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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
JUPRI BIN HASHIM
Warganegara / Nationality
Malaysian
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
800513085579 _

SIJIL DIGITAL Tarikh Lahir / Date of Birth


13-May-1980
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
19-May-2023
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MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


29-Aug-2021
Pusat Pemberian Vaksin / Vaccination Center
Dewan Millenium Lubok Merbau, Kuala Kangsar
Nama Produk / Product name
Comirnaty
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Biontech Manufacturing GmbH SARS-CoV-2 mRNA vaccine
No. Lot / Batch No.
FG2872

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


19-Sep-2021
Pusat Pemberian Vaksin / Vaccination Center
Dewan Millenium Lubok Merbau, Kuala Kangsar
Nama Produk / Product name
Comirnaty
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Biontech Manufacturing GmbH SARS-CoV-2 mRNA vaccine
No. Lot / Batch No.
FG7900

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