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Vaccination - Template

This document certifies that a child named <Name of Kid> has received a series of vaccinations from birth to age 11, detailing the specific vaccines and dates administered. The vaccinations include BCG, DTaP, OPV, IPV, Hepatitis, Measles, Chicken Pox, and HPV among others. The document serves as an official record of the child's immunization history.

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sagarapr20
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44 views1 page

Vaccination - Template

This document certifies that a child named <Name of Kid> has received a series of vaccinations from birth to age 11, detailing the specific vaccines and dates administered. The vaccinations include BCG, DTaP, OPV, IPV, Hepatitis, Measles, Chicken Pox, and HPV among others. The document serves as an official record of the child's immunization history.

Uploaded by

sagarapr20
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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05-08-2024

TO WHOM SO EVER IT MAY CONCERN

This is to certify that <Name of Kid >, (DOB: DD MMM YYYY) aged XX Years YY Months,
D/o Mr. <Father> & Mrs. <Mother> received the vaccinations as mentioned below.

S.No Age of the Child Name of the Vaccine Given Date


1 At Birth BCG, OPV, 10.11.2012
Hepatitis ‘’B’’ (1ST)
2 6 Weeks DTaP + HIB + OPV + IPV 24.12.2012
Hepatitis “B’’ (2nd)
Rotavirus Vaccine
Pneumococcal Vaccine
3 10 Weeks DTap + HIB + IPV + OPV 23.01.2013
Pneumococcal Vaccine
Rotavirus
Hepatitis “B” (3rd)
4 14 Weeks DTaP + HIB + OPV + IPV 20.02.2013
Pneumococcal Vaccine
Rotavirus
5 6 Months Influenza 07.05.2013
OPV
6 9 Months Measles 11.08.2013
OPV
7 12 Months Chicken Pox 10.11.2013
8 13 Months Hepatitis ‘A’ Vaccine 13.12.2013
9 15 Months MMR 10.02.2014
Pneumococcal Vaccine
10 18 Months DPT(1ST) + DTaP + HIB 08.05.2014
OPV + IPV
11 19 Months Hepatitis ‘A’ Vaccine 14.06.2014
12 21 Months Meningococcal 15.08.2014
13 24 Months Typhoid 12.11.2014
14 27 Months Pneumococcal 13.02.2015
15 5 Years DTaP, Hepatitis ‘’B’’ 11.11.2017
Chickenpox + MMR + OPV 26.12.2017
16 10 Years TT 06.01.2023
17 11 Years HPV Vaccine 1 01.06.2023
HPV Vaccine 2 18.12.2023

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