  
 
 
 
 
  
  
 
  

  
  
  
  
 

 
  
 
 
 


 
  
  
  
  

 
  
  
  
 



 
 
  


 

 
 
  

  

  
 
 
 

  
 
 



 

 

 

  




  

 

 

 

 


 

 

 

 




  
  
  
  


 
 
  
  


 
 
  
  


 

 
 
  


 

 

 
 
 
 

 

 
 
 
 

 



 
 
 
 
 


 
 
 
 
 

 
 
 
 
 





 
  
  
  
  

  

  
  
  

  

  
  
  


 

 

 
 


 

 

 
 


 

 

 

 


 
 

 

 


 
 

 

 


 
 

 

 


 
 
 
 


  
  
 
 


  
  
  
 
 
 
  
  
  

 
  
  
  
 
 
 
  
 
 


 

 

 




  
  
  
 



 

 

 



  
  
  
 









 
  
  

 
 
  
 
 
  
  
  
  
  
  
 


  
  
  
  
 
 

  

 
 
 
 
 

 
 
 
  
  
  
 
 
 
  
  
  
  
 
 
 
 

 
 
 
 


  
  
  
  

 
  
  
  

 
  
  
  

 
  
  
  

 
  
  
  
 



 

 
 
  
 
 



 
  
 
 



 
 






 
 
 
 



 



  


 
  
  
  
 



  
  
  
 
  
  
  

 
 

 





 
 

 





 
 

 




 

 

 




 

 
  
 
 








  
  
  
  
 
 

 


  
  
  
  

 

 

 

 


 
 
  
  


  
 
 
  
 

 
 
 
  
 
 
 
 
 

 
  
 
  
 

 
  
  
  
  
 


 
  
  
  
  

  

  
  
  


 

 
 
  


 

 
 
  


 

 
 
  
  
  
  

  

  
  
  

  

  
  
  


 

 

 

 


 

 

 

 






  
  
  
  


 

 
 
  
 



 
 
  
  
 
 
 
 
  
 

 
 

 
 
  
 
  
 
 
  
 
  
 
 
  
 
  
 
 
  
 
  
  

  
  
  
  







 
  
  
  
  

 
  
  
  

 
  
  
 



 
 
  
  
 
 

 
  



 
 
 
 
 
 


 
  
 
 
  
 
  
 
 

 
  
  

 

 

 
  






 
 
 
 
 

 
 
 
 

 
 
 
 

 
 
 
 

 
 
 
 


 
 
 

 






 


















 



  

 
 

 


  
 
 

 


  
  
  
  

  

  
  
  
 


 
  
  
  


 
 
  
  


  
 
 
  






 





   
 
 

 

 




  
 
 
 
 

 
 

 

 

 
 



 
 
 
 
 
  
 
 
  
 

 

 

 

 
 
 

 
 
 
  
  

 
  
 
  
  
 




 
  
  
  
  


 
 
  
  
  
 

 
 
 
  
 
 


  
  
  
  






 

 

 
 
  
 



 



 
 
 
 
 
 
 
 
 
 
 




 
  
 
 




  
  
  
  

  

  
  
  

 
  
  
  
 
 

 

 


 
  
  
  
 


  
  
  
 

 
 
 
 
 
 


 
 
 
 
 
 

 
 
 
 
 
 
 

 





 
  
  
  
  

 
 
 

 



 
  
 

 

 

  
 

 


 
 



 
 

 
 
 
 


 

 
 

 
 
  
 
 
 

 



 




  

 


 



   
 
 

 




 

 

 
  

 


 

 
  
  
 


 
 
 
 
 
 
 
 
 
 




  
  
 
 

 
 
 
 
 



  
  
  


 
 
 
 
 
 


 
  
  
  
  
 

  
  
  
  

 
  
  
  

 
  
  
  

  
 
 

 

 
 
  
 
 
 
 

  
  
 
 


  
  
  
 


 
  
  
  
 


  
  
  
  


 

 
 
  


 

 
 
  
 



  
 
 
  


 

 
 
  


 

 
 
  
 



  
 
 
 
  
 
 

 


  
  
 
 



 
  
  
  
  
 



 

 

 



 
  
  
  
  
 
 

 

 





 
 
 
 
 


 
 
 
 
 

 
 
 
 
 

















  
  
  
  

 
  
  
  

 
  
  
  

 
  
  
  

 
  
  
  
 



 

 
 
 
 

 

 


 
 

 

 


 
 

 

 




 

 

 




 
  
 
 

 




 
 
 
 
  
 

 
  
  
 
 


 

 

 

 


 

 

 

 




 


 
 
 
 

 
 

 
 

 
 
 
 
  
  
 








  


 

 

 

 

 




 


  
 

  
  
 
 


  
  
 
 
  


  
  
 
 
 
 
 
 
 
 
 
 
 

 
 
  
 
  











 
  
  
  
  
 


 
  
  
 


 
  
  
 
  


 
  
  
 
  
 
  
  
  
 


  
  
  
 

 
 
 
  
 
 



  
 
 
 

 
  
  
 
 



  
  
  
  

  

  
  
  

  

  
 


 
  
  
 


 
 

 
 



 

 

 
 


  

  
  
  
 
 
 
  
  
 
  
 
  
  
 
 

 
 
 




 
 
 
 
 






 









































 



  

 



 

 

 
 
 



 

 
 
 
 




 
 
 

  

 
 


  
  
 
 
 

 
  
 
 
  

 
  
  
  
  

 
 
 
 






















 



  

 
 


  
 
 


  
 
 


  
 


 
 
 

 


  
 
 

 


  
 
 

 
 
 
 

 
 
 
 

 
 
 
 





  
  
  

  

  
  

  

  
  

  

  
  

  

  
  

  

  
  

  

  
  

  

  
  

  

  
 

  
  
 

  
  
 

 
 
 


 
  


 
 
  


 
 
  


 

 
 


 

 
 

 
  
  

 
 
 

 


 
 
  

  

  
  

  




 


 





 







  
  
  

  

  
  

  

  
  

  

  
  

  

 
 


  
 
 


  
 


 
  

 
  
  

 
 


 
  
 


 
 


 
 



 
  

  

  
  

  



 
 
  


 
 
  

  

 
 


  
 


 
  
 


 
  

 
 
 
 

 
 
 
 

 
 
 



   
 



 
 
 


 
 

 
 
 
 

 
 


 
  
 


 
  
 


 
  
  



 

 

 

 
 




 
 
 


 
 


 
 



 
  
 
 




 

 

 
  

 

 

 


 
  
 


 
  
 


 
  

 
  
  

 
 
 

 
 
 
 

 
 
 
 

 
 
 
 

 
 




  


 
 
  


 
 
  


 
 
  


 
 
  
 


 
  

 
  
  
 

  
  
 
 

  
  
 
 

 
  
 



 
 






 
  
 
 



 
 
 

 


 
 

 


 
 

 


  
 
 

 


 
 

 

 

 
 
  
 
 
 
  
  

 
 
 
 
 

 
 
 
 







  
 
 


  
 
 



  
  
 


  
 


 
 

 


 
 

 




 
  
 


 
 

 
 
 
 

 
 
 
 

 
 
 
 

 
 
 



 
  
  
  

  

  
  

  

  
  

  

  
  

 
  
 

  
  
 

 
 
 

 
 
 

 
 
 


 




 




 





 



 

 
 
 

 




 




 

 




 




















 





















 




















 0-810-666-(8743) Galeno
 0-800-333-0075 Medifé
 0342-455-2000 Amur









 0-810-666-(8743) Galeno
 0-800-333-0075 Medifé
 0342-455-2000 Amur
















  



 

 

 
 
  


  
 
 
  
 

 
  
 
 
  
 




 
 
 



 
 
 
 















 



  

 
 

 



 
  
 
 
 

 
  
 
 
 

 
  
 
 
 

 
  
  
 
 


  
  
 
 
 

 
  
 
 



 

 

 
 
 






  
  
  
  

  

  
  
 

  
  
  
  

 
  
  
  

 
  
  
  

 

 
  
  
 
 
 
  
  
 
  

 

 

 
  

 

 

 




 
  
  
  
  


 

 
 
  


 

 
 
  
 



 

 
 
 



 

 
 
  


  
  
  
  


 
  
  
  

 

 
  
  
  

 
  
  
  
  




  
  
  
  

 
  
  
  

 
  
  
  

 
  
  
  

 
  
  
  

 
  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 
 






 
  
  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 
 
 
  
  
 
 
 
  
  
 
  
  
 
 
 
  
  
 
 
 
  
  
 



  
  
  
  
 

  
  
  
  

 
  
  
  
