MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
HASNAN BIN ABD KADIR
Warganegara / Nationality
Malaysian
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
681102035033 _

SIJIL DIGITAL Tarikh Lahir / Date of Birth

VAKSINASI COVID-19
DIGITAL CERTIFICATE for COVID-19
VACCINATION
02-Nov-1968
Kementerian Berkuasa / Authority Ministry
KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
Negara Pengeluar / Issuing Country
MALAYSIA
Tarikh Dikeluarkan / Date Issued
16-Oct-2022
Page 1 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination

14-Jul-2021
Pusat Pemberian Vaksin / Vaccination Center
World Trade Centre Kuala Lumpur (Station 2)
Nama Produk / Product name
Vaxzevria
Nama Umum / Common Name
AstraZeneca
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
AstraZeneca AB covid-19 vaccines
No. Lot / Batch No.
A1013

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination

15-Sep-2021
Pusat Pemberian Vaksin / Vaccination Center
World Trade Centre Kuala Lumpur (Station 2)
Nama Produk / Product name
Vaxzevria
Nama Umum / Common Name
AstraZeneca
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
AstraZeneca AB covid-19 vaccines
No. Lot / Batch No.
PV46701
 MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
HASNAN BIN ABD KADIR
Warganegara / Nationality
Malaysian
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
681102035033 _

SIJIL DIGITAL Tarikh Lahir / Date of Birth

VAKSINASI COVID-19
DIGITAL CERTIFICATE for COVID-19
VACCINATION
02-Nov-1968
Kementerian Berkuasa / Authority Ministry
KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
Negara Pengeluar / Issuing Country
MALAYSIA
Tarikh Dikeluarkan / Date Issued
16-Oct-2022
Page 2 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose 1 Tarikh Divaksin / Date of Vaccination

16-Jan-2022
Pusat Pemberian Vaksin / Vaccination Center
PPV OFFSITE ZAIN AZRAI (BUKIT IDAMAN)
Nama Produk / Product name
Vaxzevria
Nama Umum / Common Name
AstraZeneca
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
AstraZeneca AB covid-19 vaccines
No. Lot / Batch No.
A1085