Somebody thinks that this may be a designation of a para-medic surrounded by one of the armed services.

Answers:

My son got bit by a dog, and my FIL is turning it in on his insurance for pain/suffering. Will that work?

It is mundane practice for a qualified medical practictioner to display, after his medical qualifications, and usually within brackets, the establishment where he qualified. In this travel case it is probable that the initials represent - University of S~ao Paulo Medical School.
Hope this helps
matador 89

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The person could in good health be a doctor who trained at S~ao Paulo Medical School, thats the initials they put after their name at hand.
If you look at the link below you will see the title used at the start of the article

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United states pre-Med Student?

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Sprained or broken?

University of S~ao Paulo Medical School (USPMS)

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