EDQK PAN Z—SANI<1‘AZR¥» GDNVENTIGNI 14, 192·£.
fini *%·> .:;1f" -.
.· iiY2‘£ [Mi; IQ >:&§ ,i1{L·£ in 5. VV". Yiik Q}.E¤:’é.·_}`·ZP‘l·? f‘;°i” ' i R .£¥T$,4Lg€< ;·i &iL.Vf!, NJ ¥<a_Jvfi§s.$i:’..? 2*;.z.y5*$;;:;• yi.‘>ii¤¢!;K=>a;1 3;.; YE
- ”°°‘”‘· · I
1'{ YU I"%_:'V] Q i ` .£, >;é>·.r c ·»*:Q* , "“""“"°"°°"‘* ·i,,;_.?2e;s.Ti1 ¤~¤T~*B¤¥3<_E z. °“"‘““‘· ¤····»~···· mw ‘ ‘ S ¤r••·.> Ho|q15?1phmDhdd•Bd-Mmqu-i I Manu-mggm-l man Chnnlnab t¤••B•¤Li¤ebu¤tce•R¤¤Llc•bug¤toesBat¤Lio•buga mFiEZIZ mm Mb" UN` 3m' u. s oe. mu. s M. nm. nz. su. ua.
¤%..°é.‘*·..*· §°‘* ° °‘·‘°°‘· ‘ °‘ § 2.,. . 2..
--- Ol. . Ol. . H•t¢....-.?.ffk 1}(cs.12}ios. 26os. 12}§oz.%%l;. {,70:;. TABLE II H°°°°"'°°""‘ Hman of Exposure A Mosqul- Bed- Moaqui- Bed- Mosquk Bed- w••1u¤u¤•b¤¤m¤mume•¤¤¤m¤¤n•¤L1¤•bu¤ uu. em. um. om. xm-. 2m. am. zum. mu. mm. 1;5m—¤.1;gm. Seria1No. -nun--— .................................... Health Service ............ Quarantine Station ............ ,X;°°'°•“°° °°’“· CERTIFICATE OF VACCINATION AGAINST sM.u.L1>0x Name ............. - .................................. Sex ................ Age ......... - .... - ............... Date of Vaccination .................... Height",- ....................... Date of Reaction ....... - ................ Result: ' Immune Reaction Vaccinoid Successful Vaccination Signed " `` §`a;}"€¤I€¤ '''''““ ' ```` lf12IzE&£z`6`pzm ````¢ XZJHLE ````` .............................. Health Service
�
