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COVID-19 Vaccination

Certificate
Sijil Vaksinasi COVID-19

Basic Information / Maklumat Asas

Medical Record No./BruHims No. : BN85006656

Name/Nama : Mohammad Ridhwan Bin Nokman, ( )

IC No./No. Kad Pengenalan : 01114204

Passport no./No. pasport : C0510356

Age/Umur : 22

Gender/Jantina : Male

Date of Birth/Tarikh Lahir : 11 May 2000

Telephone No./No. Telefon : +6738820391

Vaccine / Vaksin
Dose Batch Brand Country Date of Vaccination
/Dos /Kumpulan /Jenama /Negara /Tarikh Vaksinasi

1st 3005686 Moderna Spikevax Brunei 10 Nov 2021 09:28

2nd 3005793 Moderna Spikevax Brunei 08 Dec 2021 08:53

3rd 000179A Moderna Spikevax Brunei 28 Jul 2022 14:34

Note/Nota: The vaccinators should keep the "Vaccination Certificate" properly for inspection (Pemberi vaksinasi hendaklah menyimpan "Sijil Vaksinasi"
dengan baik untuk membuat pemeriksaan).

MINISTRY OF
HEALTH

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