 

  
  
  
 

  
  
  
 
  
 
 
 
 

  
 
 
 
 

  
 
 
 
 

  
 
 
 
 

 





 
  
  
  
  

  

  
  
  

  

  
  
  

  

  
  
  

 
  
  
  

 
  
  
  

 
 
 

 

 
  
 
 
 



 

 
  
 

 
 
 
 




  
  
  
  

  

  
  
  

  

  
  
  
 

  
  
  
 

  
  
  
 
 
 
  
  
 
 
  
 
 



 
  
 
 



 
  
 
 

 





 
  
  
  
  
 

  
  
  
 
 
 
  
  
 
 
  
 
 

 
 
  
 
 

 


  
 
 

 

 
 
 
 

 

 
 
  
  
  
  

 
 

 

 




  
  
  
  


 

 
 
  


 

 
 
  
 
 

 


  
 
 

 


  
 
 

 


  
 
 

 


  
 
 

 


  
  
  
  

  

  
  
  



 
  
  
  
  

 
  
  
  

 
  
  
  

 
  
  
  
 
 
 
  
  
 
  

  
  
 
  
 
 

 


  
  
  
  

 
  
  
  

 
  
  
  


































 



  

  
 
 


  
  
 
 
 

 
  
 


 
 
 
 
 
 

 
 
 

 
 
 

 
 

 
 
 
 
 

 
 
 
 
 
  

 
 
 
 
  




   
 
 

 


  
 
 
  

  

  
  
  


  
  
 
  

 
  
  
  
 

  
  
  
 

  
  
  
 


 
  
  
 


 
  
  
 

 





 
  
  
  
  

 
  
  
  
  

 
  
  
  

 
  
  
  
 


 

 

 
 
 




 

 

 




 

 
 
 



 

 
 
 



 

 
 
 





  
  
  
  
 

  
  
  
 

  
  
  
 



  
  
  
 
 








 




 
 
 
 

 

  
  
  
 
 
 
  
  
 
 
 
 
 
 


 
  
  
 
 


  
  
  
 

  

 
  
  


 

 
 
  

  
  
 
  

  
  
 
  

  
  
 
  

  
  
 
  

  
  
 
  
 




  
  
  
  


 

 
 
  


 

 

 

 


 

 

 

 




 

 

 

 

 

 

 

 

 

 

 

 
  
 
  
 
 
  
 
  
 
 

 
 




 
  
  
  
  

 
  
 
 
 

 
  
 
 
 
 

 
  
  
  
 


 
  
  
 

 
 

 
  
 
 
 
 
 
 
 
 
 
 
  
 

 



 

 





  
 
 

 


  
  
 
 
 

 
  
 
 
 

  
  
  
 



 
 
 
 
 

 
 
 
  
 

 
 
 
  
 
 
 

 
  
  
 


 
 
 
 
 



 
  
  
  
  

  

  
  
  
  


 

 

 
 
  
 
 
 




 

 

 

 









 
 
  
  
 


 
  
 
 
 
 

 

 


 
  
  
  




  
  
 
 


  
  
 




 

 
  
 

 
 
 
 

 



  

 
 
  
  
  

 
  
  
  
 
  
 
 
 

 
 
 
 
 
 


 


 






 
  
  
  
  

  

  
 
 
 
 
 

 

 
  
 
 
 

 
  
 
 
 

 
  
  
 

 
 
 
  



 

 

 




 

 

 

 

 
 
 
 



   
 
 

 



 
  
 
 
 

 
  
 
 
 

 
  
 
 
 
 
 
 
  
 

 
 
 
  
  


 
 
  
  


 

 
 
  
 
 
 
 




 
 
 
 
 



 
  
  


 
 
  
  
  
 


 
  
  
  
 
 
 
  
  
 
  
 
 
 

 

 
 
 
 

 

 
  
 
 



 
  
  
 


 
  
  
  







  
  
  
 

  
  
  
  

  

  
  
  

  

  
  
  

 
  
  
  

 
  
  
  

 
  
  
  
 


 
  
  

 

 
  
  
 
 
 





 
  
  
  
  

 
  
  
  
  

  

  
  
  

  

  
  
  

  

  
  
  

  

  
  
  

  

  
  
  

  

  
  
  

  

  
  
  






  


 

 
 
  
  


 
 
  
  
 


 
  
  
 


 
  
  
 


 
  
  
  

 
  
