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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
Helfika Tarigan
Warganegara / Nationality
Indonesian
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
_ C3391915

SIJIL DIGITAL Tarikh Lahir / Date of Birth


15-Jan-2001
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
23-Dec-2023
Page 1 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


28-Aug-2021
Pusat Pemberian Vaksin / Vaccination Center
PPVIN Bukit Jawi Golf Resort
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.
202106109K

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


18-Sep-2021
Pusat Pemberian Vaksin / Vaccination Center
PPVIN Bukit Jawi Golf Resort
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.
202107114K
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
Helfika Tarigan
Warganegara / Nationality
Indonesian
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
_ C3391915

SIJIL DIGITAL Tarikh Lahir / Date of Birth


15-Jan-2001
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
23-Dec-2023
Page 2 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose 1 Tarikh Divaksin / Date of Vaccination


17-Jan-2022
Pusat Pemberian Vaksin / Vaccination Center
PPV Offsite Dewan MPKK Bandar Cassia, SPS Penang
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.
FP8233

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