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LEMBAR PINJAM ALAT LABORATORIUM

PROGRAM STUDI S1 KEPERAWATAN


STIKes MITRA HUSADA KARANGANYAR

Semester / Kelompok : ..........................................................................................................


Nama Keterampilan : ..........................................................................................................
Fasilitator : ..........................................................................................................
Hari / Tanggal : ..........................................................................................................
Jam : ..................................................................................................................
NO NAMA ALAT JUMLAH KET

Fasilitator, Peminjam,

( .......................................... ) ( .............................................. )

Mengetahui,
Petugas Laborat,

( ........................................ )

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