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แบบบันทึกประวัติการฝึกอบรมการตรวจทางห้องปฏิบัติการ เจ้าหน้าที่ รพ.สต...................................
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ผู้รับผิดชอบหลัก........................................................
ตำแหน่ง.........................................................
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ที่ปรึกษาทางวิชาการ1. ............................................
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วันที่......................................
เรื่องที่จัดการฝึกอบรม..........................................................................
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อันดับชื่อ-สกุลตำแหน่งลายมือชื่อผลการประเมิน
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ผ่านไม่ผ่าน
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เนื้อหา.......................................................................................................................................................
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วิธีการฝึกอบรม...........................................................................................................................................
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วิธีการประเมินผลการฝึกอบรม......................................................................................................................
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ลงชื่อ........................................................
ลงชื่อ...................................................
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ผู้จัดการฝึกอบรม
ผอ.รพ.สต...........................................
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