EESTI IMMUNISEERIMISPASS ESTONIA Passport of ... - vaktsineeri

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INTERNATIONAL CERTIFICATE OF VACCINATION ORPROPHYLAXISThis is to certify that [name] _ ___________________________________date of birth ________________ sex_ __________________________nationality _ _____________________________________________CERTIFICAT INTERNATIONAL DE VACCINATION OU DEPROPHYLAXIENous certifions que [nom] _____________________________________né(e) le ______________________ de sexe_ ____________________et de nationalité_ __________________________________________national identification document, if applicable___________________________document d’identification national, le cas échéant_______________________whose signature follows_______________________________________has on the date indicated been vaccinated or received prophylaxis against:(name of disease or condition)____________________________________________________in accordance with the International Health Regulations.dont la signature sui _________________________________________a été vacciné(e) ou reçu des agents prophylactiques à la date indiquée contre: (nom de lamaladie ou de l’affection)____________________________________________________conformément au Règlement sanitaire international.Vaccine or prophylaxisVaccin ou agent prophylactiqueDateDateSignature and professional status ofsupervising clinicianSignature et titre du clinicien responsableManufacturer and batch No. of vaccineor prophylaxisFabricant du vaccin ou de l’agentprophylactique et numéro du lotCertificate validfrom:until:Certificat valable àpartir du:jusqu’au:Official stamp ofadministering centreCachet officiel du centrehabilité
Immuniseerimine tuberkuloosi vastuKuupäev Vaktsiini nimetus, tootja, partii number, doos Vaktsineerija nimi ja allkiriImmunization against tuberculosisJärgmiseimmuniseerimisekuupäevImmuniseerimine B-hepatiidi vastuImmunization against hepatitis BKuupäev Vaktsiini nimetus, tootja, partii number, doos Vaktsineerija nimi ja allkiriJärgmiseimmuniseerimisekuupäevImmuniseerimine difteeria, teetanuse, läkaköha,poliomüeliidi, Haemophilus influenzae b vastuKuupäev Vaktsiini nimetus, tootja, partii number, doos Vaktsineerija nimi ja allkiriImmunization against diphtheria, tetanus,pertussis, poliomyelitis, Haemophilus influenzae bJärgmiseimmuniseerimisekuupäev
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EESTI IMMUNISEERIMISPASS ESTONIA Passport of ... - vaktsineeri

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