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                                                        (Section 28)

 

                                      CERTIFICATE OF VACCINATION

 

Certificate of successful vaccination

I, the undersigned, hereby certify that .........................................a man, woman, boy, girl of the apparent age of about................years, a resident of ....................... in the ...........................was successfully vaccinated by me at......... in the District of........... on the day of ……          

 

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           Public Vaccinator