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Sichuan cademy of Medical Sciences?Sichuan Provincial Hospital

Medical Prevention and Vaccination Certificate

 

XXX, Male, born on XXX, ID No. is XXXXXXXXXXXXX. Home address: No. X,

XXX Road, XXX District, XXX City.

 

Mr. XXX has taken vaccinations in our hospital as follows: Chicken pox, Diphtheria,

Measles, Rubella.

 

Hereby certify,

 

Sichuan Academy of Medical SciencesSichuan Provincial Hospital

Hospital Address:                                                       

  Signature of the doctor: XXX

 Contact number: XXX@163.com

 

Sichuan Academy of Medical Sciences Sichuan Provincial Hospital

No. 32 West Second Section, First Ring Road, Chengdu City (610072) 


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