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VACCINATION CERTIFICATE FOR CHOLERA.
International Certificate of Vaccination or Revaccination Against Cholera.
Certificat International de Vaccination Ou De Revaccination
This is to
certify that
Ja somasigre (e)
certifie que
whone signa-
ture follows
dont la
Contre la Cholera.
17
,
Passed the Legislative Council of Hong Kong, this 14th day of September, 1955.
date of birth ne (o)
Keskkonna sex
}
Deputy Clerk of Councils.
(Secretariat 1/2961/46)
has on the date indicated bean vaccinated or révaccinated against cholera.
a ste vaccine (e) ou revaccine (e) contre le cholera a la date indiques.
Date
Signature and professional status of vaccinator.
Signature et qualite" pro fessionnelle
du vaccinateur.
Approved stamp.
Cucket d'authentification.
4
5
8
1
*
TA
8