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Universitatea Transilvania Braov

Facultatea de Medicin
Nume student:
An de studiu:
Disciplin:

Nr
.
cr
t

Data

Secie

Interval
orar

1.
2.

3.
4.

5.
6.
7.

8.

Studentul/studenta a efectuat un total de ....... ore de gard.

Semntura i
parafa medicului

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