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( ! ) Warning: odbc_exec() [function.odbc-exec]: SQL error: [FlexODBC] Expected lexical element not found: <identifier>, SQL state 37000 in SQLExecDirect in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 256
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 257
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 258
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 259
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 260
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 261
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 262
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 263
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 264
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 265
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 267
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 268
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 269
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 272
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 273
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 274
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 275
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 276
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 277
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 278
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 280
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 281
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 282
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 283
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 284
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 285
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 286
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 287
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 292
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 296
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 297
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 307
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( ! ) Warning: odbc_result() expects parameter 1 to be resource, boolean given in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 308
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( ! ) Warning: odbc_exec() [function.odbc-exec]: SQL error: [FlexODBC] Expected lexical element not found: <identifier>, SQL state 37000 in SQLExecDirect in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 375
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( ! ) Warning: odbc_exec() [function.odbc-exec]: SQL error: [FlexODBC] Expected lexical element not found: <identifier>, SQL state 37000 in SQLExecDirect in C:\wamp\www\Boletas\PHP\eodatosasp.php on line 381
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Datos personales
Nombre
Segundo nombre
Apellido paterno
Apellido materno
Domicilio:
Colonia:
Alcaldía/Municipio:
Ciudad:
Estado:
Código Postal:
Entre calles:
Teléfono casa:
Celular:
Correo electrónico:
CURP
Sexo
Edo Civil
Fecha Nacimto.
Lugar Nacimto.
Datos del padre o tutor
Nombre
Segundo nombre
Apellido paterno
Apellido materno
Domicilio:
Colonia:
Ciudad:
Estado:
Código Postal:
Teléfono fijo:
Celular:
Correo electrónico:
Trabajo actual:
Empresa:
Datos de la madre
Nombre
Segundo nombre
Apellido paterno
Apellido materno
Domicilio:
Colonia:
Ciudad:
Estado:
Código Postal:
Teléfono fijo:
Celular:
Correo electrónico:
Trabajo actual:
Empresa:



Datos escolares

Institucion educativa Domicilio Periodo
Primaria
Secundaria
Preparatoria
Profesional
Otro

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   porque...




Datos de salud


Cardiovasculares
¿Quién?
¿Quién?
¿Quién?
Especifique:

Endócrinos
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Especifique:
Neurológicos
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¿Quién?
¿Quién?
Especifique:

Respiratorios
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Especifique:

Neoplásicos
¿Quién y qué tipo?
¿Quién?


Cardiovasculares
Especifique:

Endócrinos
Especifique:

Neurológicos
Especifique:

Respiratorias
Especifique:
Neoplásicos
Especifique:
Especifique:

Gastrointestinales
Tratamiento:
Tratamiento:

Enfermedades infecciosas
Especifique:
   Fecha: Especifique:
Especifique:


Generales
Peso:    Altura:    Tipo sanguineo:        Fecha aprox.:
Describa otros padecimientos y/o enfermedades no mencioados.
Si esta bajo tratamiento médico, describa el tipo.
       Cantidad:       Frecuencia:
       Frecuencia:
      Especifique: