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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
Francis Leyco
Warganegara / Nationality
Filipino

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
_ P0670661B

SIJIL DIGITAL Tarikh Lahir / Date of Birth


04-Jun-1990
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
30-Apr-2022
Page 1 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


14-Jul-2021
Pusat Pemberian Vaksin / Vaccination Center
Subang Jaya Medical Centre
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.
EY0584

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


04-Aug-2021
Pusat Pemberian Vaksin / Vaccination Center
Subang Jaya Medical Centre
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.
FF4222
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
Francis Leyco
Warganegara / Nationality
Filipino

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
_ P0670661B

SIJIL DIGITAL Tarikh Lahir / Date of Birth


04-Jun-1990
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
30-Apr-2022
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MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose Tarikh Divaksin / Date of Vaccination


21-Jan-2022
Pusat Pemberian Vaksin / Vaccination Center
PPV Offsite Atria Shopping Gallery (Sungai Long Specialist Hospital)
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.
CTMAV5161

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