Su_rat__ Keterangan_Vaksinasi _ COVID-1_9

Certificate of COVID-19 Vaccination

) Sertifikat ini diberikan kepada

·································································•···•·······"···············.................................
This is to certify that

DWI SETYO DHARMANTO

Tanggal Lahlr
Dat<>ofBirth

317506101 2880002 10 Desember 1988

ID:60c8de15dea6b4c3944dc7aa
pada tanggal 25 Juni 2021
on date June 25, 2021

telah dilakukan vaksinasi COVID-19 untuk dosis pertama

has been vaccinated for the 1st dose of the

Sinovac COVID-19 (Batch ID : 24003021}

sesuai dengan Peraturan Menteri Kesehatan Republik Indonesia

in accordance with the health regulation of Republic of Indonesia

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 Su_rat . Ketera_n gan_ Vaksin_asi _ COVI D-1_9
Certificate of COVID-19 Vaccination

Sertifikat ini diberikan kepada

········································-·················..····································•····························•··
This is to certify that

DWI SETYO DHARMANTO

Tonggol Lohir
Dare of Birth

3175061012880002 10 Desember 1988

ID : 60c8de15dea6b4c3944dc7aa

pada tanggal 04 April 2022

on date April 04, 2022

telah dilakukan vaksinasi COVID-19 untuk dosis ketiga

has been vaccinated for the 3rddose of the

AstraZeneca COVID-19 (Batch ID : D202110019)

sesuai dengan Peraturan Menteri Kesehatan Republik Indonesia

in accordance with the health regulation of Republic of Indonesia

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 Surat Keterangan Vaksinasi COVID-19
Cer t ificate of COVID-19 Vaccination

Sertifikat ini diberikan kepada:

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This is to certify tha t

DWISET.YO l•mJ;IM~

3175061012880002
-•.

ID:60c8de15dea6b4c3944dc7aa

pada tanggal 26 Juli 2021

on date July 26, 2021

telah dilakukan vaksinasi COVID-19

-···-·········-·-·--··- - - - - - ___
untuk dosis kedua
............................................................. _.. ..................
.,

has been vaccina ted for the 2nd d ose of the

,,

CoronaVac COVID-19 (Batch ID : 24201621)

sesuai dengan Peraturan Menteri Kesehatan Republik Indonesia

in accordance with the health regulation of Republic o f Indonesia

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