居民死亡医学证明书英文翻译模板

.'.MedicalCertificateofDeathCodeofAdministrativeDivisionNo：□0□0□0□0□0□0□0□0□0□2□0□1□7□0□3□9□4NameoftheDeceasedGenderEthnicGroupHanCountryorRegionAgeTypeofIDIDCardIDNumberPermanentAddressDateofBirthDateofDeathPlaceofDeathOtherPlacesandMiscellaneousCauseofDeathSuddenDeathNameoftheFamilyMemberContactNumberAddressoftheFamilyMemberSignatureoftheDoctorSignatureofthePoliceSealofMedicalandHealthOrganizationOpinionofLocalPoliceStation(Seal)December12,2017DateNote:Thefamilymembersofthedeceasedshallgothroughtheformalitiesofhouseholdregistrationcancellationinpublicsecuritybureauwiththismedicalcertificateofdeath.Thismedicalcertificateofdeathisinvalidwithoutthesignatureofthedoctorandpoliceaswellastheofficialsealofthemedicalandhealthorganizationandlocalpolicestation.People’sHospitalofJieshouDepartmentofPreventiveMedicine