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  • Surat Vaksin - Id.en New

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    Baskoro Djalu Pamungkas
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    1) The document is a letter of statement from the Public Health Office in Bandar Lampung City regarding an individual's COVID-19 vaccination. 2) It states that Nelly, born on October 28, 1981 in Teluk Betung, has received her first booster vaccine for COVID-19 according to schedule in January 2023. 3) The letter was issued on November 19, 2022 in Bandar Lampung by Dr. M Dwi Ario to verify Nelly's vaccination for proper use of the statement.

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    1) The document is a letter of statement from the Public Health Office in Bandar Lampung City regarding an individual's COVID-19 vaccination. 2) It states that Nelly, born on October 28, 1981 in Teluk Betung, has received her first booster vaccine for COVID-19 according to schedule in January 2023. 3) The letter was issued on November 19, 2022 in Bandar Lampung by Dr. M Dwi Ario to verify Nelly's vaccination for proper use of the statement.

    Copyright:

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

    Surat Vaksin - Id.en New

    Uploaded by

    Baskoro Djalu Pamungkas
    1) The document is a letter of statement from the Public Health Office in Bandar Lampung City regarding an individual's COVID-19 vaccination. 2) It states that Nelly, born on October 28, 1981 in Teluk Betung, has received her first booster vaccine for COVID-19 according to schedule in January 2023. 3) The letter was issued on November 19, 2022 in Bandar Lampung by Dr. M Dwi Ario to verify Nelly's vaccination for proper use of the statement.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    BANDAR LAMPUNG CITY GOVERNMENT

    PUBLIC HEALTH OFFICE


    UPT PUSKESMAS BAKUNG
    Jalan Kamboja No.1 Kel. Bakung Kec. Teluk Betung Barat
    Bandar Lampung Postal Code 35238

    LETTER OF STATEMENT
    Number : 440/ / III.02/ XI/ 2022

    Me as the undersigned below :

    Name : dr. M Dwi Ario


    NIP : 19930913 201903 1 003
    Group/Section : First Class Junior Superintended/ III b
    Position : Doctor

    Hereby state that :

    Name : Nelly
    Date, place of birth : Teluk Betung, 28-10-1981
    Address : Jl. Yos Sudarso gg Hazmi LK.II, Teluk Betung Selatan
    Bandar Lampung

    That it is true in completing vaccination of covid-19, she has been completed the first
    vaccines booster on January 2023 according to the schedule.

    This letter of statement is made to be used properly.

    Issued : Bandar Lampung


    At the date of : November 19th 2022

    dr. M Dwi Ario


    NIP. 19930913 201903 1 003

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