diff --git a/classes/lab/Enfermera.php b/classes/lab/Enfermera.php
index ccb79e9..20a781a 100644
--- a/classes/lab/Enfermera.php
+++ b/classes/lab/Enfermera.php
@@ -127,24 +127,8 @@ class Enfermera {
                 p.tipo_documento      AS paciente_tipo_documento,
                 p.numero_documento    AS paciente_numero_documento,
                 p.eps                 AS paciente_eps,
-                COALESCE(
-                    om.local_file,
-                    (SELECT om2.local_file
-                     FROM   lab_ordenes_medicas om2
-                     WHERE  om2.paciente_id = p.id
-                       AND  om2.local_file  IS NOT NULL
-                     ORDER  BY om2.created_at DESC
-                     LIMIT  1)
-                )                     AS orden_local_file,
-                COALESCE(
-                    d.orden_id,
-                    (SELECT om2.id
-                     FROM   lab_ordenes_medicas om2
-                     WHERE  om2.paciente_id = p.id
-                       AND  om2.local_file  IS NOT NULL
-                     ORDER  BY om2.created_at DESC
-                     LIMIT  1)
-                )                     AS orden_id_display,
+                om.local_file         AS orden_local_file,
+                d.orden_id            AS orden_id_display,
                 a.estado              AS asignacion_estado,
                 a.id                  AS asignacion_id,
                 d.creado_por