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  • Nur Anisa

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    NUR ANISA

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    6 views1 page

    Nur Anisa

    Uploaded by

    inuk sri wahyuni

    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 : P-MNMXGJTS No. NIK : 1706105804060001


    Nama Lengkap : NUR ANISA NAFADIYAH
    Tanggal Lahir : 2006-04-18
    No.HP : 082262105148
    Alamat : DESA BUMI MULYA
    Lokasi Menerima : BUKIT MULYA - 04000910

    Riwayat Pemberian Vaksin Covid-19

    Tanggal Vaksinasi Nama Vaksin No.Batch Lokasi Menerima Keterangan

    2021-12-08 10:11:00 COVID-19 Vaccine Pfizer 32155BA BUKIT MULYA - 04000910 DOSIS 1

    Catatan:
    Apabila terdapat gejala pasca dilakukan vaksinasi dapat menghubungi :
    Nama : Rochmadi, Amd.Kep
    No Telp : 085366060000

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