University of Sulaimani                        College of Medicine          Department of Surgery

                               Venous Cut-Down/ A-V Shunt/ Fistula




No.           Patient’s Name       Age   Sex    Student Status       Date      Supervisor’s Signature



1.




2.




3.



Student’s Name:




                                                                                                   DasTan

Surgery 6th year, Requirement Sheet (Venous Cut Down)

  • 1.
    University of Sulaimani College of Medicine Department of Surgery Venous Cut-Down/ A-V Shunt/ Fistula No. Patient’s Name Age Sex Student Status Date Supervisor’s Signature 1. 2. 3. Student’s Name: DasTan