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COVID-19 VACCINATION RECORD

BENEFICIARY DETAILS
Name: JIGME OM

Gender: FEMALE

Date of Birth: Sep 06, 1999

CID/Passport/Work Permit Number: 11011000271

Registration ID on BVS: 399234

VACCINATION DETAILS
Dose 1 Dose 2

Date of Vaccination 28-03-2021 Date of Vaccination 22-07-2021


(dd/mm/yy) (dd/mm/yy)

Place of Vaccination Kuensel Phodrang Primary School, Place of Vaccination Kuensel Phodrang Primary School,
Thimphu Thromde Thimphu Thromde

Name of Vaccine COVISHIELD (ASTRAZENECA) Name of Vaccine MODERNA

Vaccine Manuf acturer Serum Inst it ut e of India Vaccine Manuf acturer Cat alent Indiana, USA

Lot Number 4120Z004 Lot Number 007D21A

Dose 3

Date of Vaccination 06-03-2022


(dd/mm/yy)

Place of Vaccination Changjiji THC, Thimphu


Thromde

Name of Vaccine MODERNA

Vaccine Manuf acturer Cat alent Indiana, USA

Lot Number 000179A


(Dr. Mimi Lhamu Mynak)
(Dr. Sonam Wangchuk)

Chairperson Vice Chairperson

National Immunization Technical Advisory Group


COVID- 19 Technical Advisory Group

Royal Government of Bhutan Royal Government of Bhutan

Note: To validate the record, please scan the QR Code. You will be directed to https://bvs.moh.gov.bt - the Bhutan Vaccine System portal.

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