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  • Novelian D3

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    Bambang Eka s
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    This document is a COVID-19 vaccination card for Novelian Ahoren. It lists their personal details like name, date of birth, phone number and address. It also contains a record of the COVID-19 vaccines they have received, including the date, name of vaccine, batch number and location administered. It notes they received their first dose of CoronaVac on March 3, 2021, second dose on May 21, 2021 and their third dose of Pfizer on May 26, 2022. Contact details are provided in case of any symptoms after vaccination.

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    NOVELIAN D3

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    This document is a COVID-19 vaccination card for Novelian Ahoren. It lists their personal details like name, date of birth, phone number and address. It also contains a record of the COVID-19 vaccines they have received, including the date, name of vaccine, batch number and location administered. It notes they received their first dose of CoronaVac on March 3, 2021, second dose on May 21, 2021 and their third dose of Pfizer on May 26, 2022. 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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    9 views1 page

    Novelian D3

    Uploaded by

    Bambang Eka s
    This document is a COVID-19 vaccination card for Novelian Ahoren. It lists their personal details like name, date of birth, phone number and address. It also contains a record of the COVID-19 vaccines they have received, including the date, name of vaccine, batch number and location administered. It notes they received their first dose of CoronaVac on March 3, 2021, second dose on May 21, 2021 and their third dose of Pfizer on May 26, 2022. Contact details are provided in case of any symptoms after vaccination.

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    © All Rights Reserved
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    KARTU VAKSINASI COVID-19

    No. Tiket : UU-0YMLVJW No. NIK : 9202015411040001


    Nama Lengkap : NOVELIAN AHOREN
    Tanggal Lahir : 2004-11-14
    No.HP : 082399140187
    Alamat : SP4 JJALUR 6
    Lokasi Menerima : KLINIK ANDILIA - 0117B256

    Riwayat Pemberian Vaksin Covid-19

    Tanggal Vaksinasi Nama Vaksin No.Batch Lokasi Menerima Keterangan

    2021-03-03 13:12:00 CoronaVac 24000121 MANIMERI - 26140603 DOSIS 1

    2021-05-21 19:41:00 CoronaVac 24004621 KLINIK ANDILIA - 0117B256 DOSIS 2

    2022-05-26 19:41:00 COVID-19 Vaccine Pfizer FM9414 KLINIK ANDILIA - 0117B256 DOSIS 3

    Catatan:
    Apabila terdapat gejala pasca dilakukan vaksinasi dapat menghubungi :
    Nama : Marsun Wahyudi
    No Telp : 081373611504

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