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NO 2-88365
Children Planned Immunity
Vaccination Certificate
Issued by
Issued
Date
General
Condition
Name
Wang Zhijian
Sex
Male
Date of
Birth
March
Chinese
2th,1998
Zodiac
Address
Group10,No.11
Health
Committee,Yuanlin,
Tiedong
District,
Anshan
City,
Liaoning
Province, China
Father
’
s
Wang Jinsong
Working Unit
Refractory
Name
Co.,Ltd
Mother
’
s
Yu Jie
Working
Unit
Anshan
Name
Branch,China
Construction
Bank
Pedo-phore
Institution
Serious Disease
Ⅰ
Allergic
History
Ⅰ
Transfer-in Unit
Transfer-out Unit
Transfer-in Date
Transfer-out Date
Nursery and Kindergarten
Responsible
Person
Surrender
Value
Insurance
Terminate
Date
Responsible
WU
CHUNQING
Person
Insurance
150,000
Amount
Beginning
and
April
7th,
1998
Ending
to
Insurance
March,2th,2000
Time
Number
1
2
3
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