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  • Surat Vaksin Oktiana

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    aprilia malasari
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    SURAT VAKSIN OKTIANA

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    10 views1 page

    Surat Vaksin Oktiana

    Uploaded by

    aprilia malasari

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    KARTU VAKSINASI COVID-19

    No. Tiket : Q-001OKQXD No. NIK : 1805224110970001


    Nama Lengkap : OKTIANA
    Tanggal Lahir : 1997-10-01
    No.HP : 08127918827
    Alamat : RAWA RAGIL RT/RW 002/001 RAWAPITU
    Lokasi Menerima : KLINIK POLRES TULANG BAWANG - 01050009

    Riwayat Pemberian Vaksin Covid-19

    Tanggal Nama No.Batch Lokasi Menerima Keterangan


    Vaksinasi Vaksin

    2021-11-08 Astra ABZ7661 KLINIK POLRES TULANG BAWANG KEMBALI TANGGAL 31


    14:44:00 Zeneca - 01050009 JANUARI 2022

    2022-02-03 Astra 325372P KLINIK POLRES TULANG BAWANG VAKSIN DOSIS KE 2 SUDAH
    12:13:00 Zeneca - 01050009 DIBERIKAN

    Catatan:
    Apabila terdapat gejala pasca dilakukan vaksinasi dapat menghubungi :
    Nama : Dwi Kurniawan SKep Mh
    No Telp : 081369228844

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