Type
InscriptionLocation
surfaceTranscription
MOD. 52-05 MINSAP-DS-U. P. I. 200,000 K.
MINISTERIO DE SALUD PUBLICA
HOSPITALES Y POLICLINICOS
UNIDAD:
NOTA: SOLAMENTE SE PODRA FORMULAR UN MEDICAMENTO EN CADA RECETA
FECHA
MEDICO
PACIENTE-NOMBRE
HISTORIA CLINICA No.
INGRESADO PENSIONISTA C. EXTERNA
SALA
CAMA
274 09-D2/23838Language
SpanishTranslation
MOD. 52-05 MINSAP-DS-U. P. I. 200,000 K.
MINISTRY OF PUBLIC HEALTH
HOSPITALS AND POLYCLINICS
UNIT:
NOTE: ONLY ONE DRUG MAY BE FORMULATED ON EACH PRESCRIPTION.
DATE
PHYSICIAN
PATIENT-NAME
MEDICAL HISTORY No.
ADMITTED PENSIONER EXTERNAL
ROOM
BED
274 09-D2/23838Material/Technique
InkType
NoteLocation
surfaceTranscription
Hago constar que Enrique Hernandez Herrera, de 64 años de edad, vecino de la calle Jovellar #5, entre Marina y Soledad, Apto. 11, tercer piso, en La Habana presenta hipertensión arterial marcada así como trastornos nerviosos, todo lo cual le impide salir a la calle, ir al cine, etc. motivo por el que necesita que le reparen el televisor roto.
29 de Febrero de 1972Language
SpanishTranslation
I hereby state that Enrique Hernandez Herrera, of 64 years of age, resident of Jovellar Street #5, between Marina and Soledad, Apt. 11, third floor, in Havana, presents marked arterial hypertension as well as nervous disorders, all of which prevents him from going out in the street, to the movies, etc., which is why he needs to have his broken television set repaired.
February 29, 1972Material/Technique
PrintedNotes
typed