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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
ROSLI BIN HUSAIN
Warganegara / Nationality
MALAYSIAN

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
650128115187 _

SIJIL DIGITAL Tarikh Lahir / Date of Birth


28-Jan-1965
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
09-Dec-2021
Page 1 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


16-Mar-2021
Pusat Pemberian Vaksin / Vaccination Center
KLINIK KESIHATAN PADANG LUAS
Nama Produk / Product name
COMIRNATY * Concentrate for Dispersion for Injection
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
PFIZER MANUFACTURING COVID-19 vaccine, RNA based
BELGIUM NV
No. Lot / Batch No.
EP9605

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


06-Apr-2021
Pusat Pemberian Vaksin / Vaccination Center
KLINIK KESIHATAN PADANG LUAS
Nama Produk / Product name
COMIRNATY Concentrate for Dispersion for Injection
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
BioNTech Europe GmbH COVID-19 vaccine, RNA based
No. Lot / Batch No.
ER7449
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
ROSLI BIN HUSAIN
Warganegara / Nationality
MALAYSIAN

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
650128115187 _

SIJIL DIGITAL Tarikh Lahir / Date of Birth


28-Jan-1965
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
09-Dec-2021
Page 2 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose Tarikh Divaksin / Date of Vaccination


03-Dec-2021
Pusat Pemberian Vaksin / Vaccination Center
KLINIK KESIHATAN TRIANG
Nama Produk / Product name
COMIRNATY Concentrate for Dispersion for Injection
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
BioNTech Europe GmbH COVID-19 vaccine, RNA based
No. Lot / Batch No.
FH8773

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