You are on page 1of 2

MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
NORASMIDA BINTI MD HUSSIN
Warganegara / Nationality
MALAYSIAN
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
850707146216 850707146216

SIJIL DIGITAL Tarikh Lahir / Date of Birth


07-Jul-1985
VAKSINASI COVID-19
DIGITAL CERTIFICATE for COVID-19 Kementerian Berkuasa / Authority Ministry
VACCINATION KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
Negara Pengeluar / Issuing Country
MALAYSIA
Tarikh Dikeluarkan / Date Issued
02-Feb-2023
Page 1 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


30-Jun-2021
Pusat Pemberian Vaksin / Vaccination Center
Stadium Nasional Bukit Jalil, HCO C
Nama Produk / Product name
CoronaVac
Nama Umum / Common Name
Sinovac
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Sinovac Biotech covid-19 vaccines
No. Lot / Batch No.
C202105095

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


21-Jul-2021
Pusat Pemberian Vaksin / Vaccination Center
Stadium Nasional Bukit Jalil, HCO C
Nama Produk / Product name
CoronaVac
Nama Umum / Common Name
Sinovac
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Sinovac Biotech covid-19 vaccines
No. Lot / Batch No.
202106073N
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
NORASMIDA BINTI MD HUSSIN
Warganegara / Nationality
MALAYSIAN
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
850707146216 850707146216

SIJIL DIGITAL Tarikh Lahir / Date of Birth


07-Jul-1985
VAKSINASI COVID-19
DIGITAL CERTIFICATE for COVID-19 Kementerian Berkuasa / Authority Ministry
VACCINATION KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
Negara Pengeluar / Issuing Country
MALAYSIA
Tarikh Dikeluarkan / Date Issued
02-Feb-2023
Page 2 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose 1 Tarikh Divaksin / Date of Vaccination


15-Dec-2021
Pusat Pemberian Vaksin / Vaccination Center
PPV Offsite Southgate Commercial Center
Nama Produk / Product name
Comirnaty
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Biontech Manufacturing GmbH SARS-CoV-2 mRNA vaccine
No. Lot / Batch No.
FL1939

You might also like