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["Entrevista - Orientación"]
[]
["Dirección de Trabajo Social y Vinculación"]
[null,null,null,null,null,null,null,null,"Fecha"]
[null,null,null,null,null,null,null,null,{"$f":"DAY(TODAY())","v":20},{"$f":"MONTH(TODAY())","v":5},{"$f":"YEAR(TODAY())","v":2016}]
[]
["Servicio y/o Programa",null,null,null,null,null,"Procedencia",null,"Iniciativa Propia"]
["CURP / ID DIF",null,null,null,null,null,"Registro"]
[]
["DATOS GENERALES"]
[" Nombre",null,null,null,null,null,null,null,"Fecha de Nac."]
[null,null,"Apellido Paterno",null,"Apellido Materno",null,"Nombre(s)",null,null,"Día","Mes","Año"]
["Sexo",null,null,"Edad",null,null,"Estado Civil",null,null,"Grupo etario",{"$f":"IFERROR(VLOOKUP(E13,#REF!,2),\" \")","v":" "}]
["Ocupación",null,null,null,null,null,"Escolaridad",null,"Primaria"]
["Domicilio","Calle ",null,null,null,"No.",null,"Int.",null,"C. P."]
[null,"Cruza con:",null,null,null,null,null,"Colonia o comunidad"]
["Estado y Mpio.  de Nac.",null,null,null,null,"  Estado y Mpio.de residencia"]
["País",null,"Teléfono Particular",null,null,"Teléfono Recados",null,null,null,"Nombre"]
["Datos del padre o tutor (Solo en casos de menores de edad o personas con discapacidad intelectual)"]
[null,null,null,null,null,null,"Edad",null,"Parentesco"]
["Apellido paterno",null,"Apellido materno",null,"Nombre"]
["APOYO Y/O SERVICIO SOLICITADO"]
["DESPENSA"]
[]
["DIAGNÓSTICO SOCIAL INICIAL"]
["Composición familiar y economía",null,null,null," Vivienda - Condición ",null,"Pago x mes ",null,"Población atendida"]
["Cantidad de integrantes de la familia"]
["Miembros económicamente activos",null,null,null,"Otra (especifique)"]
["Miembros que aportan al gasto familiar",null,null,null,"Personas con enfermedades crónicas y/o discapacidad",null,null,null,null,"Número"]
["Ingreso mensual familiar aproximado",null,null,null,"Tipo"]
["Deudas (pago mensual)",null,null,null,"¿Dónde atiende necesidades de salud?"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["CONCLUSIONES"]
[" Problemática y/o Vulnerabilidad",null,null,null,null,"Detonante del Problema"]
["Código:",{"$f":"IFERROR(VLOOKUP(C50,#REF!,2),\" \")","v":" "},null,null,null,"Código:",{"$f":"IFERROR(VLOOKUP(H50,#REF!,2),\" \")","v":" "}]
["Diagnóstico","   Código:",null,{"$f":"IFERROR(VLOOKUP(E51,#REF!,2),\" \")","v":" "}]
["Clasificación de programa  (1.  C. U. -   2.  F.S.F.)",null,null,null,null,null,null,null,null,"C.U."]
["Apoyo y/o servicio otorgado",null,1,null,null,null,2]
[null,null,3,null,null,null,4]
[]
[]
[]
["Area o institución a la que fue canalizado",null,null,null,null,null,null,null,null,"No."]
[]
[null,null,null,null,null,null,{"$f":"CONCATENATE(G11,\" \",C11,\" \",E11)","v":"  "}]
["NOMBRE Y FIRMA DEL TRABAJADOR SOCIAL",null,null,null,null,null,"Manifiesto bajo protesta decir la verdad respecto a proporcionar mis datos personales, así como mi aceptación del aviso de confidencialidad, en donde señala que serán resguardados conforme a la Ley establecida.  http://sistemadif.jalisco.gob.mx"]
["Fecha de actualización: 22 de agosto de 2014, V.08, Código: DJ-TS-SG-RE-05        "]