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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
DORITI SUDA ANAK WELSON SUMPING
Warganegara / Nationality
Malaysian

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
960224136520 960224136520

SIJIL DIGITAL Tarikh Lahir / Date of Birth


24-Feb-1996
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
25-Feb-2022
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MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


04-Aug-2021
Pusat Pemberian Vaksin / Vaccination Center
Tawau Maternity and Specialist Hospital Sdn. Bhd.
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


25-Aug-2021
Pusat Pemberian Vaksin / Vaccination Center
Tawau Maternity and Specialist Hospital Sdn. Bhd.
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.
FG2975
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
DORITI SUDA ANAK WELSON SUMPING
Warganegara / Nationality
Malaysian

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
960224136520 960224136520

SIJIL DIGITAL Tarikh Lahir / Date of Birth


24-Feb-1996
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
25-Feb-2022
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MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose Tarikh Divaksin / Date of Vaccination


19-Feb-2022
Pusat Pemberian Vaksin / Vaccination Center
KLINIK SRI BALUNG
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.
FL7476

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