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  • Dede Sunarya

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    KIA-KB PKM CIGALONTANG
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    This document is a COVID-19 vaccination card for Dede Sunarya born in 1983 who received 3 doses of the vaccine. The first two doses were CoronaVac vaccines on October 26, 2021 and November 23, 2021. The third dose was an Astra Zeneca vaccine on April 12, 2022. All doses were received at the CIGALONTANG vaccination location. Contact details are provided in case of any symptoms after vaccination.

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    This document is a COVID-19 vaccination card for Dede Sunarya born in 1983 who received 3 doses of the vaccine. The first two doses were CoronaVac vaccines on October 26, 2021 and November 23, 2021. The third dose was an Astra Zeneca vaccine on April 12, 2022. All doses were received at the CIGALONTANG vaccination location. Contact details are provided in case of any symptoms after vaccination.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    8 views1 page

    Dede Sunarya

    Uploaded by

    KIA-KB PKM CIGALONTANG
    This document is a COVID-19 vaccination card for Dede Sunarya born in 1983 who received 3 doses of the vaccine. The first two doses were CoronaVac vaccines on October 26, 2021 and November 23, 2021. The third dose was an Astra Zeneca vaccine on April 12, 2022. All doses were received at the CIGALONTANG vaccination location. Contact details are provided in case of any symptoms after vaccination.

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    KARTU VAKSINASI COVID-19

    No. Tiket : Q-001JAZKL No. NIK : 3206270307830002


    Nama Lengkap : DEDE SUNARYA
    Tanggal Lahir : 1983-07-03
    No.HP : 085714810405
    Alamat : Kp. Cisampang 08/01

    Lokasi Menerima : CIGALONTANG - 10221501

    Riwayat Pemberian Vaksin Covid-19

    Tanggal Vaksinasi Nama Vaksin No.Batch Lokasi Menerima Keterangan

    2021-10-26 11:46:00 CoronaVac 202109151H CIGALONTANG - 10221501 TELAH DIBERIKAN VAKSIN

    2021-11-23 10:50:00 CoronaVac 202109151H CIGALONTANG - 10221501 SELESAI VAKSIN

    2022-04-12 10:39:00 Astra Zeneca D202110022 CIGALONTANG - 10221501 selesai

    Catatan:
    Apabila terdapat gejala pasca dilakukan vaksinasi dapat menghubungi :
    Nama : IMAM DARUSSALAM
    No Telp : 082115654772

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