死亡医学证明-英文

Death Certificate

Tianjin Residence Death Medical Identify (Special Seal) Tianjin Yongjiu Hospital The third page is saved by the Household Management Department

Death Certificate

The following content is filled by the report statistician: 1. Death reason: 2. ICD Code:

Note: The irregular death without doctor’s identify and disease without medical organization’s diagnose sealed Special Seal for Tianjin Residence Death Diagnose will not provide death diagnose

Printed by Tianjin Center For Disease Control and Prevention The second page is saved by the family member and hand to household management department at the time of cancellation of his/her household registration