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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
Mohamad Azrie Bin Khalid
Warganegara / Nationality
Malaysian

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
030219060719 030219060719

SIJIL DIGITAL Tarikh Lahir / Date of Birth


19-Feb-2003
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
13-Oct-2021

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


27-Sep-2021
Pusat Pemberian Vaksin / Vaccination Center
Bangunan Office Of The Campus Director (OCD), SASMEC @ IIUM
Kuantan
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.
FG6272

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