front
clean bill of health
Number:
Name: Gender:
Type of work: age:
Physical examination: qualified
Work unit:
Date of Issue: Year Month Day (valid for one year)
Health inspection unit: (seal)
Printed by Health Supervision Office of Shandong Provincial Health Department
reverse side
Training qualification certificate
Training content:
Training time: class hours
Training evaluation: qualified
Date of Issue: Year Month Day (valid for one year)
Health supervision organization: (seal)
Printed by Health Supervision Office of Shandong Provincial Health Department