- cargarConsentimientosDesk() called from abrirFicha using DESK_ID
- First checks existing DB records (get_consentimientos), falls back to desk config
- abrirFormularioLugar shows proper errors if no patient or no turno
- Starts polling on open to detect patient signature in real time
- Fix creado_at column error in create_consent_token INSERT
Co-Authored-By: Claude Haiku 4.5 <noreply@anthropic.com>