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MEDICAL CERTIFICATE FOR ADMINISTRATION OF

HEPATITIS - B VACCINATION

I, Dr. R. Senthil, Reg- No 40664, certify that I have this 11.03.2024 administered the
Hepatitis - B Vaccine to the candidate whose particulars are given below:

1. Name of the candidate : Sakthi.M

2. Father’s Name : Murugan

3. Sex : Male

4. Age : 30/M

Dose of Vaccine Date Given Date For Next Dose


Dose I 11.03.2024 1 Month after
Dose II 6 Month After
Dose II

Signature of Applicant Dr.R.Senthil

Date: 12.03.2024
Place : Dharmapuri

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