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  • Yuli Dar

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    Yolli Handayani
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    This document is a COVID-19 vaccination card for an individual named YULIDAR. It provides their personal details like name, date of birth, address, and phone number. It also lists the details of their single COVID-19 vaccination which took place on June 30, 2021 at LIMA KAUM II health center. The card notes they should receive their second dose on July 28, 2021 and includes contact information for any issues following vaccination.

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    This document is a COVID-19 vaccination card for an individual named YULIDAR. It provides their personal details like name, date of birth, address, and phone number. It also lists the details of their single COVID-19 vaccination which took place on June 30, 2021 at LIMA KAUM II health center. The card notes they should receive their second dose on July 28, 2021 and includes contact information for any issues following vaccination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views1 page

    Yuli Dar

    Uploaded by

    Yolli Handayani
    This document is a COVID-19 vaccination card for an individual named YULIDAR. It provides their personal details like name, date of birth, address, and phone number. It also lists the details of their single COVID-19 vaccination which took place on June 30, 2021 at LIMA KAUM II health center. The card notes they should receive their second dose on July 28, 2021 and includes contact information for any issues following vaccination.

    Copyright:

    © All Rights Reserved
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    KARTU VAKSINASI COVID-19

    No. Tiket : P-ATR2WLF5 No. NIK : 1304045210720002


    Nama Lengkap : YULIDAR
    Tanggal Lahir : 1972-10-01
    No.HP : 085365258051
    Alamat : JORONG SUPANJANG NAGARI CUBADAK KECAMATAN LIMA KAUM
    Lokasi Menerima : LIMA KAUM II - 03070102

    Riwayat Pemberian Vaksin Covid-19

    Tanggal Nama No.Batch Lokasi Keterangan


    Vaksinasi Vaksin Menerima

    2021-06-30 CoronaVac 24200121 LIMA KAUM II - Vaksinasi Tahap I Tgl 30 Juni 2021 untuk Vaksinasi
    13:21:00 03070102 Tahap II Tgl 28 Juli 2021

    Catatan:
    Apabila terdapat gejala pasca dilakukan vaksinasi dapat menghubungi :
    Nama : dewi Sutrisna
    No Telp : 082288441110

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