HOJA DE REVISION MINI-MULT

Nombre: Edad: Sexo:

L F K 1 2 3 4 6 7 8 9 L F K 1 2 3 4 6 7 8 9
1C F F F 37 C F F F
2C F F F 38 F C C C
3C F F F F F 39 F C C C
4F C C 40 F C C C
5 F- F C C C 41 F C C C
6F C C 42 C F F F
7F C C C 43 C F F F F
8F C C C C 44 F C C C C
9F C C C C 45 F C C
10 F- F C C C 46 F C C C
11 C F F F F 47 F C
12 F C 48 F C
13 F C C C C C 49 C F F
14 F C C 50 F C
15 F C C C C 51 - F C
16 F C C 52 F C
17 F C C C 53 C F
18 F C C C 54 F C
19 F C 55 F C C
20 C F 56 C F F
21 F C 57 F C C C C
22 F C C C 58 F C C
23 C F F 59 C F
24 C F F 60 - C F
25 F C C 61 C F F F
26 F C C C 62 C F F
27 F C C 63 F C C C
28 C F F F F 64 F C C C
29 - F F C 65 C F F F
30 F C C C 66 F C C C
31 C F F F 67 C F F
32 F C 68 F C C
33 C F F 69 C F
34 - F F C 70 C F
35 C F F 71 F C C
36 - F C C

L F K 1 2 3 4 6 7 8 9