Elite翻译（Elite Translation Co., Ltd.）Tel: {〇二八} - “八五〇九五八〇九” Birth Certificate

Full name of baby: ××× Male Date of birth: ××××

Place of birth: ×××× Gestation (week): weeks

Health status: Weight: g Height:××cm

Full name of mother: ××× Age: ×× Nationality: Nationality:

Identity card No.:

Full name of father: ××× Age: ×× Nationality: Nationality:

Identity card No.: ××××

Type of place:××××××××××××

Name of facility: ××××

Birth certificate No.:×××××××××××× Date of Issue: ××××××××

“The Medical Certificate of Birth” is formulated according to “The law of the people’s Republic of China on Maternal and Infant Health Care”.

It is a legal medical certificate of people born in the People’s Republic of China. It is taken care of by the Newborn baby’s father and mother

or guardian. Can not be sold, lent or altered in private. And it is referred to upon civil registration.

MISNISTRY OF HEALTH OF THE PEOPLE’S REPUBLIC OF CHINA (Seal)

Issuing Organization: Special Seal for Chengdu Medical Certificate of Birth for Chengdu Maternal and Children's Health Care Hospital

(Seal)