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  • Nurhaq Ferdiansyah - V4

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    neviraulia
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    Nurhaq Ferdiansyah received their first dose of the Pfizer COVID-19 vaccine on October 25, 2021 at Singorojo II. They received their second dose on November 20, 2021 at the same location. Booster shots were administered on August 8, 2022 at a mobile vaccination site and again on August 21, 2023 at the KLINIK MODERN MEDIKA KGL clinic. The card lists the vaccine names, batch numbers, locations and dates for each dose.

    Original Description:

    Vaksin

    Original Title

    NURHAQ FERDIANSYAH_V4

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    Nurhaq Ferdiansyah received their first dose of the Pfizer COVID-19 vaccine on October 25, 2021 at Singorojo II. They received their second dose on November 20, 2021 at the same location. Booster shots were administered on August 8, 2022 at a mobile vaccination site and again on August 21, 2023 at the KLINIK MODERN MEDIKA KGL clinic. The card lists the vaccine names, batch numbers, locations and dates for each dose.

    Copyright:

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

    Nurhaq Ferdiansyah - V4

    Uploaded by

    neviraulia
    Nurhaq Ferdiansyah received their first dose of the Pfizer COVID-19 vaccine on October 25, 2021 at Singorojo II. They received their second dose on November 20, 2021 at the same location. Booster shots were administered on August 8, 2022 at a mobile vaccination site and again on August 21, 2023 at the KLINIK MODERN MEDIKA KGL clinic. The card lists the vaccine names, batch numbers, locations and dates for each dose.

    Copyright:

    © All Rights Reserved
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    KARTU VAKSINASI COVID-19

    No. Tiket : RU-00F14F6 No. NIK : 3374020304760002


    Nama Lengkap : NURHAQ FERDIANSYAH
    Tanggal Lahir : 1976-04-03
    No.HP : 0810000000000
    Alamat : JL. PANDA UTARA III/19 004/005 PALEBON PEDURUNGAN
    Lokasi Menerima : KLINIK MODERN MEDIKA KGL (JST) - 0222U055

    Riwayat Pemberian Vaksin Covid-19

    Tanggal Nama Vaksin No.Batch Lokasi Menerima Keterangan


    Vaksinasi

    2021-10-25 COVID-19 FJ8372 Singorojo II - 11030502 DOSIS 1, SUNTIK ULANG 16


    10:18:00 Vaccine Pfizer NOVEMBER 2021

    2021-11-20 COVID-19 FH4752 Singorojo II - 11030502 DOSIS 2


    09:19:00 Vaccine Pfizer

    2022-08-08 COVID-19 FM9282 Puskesmas Kec Ciracas Mobile - BOOSTER


    10:59:00 Vaccine Pfizer N0001952

    2023-08-21 COVID-19 FK8492 KLINIK MODERN MEDIKA KGL BOOSTER 2


    12:00:00 Vaccine Pfizer (JST) - 0222U055

    Catatan:
    Apabila terdapat gejala pasca dilakukan vaksinasi dapat menghubungi :
    Nama : aida faridahani
    No Telp : 081316372239

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