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  • Iswanto Wekas

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    bekti pratiwi
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    This COVID-19 vaccination card belongs to Iswanto, born in 1959 who received his first Pfizer vaccine dose on November 25, 2021 at 15:26 at the Sapuran vaccination location. The card lists his identification number, name, date of birth, phone number, address and vaccination details. It also provides contact information for Dwi Indar in case any post-vaccination symptoms arise.

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    ISWANTO WEKAS

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    This COVID-19 vaccination card belongs to Iswanto, born in 1959 who received his first Pfizer vaccine dose on November 25, 2021 at 15:26 at the Sapuran vaccination location. The card lists his identification number, name, date of birth, phone number, address and vaccination details. It also provides contact information for Dwi Indar in case any post-vaccination symptoms arise.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    9 views1 page

    Iswanto Wekas

    Uploaded by

    bekti pratiwi
    This COVID-19 vaccination card belongs to Iswanto, born in 1959 who received his first Pfizer vaccine dose on November 25, 2021 at 15:26 at the Sapuran vaccination location. The card lists his identification number, name, date of birth, phone number, address and vaccination details. It also provides contact information for Dwi Indar in case any post-vaccination symptoms arise.

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    © All Rights Reserved
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    KARTU VAKSINASI COVID-19

    No. Tiket : S-EE5C5792 No. NIK : 3307031008590002


    Nama Lengkap : ISWANTO
    Tanggal Lahir : 1959-08-10
    No.HP : 085727762346
    Alamat : DESA BANYUMUDAL
    Lokasi Menerima : Sapuran - 11140303

    Riwayat Pemberian Vaksin Covid-19

    Tanggal Vaksinasi Nama Vaksin No.Batch Lokasi Menerima Keterangan

    2021-11-25 15:26:00 COVID-19 Vaccine Pfizer f63523 Sapuran - 11140303 vaksin 1

    Catatan:
    Apabila terdapat gejala pasca dilakukan vaksinasi dapat menghubungi :
    Nama : DWI INDAR
    No Telp : 085974495355

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