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후천성면역결핍증검사확인서
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후천성면역결핍증검사확인서
Certificate of HIV Test
No.
검사년월일:
Date of HIV Test
성명:
Name in Full
주민등록번호: (Passport No. )
Resident Registration
직업:
Occupation
결과:
HIV Result
후천성면역결핍증예방법 제8조의 규정에 의하여 혈청학적 검사를 실시하였음을 증명함.
This is to certify that a seroiogical test has been conauted for in accordance with Article 8 of the AIDS Prevention Law.
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보건소장
Chief of Commmunity Health Center
Republic of Korea |
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2008.03.15
2페이지
