‘ANEXO CODIGO DE PRESTADOR DIRECCION 515001140. 815001140, 815001140. (815001140. Biso0T 40] Cra 15 NP. 76-50 Biso0T 140 | Cra-15 NrP.26-50, 1001140 | Cra 15 Nr 26-50 i001 140 [Cra 15 #100140 [Cra 15 N sre00T140_ [Cra 15 N 316001 140_| Cra 15 N ErBo0T a0] ra 15 Nr 26-50 | 2505020, SiBooT Tao [ra 15 Nre26-50 31001 40 Gra TS Nev 26-50 315001140_| ra 15 Nav 26:50 815001140] Cra 15 Na® 26:50 15001140_] Cra 15 Na* 26-50 (Cra 15 Nn®.26-50, 815001140. Cra 15 Nn® 26-50, 815001140 815001140 _| Cra 15 Nn®.26-50 7815001140 | Cra 15 Nn®.26-50 815001140] Cra 15 Nn®.26-50 15001140__| Cra 15 Nn°.26-50 15001140_| Cra 15 Nn°.26-50. 815001140_| Cra 15 Nn°.26-50. 7815001140_| Cra 15 Nn®.26-50. 15007140 | Cra 15 Nn® 26-50 815001140 _| Cra 15 Nn® 26-50 1815001740. (Cra 15 No®26-50. 815001140, Cra 15 Nn®26-50. 815001140) Cra 15 Nn® 26-50. "815001140. ‘Cra 15 Nn®26-50 815001140 "815007140, 815001140. ‘815001140. 15001140 ‘Cra 15 Nn®.26-50, N= 2 CONTROL DE RECETARIOS OFICIALES DE MEDICAMENTOS DE SONTROL ESPECIAL NOMBRE Y APELLIDO DEL CamScanner Powered bySo upTOEUENAN | GUO [OSSTAN GL CO] OOTIOOSTS [NOH exo upy@etwewer | 9c0s6e7 | Ose aN Ste | OPLL00SIE | NOH a ‘oo obupymewuewan | ozoseez | 05-92 UN St BO] Ori tooste | NOH ze am oBupy@evewer | ozoset2_[0s-92 uN Ste] ovis00ste_| NOH oe aeoBupupewewer | ozoseee_[os-97 uN Ste | ort io0ste_[ NOH se srobupiBeuewer | ocosece [os Se wn Ste | 0P1100ste_[ NOH a L ‘co ob upy@emuewen | ozos6ec | 05-97 UN Si 81] Ori toosie | NOH te 4 asobupupeijuewer | Gzoseez [OSCAN St e-|ovtt0051e_[ NOH Fa as oBupu@eiuewer | o7os6ez [OSC ANSI e* | ovri0051e_[ NOH i asobupubevuewen | ozossez [Oe aN Ste] oF1t00518_[ NOH oF esobupuBetueivar | pzossez [Ose N Sie | ovrs00ste_[ NOH [a erovupu@erueier | ocossee [0eS2 aN Ste | orti00ste_[ NOH ra esobupuBenaewer | ozosetz [os azn Ske | ovti00se_[ NOH ra asabupuBeivewer | oeosetz loser an St ec | ovtvoosie [NOH 32 ssobupuBeivewer | ozoserz [0S92.N Ske | opti00s's_[ NOH sz BeosEEe[0s-97 oN St 81D] OPLL00SLE [NOH 2 GensBee_[os-o7 uN St e0| OPiLo0ste_[ NOH a Geossec_[os-Sz.0N St 8D] Orsiooste_[ NOH zz sSapupeBeriveiver | ozoseez [Ose aN Ste | ovso0ste_[ NOH Tz =xoBupyBeuvewer | oeosstz [sez an Ste ort yo0Ste_| NOH 02 soPupyBeiuewer | oeoseez [OseeaN-St e | ovr s00ste_[ NOH 31 “coobupy@emuewan | ozoseez | 0s-9z UN St eo] Obitoosie | NOH ab H srobuRIDeueIer | ozossee [Fae aN Ste | oF1100s1_[ NOH i