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STUDENTA (UL) __________________________________________________

ANUL III , FACULTATEA DE MEDICIN SI FARMACIE,


SPECIALIZAREA ASISTEN MEDICAL GENERAL
A EFECTUAT PRACTICA DE VAR (specialiti medicale) N ANUL UNIVERSITAR
_____________________________
( 4 sptmni x 5 zile x 8 ore/zi):

Spitalul________________________________________________________________
______________________________________________________________________
Secia _________________________________________________________________
ndrumtor practic de specialitate __________________________________________
Data : _____________

Semntura i parafa

STUDENTA (UL) __________________________________________________


ANUL III, FACULTATEA DE MEDICIN SI FARMACIE,
SPECIALIZAREA ASISTEN MEDICAL GENERAL
A EFECTUAT PRACTICA DE VAR (specialiti medicale) N ANUL UNIVERSITAR
____________________________
( 4 sptmni x 5 zile x 8 ore/zi):

Spitalul________________________________________________________________
______________________________________________________________________
Secia _________________________________________________________________
ndrumtor practic de specialitate __________________________________________
Data : _____________

Semntura i parafa

STUDENTA (UL) __ ________________________________________________


ANUL III, SEM. I, FACULTATEA DE MEDICIN SI FARMACIE,
SPECIALIZAREA ASISTEN MEDICAL GENERAL
A EFECTUAT URMTOAREA PRACTIC N TIMPUL ANULUI UNIV.____________

Nr.
crt.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.

Spitalul / Secia

Saptamna

Nr.
ore
10
10
10
10
10
10
10
10
10
10
10
10
10
10

Semntura i parafa
medicului

STUDENTA (UL) ___________________________________________________


ANUL III, SEM. II, FACULTATEA DE MEDICIN SI FARMACIE,
SPECIALIZAREA ASISTEN MEDICAL GENERAL
A EFECTUAT URMTOAREA PRACTIC N TIMPUL ANULUI UNIV.____________

Nr.
crt.
1.
2.

Spitalul / Secia

Saptamna

Nr.
ore
10
10

Semntura i parafa
medicului

3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.

10
10
10
10
10
10
10
10
10
10
10
10