You are on page 1of 1

INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL


Number / Nomor : 823852979

DETAILS / RINCIAN

Full Name L.A Hasti Adi Yogana


Nama Lengkap

National Identity Number 3310152309790002


NIK

Passport Number
No. Passport

Date of Birth 1979-09-23


Tanggal Lahir
For further details, please visit
https://verify.kemkes.go.id

VACCINATION DETAILS / RINCIAN VAKSINASI

Date of vaccination Dose Number Country of Vaccination Vaccine Manufacturer Batch ID


Tanggal Vaksinasi Dosis ke Negara /Tempat Vaksinasi Jenis Vaksin Batch ID

28-May-2021 First / Pertama Indonesia CoronaVac 24002221

25-Jun-2021 Second / Kedua Indonesia CoronaVac 24002421

Vaccination is to protect ourselves and our families, neighbors and protect Indonesian people and people worldwide.
Vaksinasi melindungi diri kita, keluarga kita, tetangga dan melindungi rakyat Indonesia dan manusia di seluruh dunia.

World Health Organization Digital Documentation for COVID-19 Certificates Format

You might also like