erobupy@eruewen | ozoseez [oraz aN Ste] opss00s18_[ NOH ar erebupuewewen | ozoseee[0s92 oN si eo | or1i00st@ | NOH st exobupyeemuewen | ocossee [sez Nn st eD| orss00s18_| NOH +0 =xroBupy@envewer | czoseez [0s-97 uN ste | ovbioos1s_| NOH fer] SrobupieruPweR | ocoseee_[osee aN Ste | orsso0ste_| NaH zr saroBupuBenvewen | oz0s8ee_[os-o7 uN Ste] or4100s18_| NOH m no aoroB upfDewUwIveN | ozos6E2 [05-07 uN St] or1100518 | NOH oF srabuniDeiwvewer | ocoseee _[os-97 uN Ste; ovr vo0ste_[ NOH 6 ssoPunoeiunwen | ozoseee_[os-92 Jn ste | or1s00518_[ NOH 3 sroBupDeinvewen |_ozasece [os-a2 win Ste | oFL100510_[ NOH Z : z aaoPupDeiuewen | ozasece [ose wn St ex [_orto0g19 | NOH ° ssebupIDeiENan | -ozossez [05-92 NST em | orL 100.8 _[ NOH $ sxobupa@enwewer | ozoseee [oss wiN'Sk e | orttons1e_[ NOH * seobupi@enween | ozoseez [soe wn'St em | orsio0ste_| Now € axobupi@enween | ozoseez [osez an st em | ovti00sie_[ NGH z “oo ob upy@enuewer | zossez | 0592 UN St eID] OPI LOOSLE NOH L ‘WwNoISas0ud woavisaud ‘OAILNDaSNOD i woavisaud| (vawa) | OULSIOSY ‘Tad OGITIad¥ A 3UEWON a ‘30 3143S Wa Jonosa7a4) NOID9a¥IA | aq op1a909 Sdl | yoga |) TVI02aS9 TOUINO® 30 SOLNSNVOIGIM 34 SFTVIOLIO SORILB0RU 30 TOLLNOO ZN OXSNY cunoua Powered by CamScanner‘ GOBERNACION DEL VALLE DEL CAUCA SECRETARIA DEPARTAMENTAL DE SALUD FONDO ROTATORIO DE ESTUPEFACIENTES. S 2 RECETARIO PARA MEDICAMENTOS DE CONTROL ESPECIAL No. 2543833 7 PACIENTE Festa [Dia i ies OD ito DOLE fi on Tas gare Mine. rt Tins Ci Sins On Bee : = 4445085190 ceweater 26 r— [we 31452362794 Bega | Calle 2 # 711-2] eG. Aacionni8388s [Bsuvaoss []eownuwe” or soa? 2 MEDICAMENTOS: Nombre dea Endod Asoguradcra — EMSS Nombre Genérico Concentracion | paiFSt@Sy. | Basis, Via de Administacion L " armactutica_| precuencia de Adminstracl Nidaztan Tomgts| LM | Smq in Tempo dt Tatami. Lixacon ck Hibvo cago cre 3 PROFESIONAL ; = $d ence Déjcenena _[ ]especiauzaoo | [ ]ovontovoco Eepecned Oat ies Apia Taunt pe T iene ‘arawl[o Cedano hone Sacer te Ua ea ae is i Pree o9 cur MSOF 525 x i insitcin 2a Dission Gia H Sse_ fos Tuna Wika C415 #IL- 50 Bog ieee DEL (Par aiigenclarpor a cvibies ssa) | Apetiidos y Nombres de quien recibe el Medicamento A 3 | potas y Wombres de quien despacha Wagon FIR ie 3 = edicameatcs Dipeneados Cantidad Eregada wn Numeroe Conte Envgada on Laas fe | nos eras Mio a Pra as BS Tien [Fecha ae pace bal Mest Powered by CamScanner