  
  
 

  
 
 
 

 
  
  
 
 
 
 








 
  
  
  
  

  



 

 
 
  
  


  
 
 
  


  


  
  
 
 
 

 
  
 
 
 

 
  
 
 
 

 



 
  
 
 



 
  
 
 




  
  
  
  

 
  
  
  

 
 
 

 

 
  
  
 

 




 

 


 
 

 

 



 
 

 

 

 
 
 



 

 
 


 
 
 
 


 
  

  

  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 
 
 
  
  
 
 
 
  
  
 
 
 
  
 

 
 
 
  
  

 



  
  
 




  
 
 

 


  
  
 
 
 
 
 

 
 
 
 
 
  
  
 

 
 
 
  
  
 


 
  
  
 
 


  
  
 
 



 
  
 
 
 



 





 
  
 
 

 

 


  
 
 
 




 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


 
 
 
 
 


 
 
 
 
 


 
 
 
 
 






  
  
 
 
 

 
  
  
 

 
 
  
  
 



 
 
  
 
 

 
 
 
  

  
 
 
 




 
 
  
  
  



  
  
  
 

 
 
 



 
  
  
  
  
 

  
  
  
  


 
 
  
  
 
 
  
 
 



 
  
 
 



 
  
 
 

 


  









  
 
 




 





 

 




  
  
  
  

  

 



 
 
  
  
 


 
  
  
 

 
 
 
  

 
  
  
  
 

  
  
  
 

  
  
  
 

  
  
  
 

 
 
 
 


 
  
  
  
  


 

 
 
  


 

 
 
  


 

 
 
  
 



 
 
  
 



 

 

 




 
  
  
 


 
  
  
 

 
  
 
 
 
 
 
 
 



  
  
  
  

  

  
  
  

 
  
  
  

 
  
  
  


 
 
  
  
 
  


 
  
 
  


 
  
  
 


 
  
  
 


 
  
  
 




 
  
  
 
  

 

 

  
 


 
  
  
 
 
 
  
  
  

 
  
 
 
  


  
 
 
  

  




 
 
 
 
 

 


 
 











  
  
  
  

  

  
  
  


 

 

 
 
 
 



 
 
  
  
 




 

 

 

 



 
 

 

 

 


  
 
 

 


  
  
 
 



 
  
 
 
 


 
  
 
 

 



 
 
 

 

 






 
 





























 
 




 


 


 






 



  

 



 

 

 




 

 

 

 


 

 

 

 

 


  
  
  
 


  
  
  
 


  
  
  
 

 
 
 
  
 
 









  
 
 

 

 

 

 




 




 

 





 
 

 




 

 
 

 
 
 

 
 

 
 
 

 
 

 
 
 
 
  
  




 
 




 
  
  
  
  
  
  
 



 

 
 
  
 
 
 

 
  
  
  
  
 

 
 
 
  
 

 
  
  
  
 


  
  
  
 


 
  
  
 
 
  


  
  
 
 


  
  
  
  
 
 




 
 
 
 

 
  
 
 
 

 

 
 
 
 

 

 


 
  
  
  

 
  
  
  
 
  

 

 

 

 

 


 

 

 

 


 
  
  
  
  
  
 
 
 
 
 

 
 
  
 



 

 

 

 

 

 




 

 

 



 
  
  
 

 
 
 
  
 
 

 

 




 

 






 
 





  
  
  
  
 
 



 
  
 
 

 



 
 
 

 

 










 

 
 
 



 

 
 
 
 





 

  
  
  
 
 
  
  
 
  

  
  
 
 



 
  
  
  
  

  

  
  
  


 

 

 
 
 
 
  
  
 
 
 

 

 


  
  
  
 


 
  
  
 
 
 
  
  
 
 
 
  
  
 
 
 
  
  
 
 



  
  
  
  
 

  
  
  
  
 
 
 

 
  
  
  
 



 
 
  
 



 
 
  
  


 
 
  
  
 



 

 

 




 

 

 

 
 
  





 
  
  
  
  


 

 
 
  
 



 
 
  
  
 

 
  
  
 

 
 
 

 
  
 
 
  
 

 
  
 
 
 

 
  
 
 
  
  
  
 
 
  
 
 




  
  
  
  
 

  
  
  
 


 
  
  
  

 

 
  
  

  

 

 
 
 
 
 
 
 
 
 
 
 
  
 
 
 

 
  
