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  • Kasmani V3

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    mohammad juhri
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    Kasmani received their first dose of the Pfizer COVID-19 vaccine on October 12, 2021 at Tanara Health Center. Their second dose was administered on March 11, 2022 at Tirtayasa Health Center. Kasmani then received their third/booster dose of the Pfizer vaccine on June 23, 2022 also at Tirtayasa Health Center. The document provides Kasmani's vaccine card with their personal details and record of each COVID-19 vaccine dose received.

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    KASMANI V3

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    KASMANI V3

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    Kasmani received their first dose of the Pfizer COVID-19 vaccine on October 12, 2021 at Tanara Health Center. Their second dose was administered on March 11, 2022 at Tirtayasa Health Center. Kasmani then received their third/booster dose of the Pfizer vaccine on June 23, 2022 also at Tirtayasa Health Center. The document provides Kasmani's vaccine card with their personal details and record of each COVID-19 vaccine dose received.

    Copyright:

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

    Kasmani V3

    Uploaded by

    mohammad juhri
    Kasmani received their first dose of the Pfizer COVID-19 vaccine on October 12, 2021 at Tanara Health Center. Their second dose was administered on March 11, 2022 at Tirtayasa Health Center. Kasmani then received their third/booster dose of the Pfizer vaccine on June 23, 2022 also at Tirtayasa Health Center. The document provides Kasmani's vaccine card with their personal details and record of each COVID-19 vaccine dose received.

    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-022QE99 No. NIK : 3604143007960001


    Nama Lengkap : KASMANI
    Tanggal Lahir : 1996-07-30
    No.HP : 081906883327
    Alamat : KP. LEMPUYANG RT. 005/002 DES. LEMPUYANG KEC. TANARA KAB. SERANG
    Lokasi Menerima : TIRTAYASA - 10062401

    Riwayat Pemberian Vaksin Covid-19

    Tanggal Vaksinasi Nama Vaksin No.Batch Lokasi Menerima Keterangan

    2021-10-12 14:55:00 COVID-19 Vaccine Pfizer FH3253 TANARA - 10063401 DOSIS 1

    2022-03-11 14:13:00 COVID-19 Vaccine Pfizer 350208D TIRTAYASA - 10062401 VAKSIN 2

    2022-06-23 14:23:00 COVID-19 Vaccine Pfizer FM9282 TIRTAYASA - 10062401 VAKSIN 3

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

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