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    24 views2 pages

    Vaccination 860322235671

    Uploaded by

    Nur Anis Mazlina

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

    Nama / Name
    MOHD HASRUL NIZAM BIN HASSAN
    Warganegara / Nationality
    Malaysian

    MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
    860322235671 860322235671

    SIJIL DIGITAL Tarikh Lahir / Date of Birth


    22-Mar-1986
    VAKSINASI COVID-19
    DIGITAL CERTIFICATE for COVID-19 Kementerian Berkuasa / Authority Ministry
    VACCINATION KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
    Negara Pengeluar / Issuing Country
    MALAYSIA
    Tarikh Dikeluarkan / Date Issued
    27-Dec-2021
    Page 1 of 2

    MAKLUMAT VAKSINASI / VACCINATION DETAILS

    Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


    03-Jul-2021
    Pusat Pemberian Vaksin / Vaccination Center
    Dewan CTRM
    Nama Produk / Product name
    CoronaVac Suspension for Injection SARS-CoV-2 Vaccine (Vero Cell),
    Inactivated
    Nama Umum / Common Name
    Sinovac
    Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
    Sinovac Life Sciences Co. Ltd. COVID-19 vaccine, inactivated
    virus
    No. Lot / Batch No.
    5019532

    Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


    24-Jul-2021
    Pusat Pemberian Vaksin / Vaccination Center
    Dewan CTRM
    Nama Produk / Product name
    CoronaVac Suspension for Injection SARS-CoV-2 Vaccine (Vero Cell),
    Inactivated 2 doses/vial
    Nama Umum / Common Name
    Sinovac
    Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
    Sinovac Life Sciences Co. Ltd. COVID-19 vaccine, inactivated
    virus
    No. Lot / Batch No.
    202106051O
    MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
    Nama / Name
    MOHD HASRUL NIZAM BIN HASSAN
    Warganegara / Nationality
    Malaysian

    MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
    860322235671 860322235671

    SIJIL DIGITAL Tarikh Lahir / Date of Birth


    22-Mar-1986
    VAKSINASI COVID-19
    DIGITAL CERTIFICATE for COVID-19 Kementerian Berkuasa / Authority Ministry
    VACCINATION KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
    Negara Pengeluar / Issuing Country
    MALAYSIA
    Tarikh Dikeluarkan / Date Issued
    27-Dec-2021
    Page 2 of 2

    MAKLUMAT VAKSINASI / VACCINATION DETAILS

    Booster Dose Tarikh Divaksin / Date of Vaccination


    27-Dec-2021
    Pusat Pemberian Vaksin / Vaccination Center
    PPV Offsite KIPMALL MELAKA
    Nama Produk / Product name
    COVID-19 Vaccine AstraZeneca Solution for Injection (TH)
    Nama Umum / Common Name
    AstraZeneca
    Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
    Siam Bioscience Co., Ltd. COVID-19 vaccine, non-replicating
    viral vector
    No. Lot / Batch No.
    A1085

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