1, reference (your name): XXX.
2. Certification time: XXXXX, XX, XX, XX.
3. Certification content: I (your name) taught myself the relevant knowledge of Chinese medicine assistant doctors from XX to XX, and passed the examination of Chinese medicine assistant doctors to obtain the qualification certificate of Chinese medicine assistant doctors. During the period, there was no substitute teacher, and all the learning content was self-study. This is to certify that.
4. Signature of witness: (your signature).
5. Contact information of the referrer: (Your contact information).