: 048/BAN-PT/AK-XIV/S1/I/2012
Jl. H. Badruddin Bagu Lombok Tengah Tlp. (0370) 6889990 / 6889991 email: akademik@stikesqamarulhuda.ac.id website: www.stikesqamarulhuda.ac.id
BERITA ACARA
Pada Hari.......................Tanggal.............Bulan..........................Tahun..................................
Telah dilaksanakan Ujian Departemen/Stase Manajemen Keperawatan di Ruang.................
Rumah Sakit Umun Daerah Praya
Nama :
NIM :
Waktu :
Penguji : 1.……………………………………….
: 2……………………………………….
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Penguji
1. (_____________________________) 2. (_______________________________)
BERITA ACARA
NIM :
Waktu :
Penguji : 1.……………………………………….
: 2……………………………………….
Komunitas
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Penguji
1. (_____________________________) 2. (_______________________________)