新版出生医学证明(英语)

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Neonatal Name:



Gestational Age:



Birth Place:



Medical Institutions:



Mother’s Name:



Age:

Nationality:



Gender: Ethnic Group:

Time of Birth:



Birth Weight:Birth Length:


Address:



ValidIdentification

Identity Card Valid Identification No.:



Father’

Age: Nationality: Ethnic Group:s Name:

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