Honor Certificate for the Parents of a Single ChildThe Peoples Government of ProvinceTABULATION 1:PHOTOIssue UnitSeal of Family Planning CommiteePopulation Plan SealCertificate NumberIssue Date: TABULATION 2:Name of ChildSexDate of BirthAddressFATHERNameWork Place When & Where took birth control MeasuresMOTHERNameWork PlaceWhen & Where took birth control Measures