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
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