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19 -‫ﺷﻬﺎدة ﺗﻄﻌﻴﻢ ﻟﻘﺎح ﻛﻮﻓﻴﺪ‬

Immunization certificate for covid 19 vaccine

Beneficiary Details ‫ﺗﻔﺎﺻﻴﻞ اﻟﻤﺴﺘﻔﻴﺪ‬

Name GOKUL ASHOK KUMAR ‫اﻻﺳﻢ‬

Age / DoB 27 Years / 08-04-1995 ‫ ﺗﺎرﻳﺦ اﻟﻤﻴﻼد‬/‫اﻟﻌﻤﺮ‬

Gender Male ‫اﻟﺠﻨﺲ‬

Nationality INDIA ‫اﻟﺠﻨﺴﻴﺔ‬

Civil No 117034819 ‫اﻟﺮﻗﻢ اﻟﻤﺪﻧﻲ‬

Passport No T5984009 ‫رﻗﻢ اﻟﺠﻮاز‬

Vaccination Details ‫ﺗﻔﺎﺻﻴﻞ اﻟﺘﻄﻌﻴﻢ‬

Dose Date of Dose Vaccine Name Batch No Vaccination At

‫اﻟﺠﺮﻋﺔ‬ ‫ﺗﺎرﻳﺦ اﻟﺠﺮﻋﺔ‬ ‫اﻟﻠﻘﺎح‬ ‫رﻗﻢ اﻟﺪﻓﻌﺔ‬ ‫ﻣﻜﺎن اﻟﺘﻄﻌﻴﻢ‬

FirstDose 31-07-2021 AstraZeneca/Oxford 060321 Starcare Hospital - Barka

SecondDose 20-01-2022 AstraZeneca/Oxford 100421 Medical Fitness Center Ibri - Residents

Remarks:

‫ ﻳﺮﺟﻰ اﻟﺘﺄﻛﺪ ﻣﻦ أن اﻟﺮاﺑﻂ ﻫﻮ‬.‫ ﻗﻢ ﺑﻤﺴﺢ رﻣﺰ اﻻﺳﺘﺠﺎﺑﺔ اﻟﺴﺮﻳﻌﺔ اﻟﻤﻮﺿﺢ ﻫﻨﺎ‬، ‫ﻟﻠﺘﺤﻘﻖ ﻣﻦ ﺻﺤﺔ اﻟﺸﻬﺎدة‬
covid19.moh.gov.om

‫اﻟﺘﺎرﻳﺦ‬
To check the authenticity of the certificate, scan the QR code
Date 20/Dec/2022
shown here
Please ensure the URL is covid19.moh.gov.om

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