预防接种证明书(出国填写,英文)x
构思新颖,品质一流,适合各个领域,谢谢采纳
预 防 接 种 证 明 书
CERTIFICATE OF VACCINATION
姓 名 ?? ? 性 别 男 出生日期 2019年1月 12日 国 籍 中国
Name Gender Male Date of Birth Jan.12th,2005 Nationality P.R.China
已接种下列疫苗 The following vaccine had been immunized:
疫 苗
Vaccine
卡介苗
Bacillus Calmette Guerin Vaccine
乙型肝炎疫苗
Hepatitis B Vaccine
脊髓灰质炎疫苗
Oral Poliomyelitis Vaccine
白喉百日咳破伤风联合疫苗
Diphtheria Pertussis Tetanus Vaccine
麻疹疫苗
Measles Vaccine
乙型脑炎疫苗
Encephalitis B Vaccine
麻疹腮腺炎风疹联合疫苗
Measles Mumps Rubella Vaccine
群流行性脑膜炎疫苗
Meningococcus A Vaccine
接种日期
Date of
given
剂量
接种单位
Dose
Hospital
Maternity and Child Health Center Of
0.1ml
Song Jiang District
松江区妇婴保健所
Song Jiang Center Hospital
0.5ml
松江区中心医院
0.5ml
Yue Yang community health care
0.5ml
岳阳社区卫生服务中心
Yue Yang community health care
1 dosage
Yue Yang community health care
1 dosage
Yue Yang community health care
1 dosage
Yue Yang community health care
1 dosage
Yue Yang community health care
1 dosage
0.5ml
Yue Yang community health care
0.5ml
Yue Yang community health care
0.5ml
Yue Yang community health care
0.5ml
Yue Yang community health care
0.5ml
Yue Yang community health care
0.5ml
Yue Yang community health care
0.5ml
Yue Yang community health care
0.5ml
Yue Yang community health care
0.5ml
0.5ml
Yue Yang community health care
0.5ml
Yue Yang community health care
0.5ml
Yue Yang community health care
0.5ml
Yue Yang community health care
0.5ml
Yue Yang community health care
水痘疫苗
Varicella Zoster Vaccine
0.5ml
Yue Yang community health care
甲型肝炎疫苗
0.5ml
Yue Yang community health care
Hepatitis A Vaccine
0.5ml
Yue Yang community health care
精制白喉破伤风两联疫苗
0.5ml
Yue Yang community health care
Purified Diphtheria Tetanus Vaccine
0.5ml
肺炎球菌结合疫苗
0.5ml
Conjugate Pneumococcal Vaccination
流感疫苗
0.5ml
Influenza Vaccine
日期
2019年 3月 21 日
医生签名 Signature : __________
中国上海市松江区 疾病预防控制中心
Date
Mar.21th,2019
Centers for Disease
Control and Prevention
构思新颖,品质一流,适合各个领域,谢谢采纳
Songjiang District , Shanghai , P. R. China
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