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PEMERINTAH KABUPATEN KUDUS

RUMAH SAKIT UMUM DAERAH dr. LOEKMONO HADI


Jl. dr. Lukmonohadi No. 19 Kudus 59348  (0291) 444001  (0291) 438195
Email : rsuddrloekmonohadi@kuduskab.go.id ; rsudkudus@yahoo.co.id
Website : www.rsuddrloekmonohadi.kuduskab.go.id

BERITA ACARA BIMBIMBINGAN

PESERTA DIDIK PRAKTIK KLINIK KEPERAWATAN

RSUD dr LOEKMONO HADI KUDUS

Pada hari ini :...................tanggal............................. telah dilaksnakan evaluasi peserta


didik praktik klinik keperawatan RSUD dr Loekmono Hadi dari :

Institusi pendidikan : ...................................

Jumlah peserta : ...................................

Stase Praktik : ...................................

Catatan selama pelaksanaan Evaluasi peserta didik :

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Daftar kehadiran peserta:

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Kudus, .................................

Penguji Lahan
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