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  • Kartu Vaksinasi Covid-19: Riwayat Pemberian Vaksin Covid-19

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    Kartu Vaksinasi Covid-19: Riwayat Pemberian Vaksin Covid-19

    Uploaded by

    krisna
    xmbp

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    KARTU VAKSINASI COVID-19

    No. Tiket : Q-001GJR8O No. NIK : 3327072007850024


    Nama Lengkap : MUSFIRMANUDIN
    Tanggal Lahir : 1985-07-20
    No.HP : 087764300002
    Alamat : TANAHBAYA RT.012 RW.003
    Lokasi Menerima : Kalimas - 11100915

    Riwayat Pemberian Vaksin Covid-19

    Tanggal Nama Vaksin No.Batch Lokasi Keterangan


    Vaksinasi Menerima

    2021-10-21 COVID-19 Vaccine FH4752 Kalimas - VAKSIN KEDUA TANGGAL11


    09:06:00 Pfizer 11100915 NOVEMBER 2021

    2021-11-18 COVID-19 Vaccine FK6268 Kalimas - VAKSIN SELESAI


    11:11:00 Pfizer 11100915

    Catatan:
    Apabila terdapat gejala pasca dilakukan vaksinasi dapat menghubungi :
    Nama : ECI IRWANTI
    No Telp : 082323090310

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