27.39 Registru Evidenta Formulare Rp Timbru Sec

  • Uploaded by: Valentin
  • 0
  • 0
  • April 2020
  • PDF

This document was uploaded by user and they confirmed that they have the permission to share it. If you are author or own the copyright of this book, please report to us by using this DMCA report form. Report DMCA


Overview

Download & View 27.39 Registru Evidenta Formulare Rp Timbru Sec as PDF for free.

More details

  • Words: 81
  • Pages: 1
EVIDENŢA FORMULARELOR (Rp) CU TIMBRU SEC DISTRIBUITE MEDICILOR Nr. crt.

1

Nr. de ordine al formularelor (Rp) cu timbru sec de la la

2

3

Data distribuirii formularelor (Rp) an luna zi

4

5

6

Semnătura şi parafa medicului primitor

Nr. de ordine al formularelor (Rp) cu timbru sec restituite şi alte menţiuni

Verificat (loc pentru inspecţii)*

7

8

9

*) Semnează de verificare organele de inspecţie autorizate precum şi persoana care a verificat justificarea formularelor. 27.39 ; A4 ; t2

Related Documents


More Documents from "Valentin"