Whether it is a semester exam or a graduation exam, no exam is equivalent to missing a course. If you can't graduate, you can only graduate. Within two years after graduation, after passing the make-up exam, a diploma will be issued. The following is found on the school website.

Provisions of Guangxi Medical University on the Management of Adult Higher Education Student Status (Revised)

Eight, graduation, graduation and completion of school

Article 37 Students who have completed all the courses specified in the teaching plan within the time limit specified by the school (no more than two years specified by their major) are allowed to graduate after passing the examination and are issued with graduation certificates.

Thirty-eighth students who have completed all the courses specified in the teaching plan and failed to meet the graduation requirements are allowed to complete their studies. Students can submit a written application to the school within two years after graduation. With the consent of the school, you can make up the courses that fail the exam, and those who pass the exam can reissue the graduation certificate. Graduation time shall be filled in according to the date of issuance. If the make-up exam is still unqualified, it will be treated as finished.