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STUDENTA (UL) ____________________________________________________________

ANUL_______________, FACULTATEA DE MEDICINA SI FARMACIE,


SPECIALIZAREA MEDICINA
AEFECTUAT PRACTICA DE VARA IN ANUL UNIVERSITAR______________________
(4 saptamani X 5 zile X 8 ore/zi):
Spitalul______________________________________________________________________
____________________________________________________________________________
Sectia_______________________________________________________________________
Nota obtinuta________________________
Indrumator practica de specialitate________________________________________________
Data: ______________

Semnatura si parafa

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