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[Translation from Japanese to English ] Certificate of immunization for the second period of two-species mixture (d...

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Requested by kbys_330 at 13 Jan 2019 at 06:54 2652 views
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二種混合2期(ジフテリア・破傷風) 予防接種済証
学校名 大山口小学校
学年・組 6年1組
名前 小林美穂

予防接種を行った年月日
平成20年10月22日


平成20年10月22日
千葉県白井市長 中村教彰
(公印省略)

Certificate of vaccination
2 combination/Diphtheria and Tetanus
the second vaccination

Name of school:Oyamaguchi Junior High School
Grade and class:Class No.1 in grade of 6
Name:Miho KOBAYASHI
Date of vaccination: the 22nd of October, 2008

the 22nd of October, 2008
The mayor of Shiraishi city, Chiba prefecture
Noriaki NAKAMURA

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名前の読み方は 小林美穂(こばやしみほ) 中村教彰(なかむらのりあき)です。

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