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    alan nur

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    8 views1 page

    Alan Nur

    Uploaded by

    Poli Luka

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    KARTU VAKSINASI COVID-19

    No. Tiket : P-KARLZQT9 No. NIK : 3506051102070002


    Nama Lengkap : ALAN NUR WIJAYA
    Tanggal Lahir : 2007-02-11
    No.HP : 0812345678900
    Alamat : dsn weru rt 002
    Lokasi Menerima : KLINIK PRATAMA JIMBUN MEDIKA - 0186B024

    Riwayat Pemberian Vaksin Covid-19

    Tanggal Vaksinasi Nama No.Batch Lokasi Menerima Keterangan


    Vaksin

    2021-11-24 CoronaVac 2021081661 KLINIK PRATAMA JIMBUN MEDIKA - sudah vaksin


    11:56:00 0186B024 1

    Catatan:
    Apabila terdapat gejala pasca dilakukan vaksinasi dapat menghubungi :
    Nama : dr dwi
    No Telp : 085748938471

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