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Obstetrics and Gynaecology
UG Record Book/Journal format
This is to certify that
Mr./Miss ------------------------------------------------------------
has performed his/her practical assignments in Gynaecology and Obstetrics to my satisfaction. The student has been present during the course of labour and personally conducted each case, making the necessary abdominal and other examinations under the supervision of the certifying officer.
Sr. No. |
Hospital |
Name of Unit |
Duration of post with dates |
Number of Delivery Cases |
Pages from to |
Signature of Head of Unit |
1 |
NWMH |
Dr. |
From -------- To ----------- |
Assisted--------
Conducted------ |
From -------- To ----------- |
|
2 |
NWMH |
Dr. |
From -------- To ----------- |
Assisted--------
Conducted------ |
From -------- To ----------- |
|
3 |
KEMH |
Dr. |
From -------- To ----------- |
Assisted--------
Conducted------ |
From -------- To ----------- |
|
4 |
KEMH |
Dr. |
From -------- To ----------- |
Assisted--------
Conducted------ |
From -------- To ----------- |
|
5 |
KEMH |
Dr. |
From -------- To ----------- |
Assisted--------
Conducted------ |
From -------- To ----------- |
|
|
|
|
Total |
Assisted--------
Conducted------ |
|
|
Head of Unit |
|
Head of Unit |
|
Head of Unit |
NWMH |
|
NWMH |
|
KEMH |
Professor & Head Of Department
Seth G.S.Medical College & K.E.M.Hospital
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