ELECTIVE STUDY PROCESS FINAL ASSESSMENT

BY SUPERVISOR

Title : PotensiBijiBungaMatahari (Helianthus annuus)

sebagai Melatonin Eksogendan Endogen : Suatu
Herbal Anti Jet Lag
Exam Date/Time : 5 Februari 2013
Student Name : KadekAyu Rima Mahadewi
Student ID Number : 1002005029
Supervisor : Prof. Dr. dr. I NyomanAdiputra, MOH, PFK,
SpErg.
Assessment :

The process are approximately as follows :

Range
No Item assessment Score
Score
1 Log book 0-30
2 Observation : 0-40
-Communication
-Attendance
-Gesture and posture
3 Ability to find the literature 0-30
Total 0-100
Final Result (Score) :
Criteria :A B C D E (please circling the criteria)
Result range :
A : 80-100 B : 70-79 C : 55-69 D : 45-54 E : 0-44

Supervisor,

(Prof. Dr. dr. I NyomanAdiputra, MOH, PFK, SpErg.)

NIP. 194712111976021001
 ELECTIVE STUDY FINAL ASSESSMENT
BY EVALUATOR

Title : PotensiBijiBungaMatahari (Helianthus annuus)

sebagai Melatonin Eksogendan Endogen : Suatu
Herbal Anti Jet Lag
Exam Date/Time : 5 Februari 2013
Student Name : KadekAyu Rima Mahadewi
Student ID Number : 1002005029
Supervisor : Prof. Dr. dr. I NyomanAdiputra, MOH, PFK,
SpErg.
Assessment :

The final exam are approximately as follows:

No Item assessment Range Score Score
1 Quality of material 0-60
2 Student’s interest and motivation 0-10
3 Critical thinking 0-10
4 Capability of information 0-10
searching
5. Reliability 0-10
Total 0-100

Final Result (Score) :

Criteria : A B C D E (please circling the criteria)
Result range :
A : 80-100 B : 70-79 C : 55-69 D : 45-54 E : 0-44

Evaluator,

(dr. SusyPurnawati, M.K.K)

NIP. 196809291999032001
 DEPARTEMENT OF EDUCATION
UDAYANA UNIVERSITY
FACULTY OF MEDICINE

OFFICIAL REPORT OF ELECTIVE STUDY ASSESSMENT

Today.............Selasa........................Date............5 Februari 2013...............

Time................10.00 WITA......................until....................WITA.............
Reffering to Elective Study Assessment Team Assignment Letter Number
...............................................................had been done an assessment to a student.

Name : I Gede Wahyu Toya Pratama

Student ID Number : 1002005044
Semester : V
Elective Study Title : Pemeriksaan Kadar Hematokrit dan Trombosit
Sebagai Penunjang Diagnosis DHF

By the Faculty of Medicine Udayana University Assessment Team consisting of

the following:
1. Name of : dr. Ida Ayu Putri Wirawati, Sp.PK
Supervisor
2. Name of : Dr. A.A.Ngurah Subawa, Msi
Evaluator

Final result
Supervisor Score : (0-100)
Evaluator Score : (0-100)

Thank you for your kind attention.

Denpasar, 5 Februari 2013

Supervisor signature ..........................................

Evaluator signature ..........................................

Student signature ..........................................