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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
SUZIYANA BINTI WARISIN @ KODIRAN
Warganegara / Nationality
MALAYSIAN
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
810414016024 _

SIJIL DIGITAL Tarikh Lahir / Date of Birth


14-Apr-1981
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
11-Dec-2022
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MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


01-Jun-2021
Pusat Pemberian Vaksin / Vaccination Center
Universiti Malaya
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.
CTMAV538

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


03-Aug-2021
Pusat Pemberian Vaksin / Vaccination Center
Universiti Malaya
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.
D004A
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
SUZIYANA BINTI WARISIN @ KODIRAN
Warganegara / Nationality
MALAYSIAN
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
810414016024 _

SIJIL DIGITAL Tarikh Lahir / Date of Birth


14-Apr-1981
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
11-Dec-2022
Page 2 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose 1 Tarikh Divaksin / Date of Vaccination


10-Feb-2022
Pusat Pemberian Vaksin / Vaccination Center
Kelinik Jaya (Gombak )
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.
1K077-1A

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