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  • Waidatun J

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    Aan Nurcahyo
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    Bensin dan teregristrasi mas ehhh kta ne seperti tinggal di kereta sesuai kebutuhan nnti mlm tak foto kan bisa tapi belum ada

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    WAIDATUN J

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    Bensin dan teregristrasi mas ehhh kta ne seperti tinggal di kereta sesuai kebutuhan nnti mlm tak foto kan bisa tapi belum ada

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    5 views1 page

    Waidatun J

    Uploaded by

    Aan Nurcahyo
    Bensin dan teregristrasi mas ehhh kta ne seperti tinggal di kereta sesuai kebutuhan nnti mlm tak foto kan bisa tapi belum ada

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    KARTU VAKSINASI COVID-19

    No.Tiket : UU-0EXS7LU No.NIK : 3524075110020003

    Nama Lengkap : WAIDATUN


    JUWARIYAH
    Tanggal Lahir : 2002-10-11

    No.HP :

    Alamat : LAMONGAN

    Lokasi Menerima : RSUP DR SARDJITO - 0159BD7

    Riwayat Pemberian Vaksin Covid-19

    Tanggal Nama Vaksin No.Batch Lokasi Menerima Keterangan


    Vaksinas
    i
    2021-08-07 CoronaVac 202198976I PACIRAN SUDAH DI

    12:00:00 VAKSIN 1

    2021-09-09 202106544X PACIRAN VAKSIN


    09:00:00 CoronaVac KE 2

    2023-05-15 CoronaVac FY89765 RSUP DR SARDJITO VAKSIN 3


    08:06:01 /booster

    Catatan:
    Apabila terdapat gejala pasca dilakukan vaksinasi dapat menghubungi:
    Nama : Rian Permana
    NoTelp : 089508357733

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