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RUMAH SAKIT UMUM DAERAH

TENGKU RAFI’AN SIAK

BERITA ACARA UJIAN KEPANITERAAN KLINIK


ILMU KESEHATAN ANAK
Nama mahasiswa : ..................................................................

Nim :…………………………………………...

Hari/tanggal : ..................................................................

Jam : ..................................................................

Ruangan : ..................................................................

Stase : ..................................................................

Nilai : ..................................................................

Catatan : ..................................................................

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(____________________)

Penguji

Mengetahui

(______________________) (______________________)

Ketua Staf Medis Koordinator Kepaniteraan Klinik

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