Official Rubella Fighter Membership Card
Be it known that on this 23 (day) day of Nov. (month), 1970 (year), ANDY has received rubella immunization, and is hereby enrolled as a member of the Official Rubella Fighters Club of New York State.
By being immunized, this Official Club Member also protects other children and mothers against the spread of rubella (German Measles)
(Signature of parent, guardian or teacher)
