BERITA ACARA

UJIAN KETERAMPILAN PRA RUMAH SAKIT

STIKES AL-INSYIRAH PEKANBARU T.A. 2019/2020

Program Studi : ............................................................................

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Preseptor : ............................................................................

Pada hari ini ......................... Tanggal ............................ Bulan .....................

Tahun.............. Di ........................................................ telah
dilaksanakan ..................................................................................................dengan lama
kegiatan ……........................ Peserta yang ikut kegiatan berjumlah..............................
Kejadian yang terjadi selama kegiatan berlangsung
adalah........................................................................................................................................
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Demikian berita acara ini dibuat dengan sesungguhnya dan sebenarnya untuk dapat
dipergunakan sebagaimana mestinya.
Preseptor Tanda-Tangan

1. ............................................... 1. .................................................

2. ............................................... 2. .................................................

Pekanbaru,………………20..........
Ketua Program Studi

(......................................................)
 DAFTAR HADIR MAHASISWA
UJIAN KETERAMPILAN PRA RUMAH SAKIT
STIKES AL-INSYIRAH PEKANBARU
T.A. 2019/2020

Program Studi : ............................................................................

Hari/Tgl : ............................................................................
Kegiatan : ............................................................................
Stase/Kelompok : ............................................................................
Preseptor : ............................................................................
: ............................................................................

NO NAMA NIM TANDA TANGAN

1. 1.
2. 2.
3. 3.
4. 4.
5. 5.
6. 6.
7. 7.
8. 8.

9. 9.

10. 10.

11. 11.

12. 12.

Pekanbaru, ..............................20...
Preseptor Akademik

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BERITA ACARA
BIMBINGAN PRAKTEK PROFESI NERS
 KEPERAWATAN MEDIKAL BEDAH

STIKES AL-INSYIRAH PEKANBARU

2019

BERITA ACARA
BIMBINGAN PRAKTEK PROFESI NERS
KEPERAWATAN AL-INSYIRAH NURSING

STIKES AL-INSYIRAH PEKANBARU

2019