FORM 2.
CERTIFICATE OF REGISTRATION.
MIDWIVES BOARD
HONG KONG
Date
We, the undersigned, hereby certify that
whose photograph is appended hereto, is entitled to practise
as a midwife in accordance with the provisions of the Mid- wives Registration Ordinance, 1950.
Number*(-
Photograph.
* No.
ki Namc
ssary
Ante-Natal
Exam, if any
孕期檢驗
義 足
#Ast
BOEB Gravida
址
年
茲証明
【共片附
根據接生條例之規定可執
接生業
月
H
Chayman,
Midwives Board of Hong Kong.
[reg. 5.]
第
香港接生局注册証書
Seeratori,
18
For 3,
MIDWIFES CASE REGISTER.
Labour #
Duration
Child 嬰兒
Puerperium 斑後期
Temp. Day Pulse Day
No. of
PHE DE
| Date
PUDUE * *
$ B Hrs.
*
蒸餃
Mins.
if Membrances
## Date & time
期
N
13
[
3
2
3
海
Bon birth
维斯 Condition
[reg...]
* Blood Result
飼
1234123
#814 Remarks
19