Meniuni sau observaii ale medicului de

gard: Studentul a respectat programul de

gard; a manifestat interes; a efectuat activitile
corespunztoarea nivelului de pregtire; s-a
integrat n echipa de gard etc.
GARDA I_____________________________

UNIVERSITATEA DE MEDICIN I
FARMACIE GR.T.POPA IAI

FACULTATEA DE MEDICIN

ACTIVITATE PRACTIC
INDIVIDUAL GRZI
2015-2016

GARDA II_____________________________

Numele i prenumele studentei / studentului:

______________________________________
GARDA III ___________________________

______________________________________
_
Anul de studiu:____, Seria:_____, Grupa____,

GARDA IV ___________________________
______________________________________

Data:________,

Viza Decanat,
Semntura:________________________,

GRZI EFECTUATE sem.I

Clinica: __________________________,
Data:____________________________,

Medic de gard:____________________,
Nota acordat:_____________________,
Semntura:________________________,

Clinica: __________________________,
Data:____________________________,
Medic de gard:____________________,
Nota acordat:_____________________,

GRZI EFECTUATE sem.I

Clinica: __________________________,
Data:____________________________,
Medic de gard:____________________,
Nota acordat:_____________________,
Semntura:________________________,

Clinica: __________________________,
Data:____________________________,
Medic de gard:____________________,
Nota acordat:_____________________,
Semntura:________________________,