Notes on prophylactic vaccinations
Date
|
Vaccination
name (vaccination and revaccination), dose and vaccination series
|
Signature, seal
|
I 11.11.1992
II 22.09.1993
III 25.11.1994
IV 15.11.2004
|
DC 0,5 c 639
DC 0,5 c 107/6
DC 0,5 c 106-105
DC 0,5 c 54-6
|
|
Page 32
18.11.2004 Stamp: Gynaecologically healthy
[Signature]
[Seal: Vasilieva
Kateryna Igorivna. Physician]
19.09.2005 Oncological examination passed. Cytology has been taken.
[Signature]
[Seal: Vasilieva
Kateryna Igorivna. Physician]
20.09.2006 Oncological examination passed. Cytology has been taken.
[Signature]
[Seal: Vasilieva
Kateryna Igorivna. Physician]
