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  • Dhai Ful

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    17NTB M. Ali AfwanPuskesmas Sesela
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    1) This document is a COVID-19 vaccination card for Dhaiful Muqarrobin with ID number 5201090107010308. 2) It shows that he received his first COVID-19 vaccine dose on June 15, 2022 at Gunungsari Health Center without any complaints. 3) He received his second dose on July 19, 2022 at the same location also without any complaints.

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    1) This document is a COVID-19 vaccination card for Dhaiful Muqarrobin with ID number 5201090107010308. 2) It shows that he received his first COVID-19 vaccine dose on June 15, 2022 at Gunungsari Health Center without any complaints. 3) He received his second dose on July 19, 2022 at the same location also without any complaints.

    Copyright:

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

    Dhai Ful

    Uploaded by

    17NTB M. Ali AfwanPuskesmas Sesela
    1) This document is a COVID-19 vaccination card for Dhaiful Muqarrobin with ID number 5201090107010308. 2) It shows that he received his first COVID-19 vaccine dose on June 15, 2022 at Gunungsari Health Center without any complaints. 3) He received his second dose on July 19, 2022 at the same location also without any complaints.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    KARTU VAKSINASI COVID-19

    No. Tiket Nama : Z-000ON3PZ No. NIK : 5201090107010308


    Lengkap : Dhaiful Muqarrobin
    Tanggal Lahir : 2001-11-21
    No.HP : 083191298431
    Alamat : Dusun Kebon Indah RTRW 009000 Sesele Gunungsari
    Lokasi Menerima : GUNUNGSARI - 23010401

    Riwayat Pemberian Vaksin Covid-19

    Tanggal Nama Vaksin No.Batch Lokasi Menerima Keterangan


    Vaksinasi

    2022-06-15 VCoV2-CTBIO 24800322 GUNUNGSARI - SUDAH VAKSIN KE 1,TANPA


    17:31:00 23010401 KELUHAN

    2022-07-19 VCoV2-CTBIO 24800322 GUNUNGSARI - SUDAH VAKSINASI 2, TIDAK


    15:58:00 23010401 ADA KELUHAN

    2022-10-07 Vaksin Covid- P00001431 PUSKESMAS SESELA - VAKSIN BOSTER SELESAI,TAK ADA
    10:59:00 Pfizer N0000841 KELUHAN

    Catatan:
    Apabila terdapat gejala pasca dilakukan vaksinasi dapat menghubungi :
    Nama : Muhamad Ali Afwan
    No Telp : 08175744818

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