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03220 05850

Republic of the Philippines


C I T Y OF M A N I L A

CERTIFICATE OF VACCINATION

This is to certify that NORBERTO CANDELARIO TALA, 58 years of age,


residing at 2016 KATAMANAN ST. Barangay 222, TONDO I / II was fully
vaccinated by the Manila Health Department.

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1st Dose 2nd Dose

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Date Administered 08/17/2021 09/14/2021
Brand Sinovac Sinovac

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Injection Site Deltoid, Left Deltoid, Left

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Lot Number L202106044 ci L202108100
Route IM IM
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Expiration Date 06/23/2024 08/18/2023
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Vaccinator/Site (1st) ROMANA . SULIT


by

OSMENA HIGH SCHOOL


n

Vaccinator/Site (2nd) APRIL MIRACHEL E. FRANCO


io

OSMENA HIGH SCHOOL


at
f irm
on

This certificate is issued this 24th day of November 2021 for whatever legal
rc

purpose this may serve best.


fo
de
co
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an
Sc

Arnold M. Pangan, MD, RSW


City Health Officer

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