| N | HD | hora | Nov | Paciente | OS | Afiliado | Diag | Orden | Prestacion | Valor | Adic | Val | Tr | X |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 |  | 62373868502 | ? | 0 | ? | 0 | 0 | |||||||
| 4 | 00:00 | VALDEZ RAMON NEMESIO | PAMI | 15084008550100 | C18 / CA COLON | 0 | 144003 | 21010.75 | 0.00 |  | |  | ||
| 5 | 00:00 | CHIALVO CARLOS HUGO (DASU) | DASU | 70221/1 | C61 / CA PROSTATA | 0 | 420135 | 45254.00 | 0.00 | | | | ||
| 10 | 00:00 | BARRIENTOS PACHECO BENJAMIN | PAMI | 15062050090000 | C61 / CA PROSTATA | 0 | 144003 | 21010.75 | 0.00 | | | | ||
| 13 | 00:00 | ESTEVEZ DOMINGO MARIA | PAMI | 15058908400600 | D721 / Eosinofilia | 0 | 144003 | 21010.75 | 0.00 | | | | ||
| 16 | 00:00 | REMOLCOY MARTA BEATRIZ | SEROS CDV | 17887482 | 0 / CA CERVIX | 0 | 420101 | 19559.57 | 0.00 | | | | ||
| 17 | 00:00 | NAVARRETE DAIANA ANTONELLA | OSDIPP | 03136451045 | ? | 0 | ? | 0 | 0 | |||||
| 19 | 00:00 | | PARTICULAR | 24302830 | C24 / CA AMPULAR | 0 | 420101 | 25000.00 | 0.00 | | | |||
| 23 | 00:00 | | PAMI | 14017695420400 | / | 0 | 144003 | 21010.75 | 0.00 | | | | ||
| 24 | 00:00 | GONZALEZ JOSE LUIS | PAMI | 14014433220600 | C383 / MEDIASTINO | 0 | 144003 | 21010.75 | 0.00 | | | | ||
| 25 | 00:00 | BUSTAMANTE ALEJANDRO HIGINIO | PAMI | 01010049760200 | C64 / CA RENAL | 0 | 145005 | 30516.34 | 0.00 | | | | ||
| 27 | 00:00 | ACACIO LORENZO (PAMI) | PAMI | 14004075360500 | C61 / CA PROSTATA | 0 | 144003 | 17941.62 | 0.00 | | | |||
| 31 | 00:00 | | PAMI | 15067272630500 | C16 / CA GASTRICO | 0 | 144003 | 21010.75 | 0.00 | | | | ||
| Total Adicional | 264336.03 | 0.00 | . | . | X | |||||||||
| Nuevo Turno | filas de color . . . (ya se verificaron) | |||||||||||||