出生医学证明-北京朝阳(横版-无说明)

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Ethnic Group
Han
Address
XXXXXXXXXX
Valid Identification
Identity Card
Passport
Others/
Valid Identification No.
XXXXXXXXXX
IssuingAuthority (Seal)
Nanjing Maternity and Child Health Care Hospital
Ethnic Group
Han
Address
XXXXXXXXXX
Valid Identification
Identity Card
Passport
Others/
Valid Identification No.
XXXXXXXXXX
Father’s Name
XXXXX
Age
31
Nationality
China
Qinhuai District, Nanjing City, Jiangsu Province
Medical Institution
NanjingMaternity and Child Health Care Hospital
Mother’s Name
XBaidu NhomakorabeaXXX
Age
28
Nationality
China
No.XXXXXX
Date of Issue
XXXXXXXXXX
Special Seal forReissue of MedicalCertificateofBirth ofJiangsu Province,Nanjing Maternity and Child Health Care Hospital(Sealed)
MEDICAL CERTIFICATE OF BIRTH
Neonatal Name
XXXXXXXXXX
Gender
Male
Time of Birth
XXXXXXXXXX
Gestational Age
41+4weeks
Birth Weight
4000g
Birth Length
52cm
Birth Place
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