PRUEBA DE RITMO DE MIRA - STAMBACK

REGISTRO DE RESPUESTAS
NOMBRE: _______________________________________________________________________
____ ESCUELA: __________________________________________________________________
_________ GRADO: __________________________________ SECCIN: _____________________
____________ Ao Mes DaFECHA DE PRUEBA: _________ __________ __________ FECHA DE NA
CIMIENTO: _________ __________ __________ EDAD CRONOLGICA: __________ aos, _______
___ mesesRESULTADO: ____________________________________________________________
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_____________________________________ OBSERVACIONES: ___________________________
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_________________________________________________________________ EXAMINADOR: __
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