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Information For New Students |
Format of Vaccination Statement
Take it on doctor’s letterhead with his sign and seal/stamp.
To Whomsoever It May Concern
This is to certify that Mr/Ms.______has been vaccinated successfully for the following during the period mentioned below: -
Vaccination |
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Date |
Birth |
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BCG |
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Polio |
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Polio |
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Triple Polio |
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Triple Polio |
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Triple Polio |
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Measles |
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MMR-1 |
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MMR-2 |
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2.5Yrs. Triple Polio |
Triple |
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Polio |
4.5Yrs. Triple Polio |
Triple |
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Polio |
Hepatitis |
1 |
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2 |
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3 |
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Sign and seal of Doctor
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