 
 
 

 
  
 
 
 





 
 
 
 
 














































 



  

 
 




 
 
 
 

 
  
 

 
 
 
 

 
 

 

 
 
  
 
 
 
 
 
  


 

 

 
 


 

 

 
 


 
 
 



   


 

 

 

 

 


  

 

 

 
  
  
  


 



 





 


 
 

 

 

 

  

  
 
  
 
 
  
 
 


 
 
 



 
  
  
  
  


 

 
 
  
 



 
 
  
 
 




 

 

 
 



 


 


  
  
  
  
 

  
  
  
 


 
  
  
 


 
 
 




   
 
 

 



 
  
  
  
  


 
 
 

 


  
  
 
 


  
  
 
 



 
  
 
 

 

 
  
 
 
  
  


  
 
 
  


 

 

 

 



 
  
 
 

 




 

 

 

 
  

 

 

 

 

 

 
  
  
 


 
  
  
 

 
 
 
  
  


 
 
  
  
 



 

 

 

 




 

 






  
  
  
  

 
  
  
  

 
  
  
  

  
 
  
  

  
  
 
 


  
  
  


 

 

 

 




 

 
  
 
 
 
 
 
 








 
  


 

 

 
 
 



 

 
 
 
 

 

 


  
 

  

 
  
  
 
 

 

 
 

 

 

 

 


  

 

 
 
 



 

 
 
 
 
 
 


  
 



 
 
  
  

 
  
 
 
 

 
  
 


 
  
 
 
 
  
  
 
  

  
 
 



 
  
 
 
  

 
  
 
 
 

 


 





 
  
 
 

 


  
  
 
 
 
 
 
  
  
  


 
 
  
  
 

 
 
 
  
  
 
  

  
  
 
  

  
  
  
  
 


 
  
  
 
 
 






  
  
  
  

 
  
  
  
 

  
  
  
  

  

  
  
  
 
 
  
  
 
 
 
  
  
 
  
  
 
 
  
 
  
  
 
 
  
 
 

 
  
 
 
 





 
  
  
  
  
 

  
  
  
 

  
  
  
  
 

  
  
  
 

  
  
  
 
  


 
  
 
  
  

 

 
  
  

 

 
  
  
 


 
 
 
 




  
  
  
  

 
  
  
  
 
 
 
  
  
 
  
 
 
 

 

 
 
  
 
 

 
 
  
 
 

 


  
  
 
  

  
  
 
  
 
 

 


  
 
 
 
 


 
  
  
  
  

 
  
  
  

 
  
  
  
 

  
  
  
 
 
 
  
  
  
 
 
 
  
  
  

  
 
 

 

 


  
 
 

 

 
 
 
 

 

 
 


  
  
  
  

 
  
  
  


 

 

 

 


 

 

 

 


 

 

 

 
 


 

 

 
 


 

 

 
 


 

 

 
 
 
 
  
 
 
 

 
 
 



 
  
  
  
  

  

  
  
  

  

  
  
  
 

  
  
 
 


  
  
  
 


 

 
  
  

 

 
  
  

 

 
  
  

 

 
  
  
 
 


  
  
  
  

  

  
  
  

  

  
  
  

  

  
  
  

  

  
  
  

 
  
  
  
 
 

 


  
 
 

 


  
 
 

 


  
 
 

 





 
  
  
  
  
 



 

 
 
 



 

 
 
 
 




 

 

  
 
 
 
 

 
  

 
 




 

 
 
 
 




 
  
  
 
 
 
 
 
 


 
 




  
  
  
  
 
 




 
 
 
  
  
 
 
 

 

 




 

 

 





 
  
  
 

 
 
  
 
  
 
  
 



 
 
  
 



 
 
 
 


 
  
  
  
  
 



 

 
 
  
 

 
 
 
  
  


 
 
  
 
 
  
 
 

 


  
 
 



 
  
  
  
 

 
 

 

 


 
 

 

 




  
  
  
  

 
  
  
  

 
  
  
  

  
  
  
 
 
 
 

 

 
 
  
 
 

 
 
  
  
 
 
 
  
  
  
 
 
 
 
  
  
  


 
 
 
 



 
  
  
  
  
 



  
  


 
  
  
  
 
 
  
  
 
 


  
  
  
  
 

  
 
 
 




 

 
 

 
  



 
  
  
  

 
  
  
  
 






















































 



  

  
 
