١٩- ‫ﺷﻬﺎدة ﺗﻄﻌﻴﻢ ﺿﺪ ﻓﻴﺮوس ﻛﻮروﻧﺎ ﻛﻮﻓﻴﺪ‬

COVID-19 Vaccination Certificate

Name: NADYA NITISWARI :‫اﻹﺳﻢ‬

Date of Birth (DD-MM-YYYY): 18-11-1986 :(DD-MM-YYYY) ‫ﺗﺎرﻳﺦ اﻟﻤﻴﻼد‬

1 9- ‫ ﻛﻮﻓﻴﺪ‬- ‫ اﻟﻤﺮض اﻟﻤﺴﺘﻬﺪف‬:‫ﺗﻠﻘﻰ اﻟﻤﺬﻛﻮر أﻋﻼه ﺟﺮﻋﺎت اﻟﻠﻘﺎح اﻟﺘﺎﻟﻴﺔ ﻟـ‬

The above mentioned has received the following vaccine doses for: Disease Targeted - Covid-19

‫رﻗﻢ‬ ‫ﺗﺎرﻳﺦ اﻟﻠﻘﺎح‬ :‫ﺑﻠﺪ اﻟﺘﻄﻌﻴﻢ‬

‫اﻟﺠﺮﻋﺔ‬ ‫ﻣﺤﺘﻮى اﻟﻠﻘﺎح‬ ‫اﺳﻢ اﻟﻠﻘﺎح‬ ‫اﻟﺸﺮﻛﺔ اﻟﻤﺼﻨﻌﺔ‬ Date of
‫اﻟﺤﺰﻣﺔ‬ Country of
Dose Vaccine Vaccine Product Manufacturer Vaccination
Lot # Vaccination
(DD-MM-YYYY)

SARS CoV-2 mRNA Pfizer BioNTech / BioNTech Manufacturing

1 of 2 ER0866 01-03-2021 Qatar
Vaccine Comirnaty GmbH

SARS CoV-2 mRNA Pfizer BioNTech / BioNTech Manufacturing

2 of 2 EN1196 23-03-2021 Qatar
Vaccine Comirnaty GmbH

SARS CoV-2 mRNA Pfizer BioNTech / BioNTech Manufacturing

3 FG3528 01-01-2022 Qatar
Vaccine Comirnaty GmbH

Dr. Hamad Eid Al-Romaihi ‫اﻟﺪﻛﺘﻮر ﺣﻤﺪ ﻋﻴﺪ اﻟﺮﻣﻴﺤﻲ‬

Manager of Health Protection and Communicable ‫ﻣﺪﻳﺮ ﺣﻤﺎﻳﺔ اﻟﺼﺤﺔ وﻣﻜﺎﻓﺤﺔ اﻷﻣﺮاض‬
Diseases
‫اﻻﻧﺘﻘﺎﻟﻴﺔ‬
Public Health Department
‫إدارة اﻟﺼﺤﺔ اﻟﻌﺎﻣﺔ‬
P.O. Box – 42, Doha – Qatar
‫ ﻗﻄﺮ‬،‫ – اﻟﺪوﺣﺔ‬42 .‫ب‬.‫ص‬

.‫ ﻗﻄﺮ‬،‫ﻫﺬه اﻟﺸﻬﺎدة ﻫﻲ وﺛﻴﻘﺔ رﺳﻤﻴﺔ ﻣﻮﻗﻌﺔ رﻗﻤ ﻴ ًﺎ وﺻﺎدرة ﻋﻦ وزارة اﻟﺼﺤﺔ اﻟﻌﺎﻣﺔ – اﻟﺪوﺣﺔ‬
This certificate is an official document that is digitally signed and issued by the
Ministry of Public Health, Doha, Qatar.