One of the registration conditions for obtaining a tour guide card is:
The latest health certificate issued by hospitals at or above the county (district) level (which must include routine examination and two and a half examinations of liver function and hepatitis B).
The above application conditions have been included in the examination items of health certificate.
Legal basis:
The qualification certificate of tour guide is only the first step to become a tour guide. To really engage in the tour guide profession, you must obtain a tour guide certificate according to law. The tourist guide card is the proof of the professional behavior ability of the tour guide, the external symbol of the tour guide's identity, and the certificate that the state allows to engage in tour guide work. According to the Regulations on the Administration of Tour Guides, you must obtain a tour guide certificate to engage in tour guide activities in People's Republic of China (PRC).