 
 

 
  
 
 

 
 
  
 





 
 
 
 
 
 



  
  
  
 




  
  
 
 
 

 
 
  
 
 
 
 
 
 
 
 




 
 
 
 
 

 
 
 
 


 
 
 


 
 
 

 

 
 
 

 

 
 
 
 
 

 
 
 
 
 
 

 
 
 
 



 



  



 
 
  


 

 
 
 
 


  
 


 
  
 


 
 

 
 
 
 

 
 
 
  











 




 




  
 
 


  
 
 



 
 



 
 
 



 



 
 



 
 
 



 

 
 
 
 

 
 


 
  


 
  
  
 


  
  
 






 
  
  
  

  

 
 


  
 
 

 
  
  


 
  
  


 
  
  


 
  
  


 
  
  


 
  
  


  


 
 

 
 
 
 

 
 
 



   
 
 


  
 
 


  


 
 
  


 

 
 
 
 

 
 
 
 

 
 
 
 

 
 


 
  
 


 
  
 


 
 
 









 
  


 
 
  

  

  
  

  

 
 


  

 
  
 

 
 

 


 
 

 


 



 
 
 



 
 
 











   
 
 


  
 
 



 
 
 

 
 
  
 


 
  


 
 
  


 
 
  


 
 
  


 
 
  


 
 
  


 
 
  


 
 
  




 
  


 
 
  
 




 
  
 


 
  
 


 
  
 


 
  
  


 
  
  


 
  
 


 
  
 


 
 



 
 







  
  
  

  

  
  

  

  
  

  

  
  

 
  
  

  
 
  
  
  
  

 
 
 


  
  
 

  
  
  

 
  
  
 

  
  
 


 
  
  
  
 

  
  
 
 
 

 
 
 
  
  

 
  
  

 
 
  
 
 
 
 
 
 

 
 
 




 




 

 
 
 
 

 
 







   
 
 


  
 
 


  
 
 


  
 
 


  
 
 



 

 
 

 
 


 
  
 



 
  
 



  
  

 
  
  
 

  
  
 


 
  
  
  
 

  
  
 

  
  
 

  
  
  

  

 
 


  


 
 
  


 
 
  
 


 
  
 


 
  
 


 
 
 

 
 
 


   

  

  
  

 
  
  

 
  
  
 

  
  
 

  
  
 

 
  
  

 
  
  

 
  
 


 

 

 

 
 
 

 
 
 


 
  

  

  
  

 
 
 

 
 
 
 

 
 

  
  
 

  
 


 


 
 



 
 



 
 


 
 




 



  



 
 
  


 

 
 
 





 
 



 


 



 
 



 


 
 
 










 





















 0-810-666-(8743) Galeno
 0-800-333-0075 Medifé
 0342-455-2000 Amur









 0-810-666-(8743) Galeno
 0-800-333-0075 Medifé
 0342-455-2000 Amur
















  



 

 

 

 
 
 








 


 
 


 






 


 
 
 
 


 
 
 
 








 



  

 
 

 



 

 



 




 

 

 

 



 
 

 

 




 

 




 
 
  
  
  
  


 

 

 

 

 


 

  
 
 




  
  
  
  
  


 
 
  
  
 



 
 
  

 
  
  
  
 


 

 

 


 
 
  
  
 
 
 
  
  
 
  
 
 
  
 
  
 
  
  




 
  
  
  
  
 



 

 
 
 
 
 

 

 
 
 
 

 

 


 
  
  
  
  

  

  
  
  

 
  
  
  

  
 
 

 



 
  
 
 



  
  
  
  

 
  
  
  

 
  
  
  
 



 
 
  
 
  
  
 
 
  
 
 
 



  
  
 
 
 

 
  
  
  
 
 
 
  
  
 
 
 
  
  
  



 








 



 
  
 
 

 
  
  
 


 
 
 
  
  


  

 
 
 
 

 
  
  

 


 
  
  
 
 
 


 
  
  

 
 
 

 

 






  
  
  
  
 
 


  
  
  
  
  

 
 
  
  
 
 
  
 
  



 

 

 

 
  
 
  
 

 
 
 


  
 

  
 
 

  
 
 
 
  
  
  
 
 


 
  
 



 

 
 
  
  

 

 






 
 

 

 


 
 
 
  
  



 
  
  
 
 
 

 
  
  
 

 
 

 
 
 

 
 





