Ministry of HealthCare
 Eye Institute
Socialist Republic of Vietnam

Hospital release certificate .no: 553

Name: Do Van Kinh

Age : 9

Occupation: no

Address : Dong Xuyen, Tien Hai, Thai Binh

Coming day: 15/3/1980                Graded record: 17

Release day: 3/4/1980

Disease: Retrobulbar neuritis of the left eye

Treatment method:

   – Right eye: removed and replaced by artificial eye.
   – Left eye: normal.

Treatment result and proposal of doctor

   – Replaced the right eye by artificial one.
   – The test result has not been gotten.
   – After a half of month, re-examine and get the result of test

April, 1st, 1980

Kim Trang