Data Peserta
IPRM 7 th
Nama & gelar : ...............................................................................................................................
Tanggal Lahir : ...............................................................................................................................
Institusi : ..............................................................................................................................
Alamat : ..............................................................................................................................
pr2
..............................................................................................................................
Email : ...............................................................................................................................
Handphone : ............................................................................................................................... Indonesia Pediatric Respirology Meeting
Pendaftaran (centang √ yang dipilih) : Dedicated to the Health of All Indonesian Children
Sebelum 4/2/17 On Site
Cek
Jenis 4 Februari 2017 5 Februari 2017
(√)
A B A B
Pneumonia Pneumonia
Pneumonia Pneumonia
A : Pediatrician
B : General Practitioner, Paramedic, Students
Peserta workshop tidak dapat mengikuti 2 topik pada hari yang sama karena paralel
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