ㅤ⠀　ㅤ⠀　　Health Insurance Certificate 　ㅤ⠀ㅤ⠀　　T-kyo Prefecture Health Insurance Bureau

ㅤ⠀ㅤ⠀ㅤ⠀ㅤ HINATA MINATO
Name:          Minato Hinata

Symbol:        HM
Number:        180527

Date of Birth: May 27, 20▙▒
Age:           18 years old
Gender:        Male
Height:        160 cm

Address:       T-kyo City, T-kyo Prefecture
               ▛▒▚ Apartment Room 102

Household:     Single Household
Occupation:    Late-night Warehouse Cleaner (Part-time)

Issue Date:    Month ▚, 20▒
Expiry Date:   Month ▒, 20▛

Issued by:
T-kyo Prefecture Health Insurance Bureau