MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
khairul nizam bin zainaludin
Warganegara / Nationality
Malaysian

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
760817065223 760817065223

SIJIL DIGITAL Tarikh Lahir / Date of Birth

VAKSINASI COVID-19
DIGITAL CERTIFICATE for COVID-19
VACCINATION
17-Aug-1976
Kementerian Berkuasa / Authority Ministry
KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
Negara Pengeluar / Issuing Country
MALAYSIA
Tarikh Dikeluarkan / Date Issued
12-Jan-2022
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MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination

24-Sep-2021
Pusat Pemberian Vaksin / Vaccination Center
KLINIK JINJANG
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.
202106056P

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination

15-Oct-2021
Pusat Pemberian Vaksin / Vaccination Center
KLINIK JINJANG
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.
202106056P