大学成績証明書の成績更新

Update the marks memo document. Change the marks to: Physiology-204, Biochemistry-201, Anatomy-197, Microbiology-198, Pharmacology-201, Pathology-196, Ophthalmology-137, Forensic Medicine & Toxicology-140, Community Medicine-204, Otorhinolaryngology-139, General Surgery-256, General Medicine-259, Paediatrics-135, Obstetrics & Gynaecology-262. Change the total from 2418 to 2729. Keep all other text, layout, formatting, QR code, header, and everything else exactly the same.