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)
