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死亡证明 翻译

Medical Certificate of Cause of Death In China

Case NO.0039280

Full Name of deceased :xxxxx

Sex :Female

Nationality :Chinese

National ID:xxxxxxxxxxxxxx

Date of birthday:10 Feb xxx

Age ( in years last birthday ) :xx years

Marital status :married

Date of death:22 May 2013

Place of dead: hospital

Relative:xxxx (husband)

Usual Residence :xxxxx District, xxx City, xxxx Province

CAUSE OF DEATH

I

Disease of condition directly leading to death

( A)Multiple organ failure

Due to (or as a consequence of)

Antecedent causes morbid conditions, if any,

give rise to the above cause, stating the underlying condition last

(B) lung cancer multiple metastases

Due to (or as a consequence of)

II

Other significant conditions contributing to

death ,but not related to the disease or condition causing it (C)

Deceased is diagnosed by : xxxx Province Hospital

Deceased is diagnosed on the main basis of Clinical + laboratory and pathology manifestations Hospitalization No.:xxxxx

Doctor sign:xxxxx

Hospital Stamp : xxxx Province cancer Hospital