   
  
 
 
  

 
  
  
 
  
 
 
 
  
  
 
 
  
 
 
 
 

  
  
  
 
  
  

 
 

 

 

 
 

 
 
 
 

 
 
 
 

 






 
  
  
 
 
  
 
 
  
  
 
 
 


 

 




 

 

  
 
 



 
  
  
 
 




 
  
  
  
 
 

 
 
 
 
 



 
 
 



  
  
  
  
  
 

 
  
  
 

 
 

 
 
 

 

 
  
 
  
 

 



 
 

 

 

 


 
 
  
  
 

 

 
 







 
  
  
  
  
 


 

 

 

 




 

 






  
  
  
 


 

 

 



 
  
  
  


 
 

 

 



 
 
 
 
 


 
  
  
 


 
  
  
  




  
  
  
  

 
 
 



 
  
 
 
 

 
  
  
 
  
 
 
 
 
  
  
 
 


 

 

 

 

 

  
  
  
  


 
  
  
  
  
 


 
 
 
 



 
  
 
 

 

 


  
 
  
  
 

 
 

 

 



 
 
 
  
  
 

 
 
  
 
 

 

 
 
 
 
 
 
 

 
  
  
  






 
 
 
 
 



   
  
 
 
 

  
 
 
  
 
 
  
 
  
  
  
 
 

 

 
 
 

 
 
  
  
  
 
 
 

 
 
 
  
  






 
 






 





 
  
  
 
 
  
  
  
 
 


 

 
 
 

 

 

 
 

 
  
  
 
 
 

 
  
 

 
 
 
 

 
 
 
  
  
 
 
 
 
 
 
 
 







  
  
  
  
 


 

 

 



  
  
  
  


 
 
  
  
 
  
 
 



 

 

 

 





 




 




 




 

 





 
 

 

 




 
  
  
  
  
 


 




 







 
  
 
 

 



 
 
 

 

 
 
  
  
  
 

  
 
 

 
 
  
  
 
 









   
 
 

 

 



 




 

 
 
  
 
  
  
  

 


  
  
  
 
 


  
  
 


 
  
 


 
  
  
  
 
 









 
  


 

 

 
 
  
 
 
 
 

 
  
 

 


 

 
  
  


  

 

 

 

 



 

 
 
 
  
  


 

 
 

 

 
  
  
  
 



  
  
  
  


 
 
  
  
 
 
 

 

 
 
 
  
  
  

  
  
  
 
 

 
 
  
  
  
 
 
 
 
  
 
 
  
  
 



 
 
 
 


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 
  
 
 

 

 


 

 
 
  
  
 

 
  
 
 
  
  
 


 
  
  
  
  

 
 
  
  
  
 


 

 

 



 
  
  
  







  
  
 
 
  

 
  
  
  
 
 
  
  
  


 
 
  
  
  
 

 
  
 
 



 





 
 

 

 




 
 
 
 
 
 

 
 





 
  
 
 

 

 



 
 
  
  
  
 
 


  
  
  
 
 



 

 
  


  
  
 
 
  
  
 


 
  
  
  
 


 
  
  
 
  

  
  
  
 



  
 
 

 

 



 
 
  
  


 
 
  
  
 
 


 

 

 

 
 
 

 
 



 

 

 

 

 
 
 

 
 
 
 
 


 
 
 
 





 
  
  
  
  
 





 

 

 
  
 

 




 

 






  
  
  
 

 
 
 
  
 
 
 
 
 
 
 
 




 
 
 
 




 

 

 

 

 

 

 



  
  
  
  

 
  
  
  

 
  
  
 


  
 
 

 

 
 
 
 
 

 




 

 

 

 





 

 

 

 


 
 

 

 

 


 
 
 
 



 
  
  
  
  
 


 

 

 

 
 
  
  
  
 



 

 

 

 
 
 
 
  
 
 




 

  
 
  
 
 
 
 


  
 
  
  
  
  


 
 
 
 




  
  
  
  
 

  
 



 


  
  
  
 
 
 
  
  
 
 

 

 
  
  


 
 
  
  



  


 

 



 
 

 

 

 
 




 
  
  
 
  
 
 

 
  
  
 
  


 
 
 

 



  
 
 
  
 
 

 

 



 
 
 
  
  
 
 
 





 

 


 
  
  
  
  














































 



  

 
 

 

 


  
 
  
  


 
 
 

 



