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NE

coVID-19

COVID-19 Vaccination Card


informatior
which includes medical
Please keep this record card, ID no.
have received
about the vaccines you

Cacmento Keia
First Name
M.I Suffix

Last Name
0aGh 16/110
Address Cap MaveBatangac CiHt Contact No.

CategoryKoPP

Philhealth No.
Date of Birth an 22,MI4_Sex fmale
Batch No. Lot No.
Vaccine Manufacturer
Date
Dosage Seq (mm/dd/lyy)

Poso4
PFize
1st Dose Signature:U
Vaccinator Name GEMMIAM.ACLAN RM
:36 PEZERo.0081333 280D
2nd Dose
(Schedule: ) Vaccinator Name: MARICRIS R. REYES, RM Signature
DL UC NO.O144626
OFFICE Contact Nos..
0926 621 4557
0926 621 4560
Name: BATANGAS CITYHEALTH 0968 416 7915
Health Facility
SI E

PP

officialDOHgovDOHgovph doh.gov.ph(632)8561-7800loc.1936covidt9ceir@doh.gov.ph

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