學生實習室使用紀錄

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學生實習室使用紀錄

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* Indicates required question

姓名 *

Your answer

學號/職工編號(無本校院編號者請填0) *

Your answer

系級/身分別 *

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牙二

牙三

牙四

牙五

附醫臨床醫師

教職員

其他(如院校外)

實驗室別 *

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實驗室1(牙三)

實驗室2 (牙四)

實驗室3 (牙五)

學生用X光室

使用時間(小時) *

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1

2

3

4

>4

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