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INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL


Number / Nomor :
813772279

DETAILS / RINCIAN

Full Name
IKO MARGARETA
Nama
Lengkap

National Identity Number


3504063003890001

  
NIK

Passport Number

No.
Passport

Date of Birth 1989-03-30


Tanggal
Lahir
For further details, please visit
https://verify.kemkes.go.id

VACCINATION DETAILS / RINCIAN VAKSINASI

Date of vaccination
Dose Number
Country of Vaccination
Vaccine Manufacturer
Type
Batch ID

Tanggal Vaksinasi Dosis ke Negara /Tempat Vaksinasi Jenis Vaksin Type Batch ID

18-Mar-2021 First / Pertama Indonesia CoronaVac 24000721

01-Apr-2021 Second / Kedua Indonesia CoronaVac 24001121

24-Jan-2022 Third / Ketiga Indonesia COVID-19 Vaccine Pfizer FL4789

Vaccination is to protect ourselves and our families, neighbors and


protect Indonesian people and people worldwide.

Vaksinasi
melindungi diri kita, keluarga kita, tetangga dan melindungi rakyat
Indonesia dan manusia di seluruh dunia.

World Health Organization Digital Documentation for COVID-19


Certificates Format

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