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  • M. Effendi V3

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    mohammad juhri
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    This COVID-19 vaccination card belongs to M. EFFENDI born in 1980. It shows that he received his first CoronaVac vaccination on August 30, 2021 in KLINIK BHY BIDDOKKES BANTEN. He received his second CoronaVac dose on April 14, 2022 in TIRTAYASA. His most recent vaccination was his third dose of the Pfizer vaccine on November 25, 2022 also in TIRTAYASA. The card provides contact information for any questions about side effects from the vaccinations.

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    M. EFFENDI V3

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    M. EFFENDI V3

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    This COVID-19 vaccination card belongs to M. EFFENDI born in 1980. It shows that he received his first CoronaVac vaccination on August 30, 2021 in KLINIK BHY BIDDOKKES BANTEN. He received his second CoronaVac dose on April 14, 2022 in TIRTAYASA. His most recent vaccination was his third dose of the Pfizer vaccine on November 25, 2022 also in TIRTAYASA. The card provides contact information for any questions about side effects from the vaccinations.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views1 page

    M. Effendi V3

    Uploaded by

    mohammad juhri
    This COVID-19 vaccination card belongs to M. EFFENDI born in 1980. It shows that he received his first CoronaVac vaccination on August 30, 2021 in KLINIK BHY BIDDOKKES BANTEN. He received his second CoronaVac dose on April 14, 2022 in TIRTAYASA. His most recent vaccination was his third dose of the Pfizer vaccine on November 25, 2022 also in TIRTAYASA. The card provides contact information for any questions about side effects from the vaccinations.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    KARTU VAKSINASI COVID-19

    No. Tiket : UU-0243KQX No. NIK : 3604131511800002


    Nama Lengkap : M. EFFENDI
    Tanggal Lahir : 1980-11-15
    No.HP : 085751720833
    Alamat : Kec. Tirtayasa
    Lokasi Menerima : TIRTAYASA - 10062401

    Riwayat Pemberian Vaksin Covid-19

    Tanggal Nama Vaksin No.Batch Lokasi Menerima Keterangan


    Vaksinasi

    2021-08-30 CoronaVac 2021071321 KLINIK BHY BIDDOKKES BANTEN - telah


    02:55:00 04700002 divaksin

    2022-04-14 CoronaVac 202112238 TIRTAYASA - 10062401 VAKSIN 2


    10:59:00

    2022-11-25 COVID-19 Vaccine FX2761 TIRTAYASA - 10062401 VAKSIN 3


    09:42:00 Pfizer

    Catatan:
    Apabila terdapat gejala pasca dilakukan vaksinasi dapat menghubungi :
    Nama : asniah
    No Telp : 083894426829

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