KEMENTRIAN PENDIDIKAN DAN KEBUDAYAAN

UNIVERSITAS SEBELAS MARET

FAKULTAS KEDOKERAN
PROGRAM STUDI PENDIDIKAN DOKTER SPESIALIS NEUROLOGI
Jl. Kol. Sutarto 132 Kodepos Surakarta 57126 Telp. (0271) 634634 ext. 552
Telp /Fax. (0271) 663088 email, neurology@gmail.com, website:soloneuro.org

SURAT KETERANGAN SELESAI STASE

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Yang bertanda tangan di bawah menerangkan bahwa :

Nama : ..........................................................................................................................

NIM : ..........................................................................................................................

Telah menyelesaikan stase.........................................................................................................

Tanggal Stase : ..............................................sd.................................................

Tanggal Maju Ilmiah :...................................................................................................

Judul Tugas :...................................................................................................

Nilai Pembimbing : ..................................................................................................

Demikian kami sampaikan. Atas perhatiaannya kami mengucapkan terima kasih.

Surakarta, .....................................................................
Penanggung Jawab Stase..............................................
Bagian/ KSM Neurologi FK UNS / RSUD Dr. Moewardi

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NIP. ......................................................................