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Datos del Adulto Mayor
Información Básica
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Nombres y Apellidos del Residente Adulto Mayor
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Fecha de nacimiento
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MM
/
DD
/
YYYY
Dirección actual de residencia (Departamento-Ciudad)
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Your answer
Enfermedades de base
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Enfermedades hipertensivas
Diabetes mellitus
Enfermedades de la cavidad bucal
Artiopatías
Parkinson
Enfermedades isquémicas del corazón
Enfermedades cerebrovasculares
Enfermedades crónicas de las vías respiratorias
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Other:
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Observaciones - Comentarios. Información adicional que considere relevante.
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