[Seal of the Ministry of Health of the People’s Republic of ]

MINISTRY OF HEALTH OF THE PEOPLE’S REPUBLIC OF CHINA
BIRTH CERTIFICATE

Full name of baby: Song Zhuoqing 		Male [√] Female [ ]		Date of birth: 14 November 2000  Hour: 4	Minute: 20
Place of birth:	Province:	City: Beijing	County (District): Dong Cheng	 Township: 		Gestation (week): 35 weeks
Health Status:	Well [√]  Normal [  ]    Weak [  ]  	Weight: 2300 g 	Height: 45 cm

Full name of mother: Li Wei Ping		Age: 31		Nationality: China		Ethnic group: Han
Identity Card No.: 110108690816378

Full name of father: Song Yang		Age: 31		Nationality: China		Ethnic group: Han
Identity Card No.: 110108690330375

Type of place of birth:	General hospital  [√ ]  MCH hospital  [	 ]  Home  [  ]  Other  [  ]
Name of facility: Renji Hospital

Birth Certificate No.: A110017719		Date of Issue: 12 December 2000
“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. Cannot be sold, lent or altered in private. And it is referred to upon civil registration. 










[Seal Affixed]

Issuing organization (seal)