Revert "Revert "cambios paciente""

This reverts commit 654eb4c0ace3f58c69a0572a4b290565d6f1798d.
Revert "Revert "Revert "cambios paciente"""

This reverts commit 6585ea535b8dfce05b5e2b2adf13b15576684787.
Revert "Revert "Revert "Revert "cambios paciente""""

This reverts commit 211fc5b978ad467cf1e63cc01435c19f23761aaa.