COVID-19 VACCINATION CERTIFICATE

Full Name:
CROMWELL TALADUA ORTEGA

Date of Birth:
29-Nov-1971

Sex:
MALE

Issuer:
Philippine Department of Health

Issuance Date and Time:

20-Oct-2021 09:44 PM

This is a secure QR code and can be verified by using the

scan functionality at https://vaxcert.doh.gov.ph/ Certificate ID: 554929002

Date of Vaccine/ Brand, Country of

Dose Number Lot Number
Vaccination Prophylaxis Manufacturer Vaccination

Sputnik V Gam-COVID-
COVID-19 vaccine, non-
1 28-Jun-2021
replicating viral vector
Vac, 1940521 Philippines
Gamaleya

Sputnik V Gam-COVID-
COVID-19 vaccine, non-
2 26-Sep-2021
replicating viral vector
Vac, 11610821 Philippines
Gamaleya