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  • Iip Assifah V4

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    Mohammad Juhri
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    This document is a COVID-19 vaccination card for IIP ASSIFAH born in 2003 that contains her personal details and vaccination history. It shows that she received her first dose of the CoronaVac vaccine on June 29, 2021, her second dose on July 13, 2021, her third dose of the Pfizer vaccine on February 28, 2022, and her fourth dose on November 8, 2022, all at the TIRTAYASA vaccination location. It provides a contact number to call if any symptoms occur after vaccination.

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    IIP ASSIFAH V4

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    IIP ASSIFAH V4

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    This document is a COVID-19 vaccination card for IIP ASSIFAH born in 2003 that contains her personal details and vaccination history. It shows that she received her first dose of the CoronaVac vaccine on June 29, 2021, her second dose on July 13, 2021, her third dose of the Pfizer vaccine on February 28, 2022, and her fourth dose on November 8, 2022, all at the TIRTAYASA vaccination location. It provides a contact number to call if any symptoms occur after vaccination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    11 views1 page

    Iip Assifah V4

    Uploaded by

    Mohammad Juhri
    This document is a COVID-19 vaccination card for IIP ASSIFAH born in 2003 that contains her personal details and vaccination history. It shows that she received her first dose of the CoronaVac vaccine on June 29, 2021, her second dose on July 13, 2021, her third dose of the Pfizer vaccine on February 28, 2022, and her fourth dose on November 8, 2022, all at the TIRTAYASA vaccination location. It provides a contact number to call if any symptoms occur after vaccination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    KARTU VAKSINASI COVID-19

    No. Tiket : RU-01FVYDC No. NIK : 3604146801030001


    Nama Lengkap : IIP ASSIFAH
    Tanggal Lahir : 2003-01-28
    No.HP : 083899242326
    Alamat : KP/DS. LEMPUYANG 005/002 KEC. TANARA
    Lokasi Menerima : TIRTAYASA - 10062401

    Riwayat Pemberian Vaksin Covid-19

    Tanggal Nama Vaksin No.Batch Lokasi Menerima Keterangan


    Vaksinasi

    2021-06-29 CoronaVac 24002221 TIRTAYASA - TELAH DILAKUKAN VAKSINASI


    11:13:00 10062401 COVID-19

    2021-07-13 CoronaVac 202107183H TIRTAYASA - VAKSIN 2


    09:18:00 10062401

    2022-02-28 COVID-19 Vaccine 350208D TIRTAYASA - VAKSIN 3


    09:19:00 Pfizer 10062401

    2022-11-08 COVID-19 Vaccine FX2761 TIRTAYASA - VAKSIN 4


    13:31:00 Pfizer 10062401

    Catatan:
    Apabila terdapat gejala pasca dilakukan vaksinasi dapat menghubungi :
    Nama : asniah
    No Telp : 083894426829

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