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align=\"left\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">${es-prorroga}<\/span><\/td>\r\n<td colspan=\"1\" align=\"left\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">${cod-diagnostico}<\/span><\/td>\r\n<td colspan=\"1\" align=\"left\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">${diagnostico-manual}<\/span><\/td>\r\n<td colspan=\"1\" align=\"left\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">${motivo-del-permiso-licencia}<\/span><\/td>\r\n<td colspan=\"1\" align=\"left\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">${otro}<\/span><\/td>\r\n<td colspan=\"1\" align=\"left\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">${observaciones-generales}<\/span><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<p>\u00a0<\/p>\r\n<p style=\"font-size: 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style=\"width: 400px; text-align: center;\"><strong>CONTROL Y SEGUIMIENTO AUSENTISMO LABORAL<\/strong><\/td>\r\n<td style=\"width: 100px; text-align: center;\"><span style=\"font-size: 8pt;\"><strong>SST MT 008 V.1<\/strong><\/span><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<table border=\"1\" width=\"100%\" cellpadding=\"4\">\r\n<tbody>\r\n<tr style=\"font-weight: bold; background-color: lightskyblue;\">\r\n<td style=\"background-color: #f0f0f0;\" align=\"center\"><span style=\"font-family: helvetica, arial, sans-serif;\"><span style=\"font-size: 10.6667px;\">N<\/span><\/span><\/td>\r\n<td style=\"background-color: #f0f0f0;\" colspan=\"1\" align=\"center\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">Ciudad<\/span><\/td>\r\n<td style=\"background-color: #f0f0f0;\" colspan=\"1\" align=\"center\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">Nombre del trabajador<\/span><\/td>\r\n<td style=\"background-color: #f0f0f0;\" colspan=\"1\" align=\"center\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">Identificaci\u00f3n<\/span><\/td>\r\n<td style=\"background-color: #f0f0f0;\" colspan=\"1\" align=\"center\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">Motivo de la Ausencia<\/span><\/td>\r\n<td style=\"background-color: #f0f0f0;\" colspan=\"1\" align=\"center\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">Total d\u00edas<\/span><\/td>\r\n<td style=\"background-color: #f0f0f0;\" colspan=\"1\" align=\"center\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">Fecha Inicio<\/span><\/td>\r\n<td style=\"background-color: #f0f0f0;\" colspan=\"1\" align=\"center\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">Fecha Finalizaci\u00f3n<\/span><\/td>\r\n<td style=\"background-color: #f0f0f0;\" colspan=\"1\" align=\"center\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">Diagnostico reportado en incapacidad<\/span><\/td>\r\n<td style=\"background-color: #f0f0f0;\" colspan=\"1\" align=\"center\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">N\u00b0 Incapacidad<\/span><\/td>\r\n<td style=\"background-color: #f0f0f0;\" colspan=\"1\" align=\"center\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">\u00bfEs prorroga?<\/span><\/td>\r\n<td style=\"background-color: #f0f0f0;\" colspan=\"1\" align=\"center\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">C\u00f3d Diagnostico<\/span><\/td>\r\n<td style=\"background-color: #f0f0f0;\" colspan=\"1\" align=\"center\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">Diagnostico manual<\/span><\/td>\r\n<td style=\"background-color: #f0f0f0;\" colspan=\"1\" align=\"center\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">Motivo del Permiso \/ Licencia<\/span><\/td>\r\n<td style=\"background-color: #f0f0f0;\" colspan=\"1\" align=\"center\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">Otro<\/span><\/td>\r\n<td style=\"background-color: #f0f0f0;\" colspan=\"1\" align=\"center\"><span style=\"font-size: 8pt; font-family: helvetica, arial, sans-serif;\">Observaciones Generales<\/span><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<p>\u00a0<\/p>","ftr_template":"<p style=\"text-align: center;\">P\u00e1gina [POP]<\/p>","image":"{\"show\":\"0\",\"folder\":\"visforms\",\"file\":\"-1\"}","statements":"{\"0\":{\"order\":\"0\",\"name\":\"\",\"type\":\"form\",\"id\":\"\",\"sql\":\"\"}}","preview":"{\"did\":\"0\",\"data\":\"\",\"published\":\"\",\"start\":\"1\",\"limit\":\"5\",\"fullordering\":\"a.id ASC\"}","filenames":"{\"output-file-name\":\"SST MT 008 Control y seguimiento ausentismo laboral\"}"}]}]