Dairy of nurse practical training for propaedeutics of internal diseases. Carry out requirements for dairy of nurse practical training for propaedeutics of internal diseases, страница 4

Student                     ___________  Name

signature

Head nurse               ___________  Name

signatur


Testimonial

of student’s work at the practical training period

Head doctor of hospital                       ____________________         ________________                                                                                                           

                                                                                                                  (signature)                                                     (name)                                  

Immediate supervisor of practical training

 ________________________________________

                                       (post)

                                                                _____________________          _______________                                                                                 

                                                                             (signature)                                     (name)

                      

University teacher                                            _____________________           _______________

                                                                                                                    (signature)                                                          (name)                          

                                                

                                                                                «____» __________________ 20__  y.