AGREEMENT SHEET

Shall been agreed a case report with a title

“Parese Nervus III and Nervus VI OD”

This working paper was arranged to fullfil the requirement of

Opthalmology Module Clinical Assistant

Agreed by,

Pontianak, September 29 2015

Case Report Guidance,

dr. Sri Yuliani Elida, Sp.M, Msc

Arranged by :

Sulastri

NIM. I 111 10 066

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