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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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