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7 PEMERINTAH PROVINSI JAWA TENGAH
RUMAH SAKIT UMUM DAERAH TUGUREJO
Alamat Kantor : Jalan Raya Tugurejo, Semarang Telepon. 7605378,7605297 Faksimile.7604398 Website: wwrv.rstusureio.com Email: tugurejo@jatenqprov. go.
id
Semarang,llApril 2014 Nomor
4w,4
/ }otb
Kepada Yth.
Dekan Fakultas Kedokteran
Lampiran Perihal
Universitas Diponegoro
ljin Penelitian
di
siMARANG
Menindaklanjuti surat Saudara nomor
:
--
1209/UN7.3.4lD1lPPl2014
tanggal 04 Maret 2014 perihal tersebut pada pokok surat, pada dasarnya kami
tidak keberatan dan memberi ijin untuk melakukan Penelitian di Rumah Sakit Umum Daerah Tugurejo Provinsi Jawa Tengah kepada mahasiswa yang Saudara ajukan NAMA NIM
PRODI
JUDUL
:
: : : :
Melinda Dwi Hardiyanti 22010110110026
51 Kedokteran
" Faktor-faktor yang Berperan dalam Luaran Maternal dan Perinatal pada lbu Hamil Tua, Studi Kasus di RSUD Tugurejo Semarang Selama Tahun 2012."
Demikian atas perhatian dan kerjasamanya kami ucapkan terima kasih.
TUR RSUD TUGUREJO JAWA TENGAH dan Keuangan
ina Tingkat I 9681 1 24 199310 2 001
TEMBUSAN : 1. Direktur RSUD Tuqureio (sebaqai laporan)
87
Dokumentasi
88 BIODATA MAHASISWA
Identitas Nama NIM Tempat/tanggal lahir Jenis Kelamin Alamat Nomor Telepon Nomor HP E-mail:
: Melinda Dwi Hardiyanti : 22010110110026 : Samarinda/ 22 April 1993 : Perempuan : Jalan Dr. Sutomo Gg. VIII No. 75 Samarinda 75123 : (0541) 202608 : 08152062239 :
[email protected]
Riwayat Pendidikan Formal 1. SD : SDN 007 Samarinda 2. SMP : SMP Negeri 1 Samarinda 3. SMA : SMA Negeri 1 Samarinda 4. FK UNDIP : Masuk tahun: 2010 Keanggotaan Organisasi 1. Staf BEM KU UNDIP Bidang Riset 2. Staf HIMA KU UNDIP Bidang Riset Pengalaman Penelitian Belum ada Pengalaman Publikas Tulisan Ilmiah Belum ada Pengalaman Presentasi Karya Ilmiah Belum ada Pengalaman Mengikuti Lomba Karya Ilmiah Belum ada
Lulus tahun: 2004 Lulus tahun: 2007 Lulus tahun: 2010
Tahun 2011 Tahun 2012
