LOG BOOK MAHASISWA PRAKTIK KEPERAWATAN DAN NON MEDIK

RSUP. Dr. WAHIDIN SUDIROHUSODO MAKASSAR

NAMA : ...................................................................... NIM : .........................
INSTITUSI : .................................................................................................................
PROGRAM STUDI : .................................................................................................................
HARI : .....................................TANGGAL :  
SHIFT : PAGI SORE MALAM (ceklis salah satunya)
RUANGAN : .................................................................................................................
NAMA DAN
NO KEGIATAN NO. RM JML HASIL
PARAF CI LAHAN

Mengetahui Makassar, ............................

Ka. Sub Bagian Diklit Keperawatan Pelaksana
Dan Non Medik

Sitti Fatimah, DCN, M.Kes Abd. Muttalib, S.Sos

Ket:
Penanggung Jawab Abd. Muttalib, S.Sos, No. Tlp. 081342556805