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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
NUR FARIZAN BINTI MOHD AMADZUN
Warganegara / Nationality
Malaysian
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
830108065192 830108065192

SIJIL DIGITAL Tarikh Lahir / Date of Birth


08-Jan-1983
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
15-Feb-2022
Page 1 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


08-Aug-2021
Pusat Pemberian Vaksin / Vaccination Center
DEWAN JUBLI PERAK SULTAN HAJI AHMAD SHAH, HCO A
Nama Produk / Product name
Comirnaty
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Biontech Manufacturing GmbH SARS-CoV-2 mRNA vaccine
No. Lot / Batch No.
FF0884

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


29-Aug-2021
Pusat Pemberian Vaksin / Vaccination Center
DEWAN JUBLI PERAK SULTAN HAJI AHMAD SHAH, HCO A
Nama Produk / Product name
Comirnaty
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Biontech Manufacturing GmbH SARS-CoV-2 mRNA vaccine
No. Lot / Batch No.
FG2872
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
NUR FARIZAN BINTI MOHD AMADZUN
Warganegara / Nationality
Malaysian
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
830108065192 830108065192

SIJIL DIGITAL Tarikh Lahir / Date of Birth


08-Jan-1983
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
15-Feb-2022
Page 2 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose 1 Tarikh Divaksin / Date of Vaccination


30-Dec-2021
Pusat Pemberian Vaksin / Vaccination Center
Hospital Tengku Ampuan Afzan, Kuantan
Nama Produk / Product name
Comirnaty
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Biontech Manufacturing GmbH SARS-CoV-2 mRNA vaccine
No. Lot / Batch No.
FL3560

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