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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
NUR QISTINA AISYAH BINTI MOHD NAZARO
Warganegara / Nationality
Malaysian

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
020529050082 020529050082

SIJIL DIGITAL Tarikh Lahir / Date of Birth


29-May-2002
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
26-Nov-2021
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MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


22-Jul-2021
Pusat Pemberian Vaksin / Vaccination Center
Hospital Jempol
Nama Produk / Product name
COMIRNATY Concentrate for Dispersion for Injection
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
BioNTech Europe GmbH COVID-19 vaccine, RNA based
No. Lot / Batch No.
FF4222

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


12-Aug-2021
Pusat Pemberian Vaksin / Vaccination Center
Hospital Jempol
Nama Produk / Product name
COMIRNATY Concentrate for Dispersion for Injection
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
BioNTech Europe GmbH COVID-19 vaccine, RNA based
No. Lot / Batch No.
FE8163

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