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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
HARIATI BINTI WARNO
Warganegara / Nationality
Malaysian
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
630728715348 630728715348

SIJIL DIGITAL Tarikh Lahir / Date of Birth


28-Jul-1963
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
17-Nov-2022
Page 1 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


24-Jul-2021
Pusat Pemberian Vaksin / Vaccination Center
LHDN Kluang
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.
FF0884

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


14-Aug-2021
Pusat Pemberian Vaksin / Vaccination Center
LHDN Kluang
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.
FE8163
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
HARIATI BINTI WARNO
Warganegara / Nationality
Malaysian
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
630728715348 630728715348

SIJIL DIGITAL Tarikh Lahir / Date of Birth


28-Jul-1963
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
17-Nov-2022
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MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose Tarikh Divaksin / Date of Vaccination


12-Apr-2022
(Immunocompromised)
Pusat Pemberian Vaksin / Vaccination Center
PPV Dewan Jubli Intan Sultan Ibrahim
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.
35559TB

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