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DIRECTIA DE SANATATE PUBLICA TIMIS

Subsemnatul/a__RUSU_ELENA_LAVINIA________________________________
medic rezident anul____ I__, loc/post__loc____ incadrat/a la
____SCMUT________________________
confirmat/a prin ordinul MS nr.__2025__/__31.12.2019__,
specialitatea___OBSTETRICA_GINECOLOGIE_________________________________,
cu pregatire in centrul universitar _Timisoara________cu domiciliul in
localitatea__Becicherecu Mic__, str__Bujorului____________, nr.__5___, bl._____,
sc.____ap.______, judet/sector____timis__________________,
telefon__0722775206__________________, e-mail : Elena.lrusu@yahoo.com.
Prin prezenta va rog sa mi aprobati inreruperea rezidentiatului in perioada de la
01.04.2020, pana la 19.05.20202 ; pentru :
_____concediu_medical________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
_____________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
_______
Anexez:
-copie carte identitate,
-copie concediu medical.

Data
08.05.2020 Semnatura
RUSU ELENA LAVINIA