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24429 53114

Republic of the Philippines


C I T Y OF M A N I L A

CERTIFICATE OF VACCINATION

This is to certify that MARJORIE CAYAS MANALANG, 23 years of age,


residing at 304 PARAISO ST TONDO MANILA Barangay 97, TONDO I / II was
fully vaccinated by the Manila Health Department.

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1st Dose 2nd Dose

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Date Administered 04/03/2021 05/01/2021
Brand Sinovac Sinovac

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Injection Site Deltoid, Left Deltoid, Right

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Lot Number H202102005 ci J202103010
Route IM IM
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Expiration Date 02/18/2024 03/14/2024
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Vaccinator/Site (1st) RESTY T. MENDOZA


by

COMMUNITY
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Vaccinator/Site (2nd) REQUIERO G. BONA


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ISABELO DELOS REYES ELEMENTARY SCHOOL


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firm
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This certificate is issued this 28th day of July 2021 for whatever legal purpose
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this may serve best.


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Sc

Arnold M. Pangan, MD, RSW


City Health Officer

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