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BIRTHCERTIFICATEFullNameofBabyMale☐Female☐DateofBirthPlaceofBirthGestationWeekProvinceCityCounty/DistrictTownshipHealthConditionWell☐Normal☐Weak☐WeightgHeightCmFullNameofMotherAgeCitizenshipChinaEthnicGroupHanIDCardNo.FullNameofFatherAgeCitizenshipChinaEthnicGroupHanIDCardNo.TypeofBirthFacilityGeneralHospital☐MCHHospital☐Home☐Other☐__________________________NameofFacilityBirthCertificateNo.DateofIssueMINISTRYOFHEALTHOFTHEPEOPLE’SREPUBLICOFCHINA(SEAL:MinistryofHealthofthePeople’sRepublicofChina)“TheMedicateCertificateofBirth”isformulatedaccordingtotheLawofthePeople’sRepublicofChinaonMaternalandInfantHealthCare.ItisalegalmedicalcertificateofpeopleborninthePeople’sRepublicofChina.Itistobekeptofbythenewbornbaby’sfatherandmother,orguardian.Thiscertificatecannotbesold,lend,oralteredwithoutauthorization.Anditisreferredtouponcivilregistration.OrganizationofIssue(seal)(SEAL:)

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