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KEMENTERIAN RISET, TEKNOLOGI DAN PENDIDIKAN TINGGI

UNIVERSITAS SRIWIJAYA
FAKULTAS KEDOKTERAN
PROGRAM PENDIDIKAN DOKTER SPESIALIS
PROGRAM STUDI KESEHATAN ANAK
RSUP DR. MOHD. HOESIN PALEMBANG
Jl. Jenderal Sudirman Km. 3,5 Telp. .0711- 376445 FAX.0711-376445 Email : ipdsafkunsri@yahoo.com

KEGIATAN ILMIAH

Tgl./hari : ...........................................................................

Kegitan Ilmiah : ...........................................................................

Judul : ................................................................................

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Nama Penilai : 1. .....................................................................

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

Nilai (hasil) : ………………………………………………

Mengetahui :
KPS/SPS IKA FK.Unsri Kepala Divisi,

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