Kartu Peminjaman Alat.docx

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KEMENTERIAN RISET, TEKNOLOGI DAN PENDIDIKAN TINGGI

SEKOLAH TINGGI ILMU KESEHATAN (STIKes) MEDIKA NURUL ISLAM SIGLI PROGRAM STUDI PROFESI NERS Jl. Lingkar Cot Teungoh No. 15 Sigli Kabupaten Pidie

KARTU PEMINJAMAN ALAT Nama Peminjam / PJ

:

Prodi / Semester

:

Laboran

:

Tanggal Pinjam

:

No

Nama Alat

Jumlah

TTD Peminjam

Judul Praktikum & Dosen Pembimbing

Tgl Pengembalian : TTD Pengembali

( NIM :

) ( NIM :

Sigli, , Mengetahui Laboran,

(

)

20

)

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