83041 70150

Republic of the Philippines

C I T Y OF M A N I L A

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CERTIFICATE OF VACCINATION

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This is to certify that ROLANDO BARTOLOME PALINO, 70 years of age,

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residing at 260 MUSTASA ST. TONDO MANILA Barangay 103, 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 05/17/2021 06/14/2021
Brand Sinovac Sinovac

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Injection Site Deltoid, Left Deltoid, Left
Lot Number B202104046 h C202105075
Route IM IM
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Expiration Date 04/21/2024 05/05/2024
Vaccinator/Site (1st) NIÑA ELOISA L. ASILO
EMILIO JACINTO ELEMENTARY SCHOOL
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Vaccinator/Site (2nd) SUSAN D. VERTUDEZ

EMILIO JACINTO ELEMENTARY SCHOOL
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This certificate is issued this 27th day of July 2021 for whatever purposes this
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may serve best.

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Arnold M. Pangan, MD, RSW

City Health Officer