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QUITO, 8 de febrero del 2019 Campaña de Vacunación de la INFLUENZA ESTACIONAL (GRIPE). Nombre del niño………………………………………………………………………………....................................Paralelo…………………………….. SI vacuna…………………..
NO vacuna…………………………
Nombre padre/madre de familia………………………………………………………………………….. Atentamente. Dra. Patricia Enríquez