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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
MUHAMMAD AIMAN BIN SHAMSURI
Warganegara / Nationality
MALAYSIAN
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
030109160049 030109160049

SIJIL DIGITAL Tarikh Lahir / Date of Birth


09-Jan-2003
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
21-Jul-2022
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MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


27-Jun-2021
Pusat Pemberian Vaksin / Vaccination Center
World Trade Centre Kuala Lumpur (Station 1)
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.
ABX6083

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


29-Aug-2021
Pusat Pemberian Vaksin / Vaccination Center
World Trade Centre Kuala Lumpur (Station 1)
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.
PV46701
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
MUHAMMAD AIMAN BIN SHAMSURI
Warganegara / Nationality
MALAYSIAN
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
030109160049 030109160049

SIJIL DIGITAL Tarikh Lahir / Date of Birth


09-Jan-2003
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
21-Jul-2022
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MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose 1 Tarikh Divaksin / Date of Vaccination


15-Jan-2022
Pusat Pemberian Vaksin / Vaccination Center
PPV Offsite Mines 2 Convention Center (iHEAL Medical Centre)
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.
A1085

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