 
  
 
  


 
 
  
  

  
 
 

 

 
 
  
 
 

 

 

 

  
  
  
 
 


  
 
 

 

 


  
 
  
  
 

 
  
  
 
 
  
 
 
 
 
 
 



 

 

 

 


 
  
  
 
 
 

 
  
  
  

 
 
 
 
 
 


 
  
  
  
  
  


  
  
  
 
 
 
 
  
 

 
 
 
  
 

 
 
 
  
 

 
 
 
  
 
 
  



 

 
 
 



 

 

 


 
  
  










  
  
  
  
 



  
  

 



  
  
 

 
  
 
 
  
 
 
 
 
 
 
 


 
 
 
 
 
 


 
  
 
 
 
 
 
 
 
 

 

 

 


 
 
 
 



 
  
  
  
  
  

 
  
  
  
 
 




 
 
  
  
  

 
  
  




 
  
  
  
  

 
  
  
  
  




 

 

 
 
 
 

 
  
  
  
 





  
  
  
  
 


 
  
  
 
 


  
  
 
 

 

 




  
 
 
 

 

 




 

 
  
 


 

 

 

 



 
 

 




 

 
 
  
  
  



 
  
  
  
 

  
  
  
  

  

  
  
  
 



 
 
  
  


 
 
  
  
 


 
  
  
 
 
  
 

 
 
 
  
  


  
  
  
  
  
  
 




  
  
  
  


 

 
 
  
  


 
 
  
  
 
 
 
 
  
  
 
  

  
  
  
  
 

  
  
  


  
  
 
 


  
  
 
 



 

 

 

 
 




 
  
  
  
 
 

 

 


 
 

 

 

 

 

 










 







 

 

 




 

 

 

 
  
 


 

 
  
  
  
  
 

 
  
 
 



  
  
  
  
 



 

 
 
  
  
 
 




 

 

 




 

 

 




 
 
  
  
  
  
 
 
 




 
 
  
  
 
 
  
 
 
  
 
 
 
 
 
 




 
  
  
  
  
 
 



 
  
  
  
  
 
 




 

 

 

 

 

 
 


 

 

 
 


 

 

 

 

 
 
  
 



 

 

 

 

 

 





 
  
  
  



  
  
  
  


 

 

 

 


  
 
 
  
  
  
  


  
 
 
  
 

 
 
 
  
 

 
 
 
  
 
 
 

 

 

 


  
  
  
 
 

 

 

 




 
  
  
  
 

  
  
  
 
 

 

 


 
 

 

 

 

 
 
  


  
  
  
  

  

  
  
  

  
  
  
 
 

 
 




 
 
  
 










  
  
  
  


 

 
 
  
 
 

 

 

 

 


 

 

 

 




 

 
  
  
 
 
 
  
  
  
  
 

 




 

 

 
 
  
  
  
 



 
 




 
  
  
  
  
 
 




 

 

 
 

  
  
  
 

  
  
  
  




 

 

 

 

  

  
 
  

  
  
  
 

  
  
  
  

  
  
  
 



















 



  



 

 

 

 
 

 

 

 

 




  
  
  
 

 



 

 

 

 
 
 


 


  
 
 



 
 
 








   


 

 

 
 
  
 



 



  
 
 
 

 

 
  
  
 

 
 
 
  
 
 
 
 
  
 
 
 
 
 
 
  
 
 
  
  
  
 

 
  
 

 
 







 
  
 
 

 

 



 
 
  
  
  

  

 
 

 

 


  
 
 

 

 

 


 
 

 

 

 



  
  
  
  

 
 
 
 




 
  
 
  
 


  
  
  
  
 


 
  
  
  


 

 
 
  
  


 

 

 
 
 
 

 

 

 
 
  
  
  
  

 
  
  
  
 

 
 
 

 
 

 

 
 
 
 

 

 

 
 



 
  
  
  
  
  

  

 
 

 

 


  
  
 
 
 

 
  
 
 

  
 
 
  
  


 

 

  
 
 
  
 
  

 

 
  
 
 
 


 

 

 

 




  
 
 

 



 
 
 


 

  

 

 
  
  
 
 
 
 
 
 
  
 
 
  

 
  
 
 
 

 
  
  
 
 
 

 
  
  
 
 
 



 
 
 
 




 
  
  
  
  

  

  
 
 


  
  
  
 

 
 

 
 
  
 
 
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