(19-

19-‫اﻟﺘﻘﺮﻳﺮ اﻟﻄﺒﻲ ﻟﺘﻄﻌﻴﻢ ﻓﺎﻳﺮوس ﻛﻮروﻧﺎ )ﻛﻮﻓﻴﺪ‬

COVID-19 Vaccine Medical Report

Full Name AZHAR MEHMOOD ABBASI ZULFIQAR ‫أﻇﻬﺮ ﻣﺤﻤﻮد ﻋﺒﺎس دواﻟﻔﻘﺎر‬ ‫اﻻﺳﻢ‬

ID Number 2210252827 2210252827 ‫رﻗﻢ اﻟﻬﻮﻳﺔ‬

Date of birth 01 Jan 1979 1979 ‫ ​ ﻳﻨﺎﻳﺮ‬01 ‫ﺗﺎرﻳﺦ اﳌﻴﻼد‬

Nationality Pakistan ‫ﺑﺎﻛﺴﺘﺎن‬ ‫اﻟﺠﻨﺴﻴﺔ‬

Vaccine Type ‫أﺳﺘﺮاز ﻳﻨﻴﻜﺎ‬-‫أﻛﺴﻔﻮرد‬ Oxford-AstraZeneca ‫ﻧﻮع اﻟﺘﻄﻌﻴﻢ‬

Date 2021-03-16 2021 ‫ ​ ﻣﺎرس‬16 ‫اﻟﺘﺎرﻳﺦ‬

Batch Number 4120Z019 4120Z019 ‫رﻗﻢ اﻟﺘﺸﻐﻴﻠﺔ‬

Vaccine Type ‫أﺳﺘﺮاز ﻳﻨﻴﻜﺎ‬-‫أﻛﺴﻔﻮرد‬ Oxford-AstraZeneca ‫ﻧﻮع اﻟﺘﻄﻌﻴﻢ‬

Date 2021-07-08 2021 ‫ ​ ﻳﻮﻟﻴﻮ‬08 ‫اﻟﺘﺎرﻳﺦ‬

Batch Number ABX3120 ABX3120 ‫رﻗﻢ اﻟﺘﺸﻐﻴﻠﺔ‬

‫ اﳌﻤﻠﻜﺔ اﻟﻌﺮﺑﻴﺔ اﻟﺴﻌﻮدﻳﺔ‬،‫ﻦ ﻗﺒﻞ وزارة اﻟﺼﺤﺔ‬

‫ﻣﻦ‬‫ﻢ إﺻﺪار ﻫﺬا اﻟﺘﻘﺮ ﻳﺮ ﻣ‬
‫ﺗﺗﻢ‬

‫ﻊ اﻷﻧﻈﻤﺔ اﻟﺤﻜﻮﻣﻴﺔ ﰲ اﳌﻤﻠﻜﺔ اﻟﻌﺮﺑﻴﺔ اﻟﺴﻌﻮدﻳﺔ‬

‫ﻣﻊ‬‫ﻢ ﺗﺮﺗﺒﻂ إﻟﻜﺘﺮوﻧﻴﺎ ﻣ‬
‫ﻫﺬا اﻟﺘﻘﺮ ﻳﺮ ﻟﻺﺳﺘﺨﺪام اﻟﻄﺒﻲ ﺧﺎرج اﳌﻤﻠﻜﺔ ﰲ اﻟﺪول اﻟﱵ ﻟﻟﻢ‬

This Report has been issued by the Ministry of Health, Kingdom of Saudi Arabia

This report is intended to be used for medical purposes outside the Kingdom of Saudi Arabia, in the countries that are not integrated with
the Kingdom's government systems.

Kindly scan the QR code to vaildate Report No. ‫رﻗﻢ اﻟﺘﻘﺮ ﻳﺮ‬ ‫ﻦ ﺻﺤﺔ‬
‫ﻣﻦ‬‫ﻳﺮﺟﻰ ﻣﺴﺢ اﻟﺒﺎرﻛﻮد ﻟﻠﺘﺤﻘﻖ ﻣ‬

this report VCC16032118103 ‫ﻫﺬا اﻟﺘﻘﺮ ﻳﺮ‬

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