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"South front of the Pennsylvania Hospital/ This building by the bounty of Government and of many private persons was piously founded for the relief of the sick and miserable anno 1755/ engraved by W. Cooke, No. 40 Kirby St, Hatton Garden London.
We the attending managers and physicians of the Pennsylvania Hospital, do certify that _______ student of medicine of the said Hospital for ______/ in testimony whereof we have respectively set our names to this certificate and caused the seal of the Hospital to be thereunto affixed this _____ day of _____ in the year of our Lord_____
_____Managers/ _____Physicians."