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  • Formulario BPA Consolidado

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    Rejane David
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    8K views1 page

    Formulario BPA Consolidado

    Uploaded by

    Rejane David

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Ministrio da Sade

    de Produo Ambulatorial sus BPA-C Boletim Dados Consolidados


    Sistema nico de Sade

    Dados Operacionais
    CNES do Estabelecimento
    NOME DO ESTABELECIMENTO DE SADE

    UF

    MS

    ANO

    FOLHA

    ATENDIMENTO REALIZADO
    SEQENCIA PROCEDIMENTO CBO IDADE QUANTIDADE

    01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20
    TOTAL

    Formalizao
    RESPONSVEL(Estabelecimento de Sade)
    CARIMBO RUBRICA

    GESTOR MUNICIPAL/ESTADUAL
    CARIMBO RUBRICA

    DATA

    DATA

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