You are on page 1of 2

MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
NUR AZUREEN BINTI MA HASSAN
Warganegara / Nationality
Malaysian
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
940201065186 940201065186

SIJIL DIGITAL Tarikh Lahir / Date of Birth


01-Feb-1994
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
05-Apr-2023
Page 1 of 1

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


14-Aug-2021
Pusat Pemberian Vaksin / Vaccination Center
Klinik Kesihatan Indera Mahkota
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.
D004A

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


16-Oct-2021
Pusat Pemberian Vaksin / Vaccination Center
Klinik Kesihatan Indera Mahkota
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.
A1071

You might also like