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Vaccine Certificate

This certificate summarizes the vaccinations received by an individual, including BCG, DPT, polio, measles, MMR, hepatitis B, Tdap, hepatitis A, and chickenpox vaccines. Dates are provided for 13 different vaccines or doses received. The certificate is signed by a doctor.

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4K views1 page

Vaccine Certificate

This certificate summarizes the vaccinations received by an individual, including BCG, DPT, polio, measles, MMR, hepatitis B, Tdap, hepatitis A, and chickenpox vaccines. Dates are provided for 13 different vaccines or doses received. The certificate is signed by a doctor.

Uploaded by

krmv2pbmt2
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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TMHI/NIZ.ATTON GF.RTIFTGATF.

This is to certify that rare, date ot’ birth . has received the following
vaccination as mentioned below:

S.No Vaccine Date


1. BCG i'accinc
2. DPT and Pol io vaccines fi rat dose
3. DPT and Poli o vacci nes 2"’ dose
4. D PT and Poli o vaccincs 3' dose
5. Mcaslcs vaccinc
6. Measles, Mumps, Rubella (MMR)
Dose
2" Dose
7. DPT and Polio vaccines first booster dose
S. DPT and Polio vaccilles second booster dose
9. I I cp atitis B vaccination l*’ Dose 2“‘ Dosc3"’ Dosc
10. Tdap vaccins
11. Hepatitis B vaccine bcmstei dose
1 2. Hepatitis A vaccine
1 ' close
2"‘ dt›se
1 3. C lii ckcm Pax Vaccinati un
1' dose
2”’ dose

Dr.

Dated:

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