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  • Sample Immunization Certificate

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    Joe Cardoza
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    This immunization certificate certifies that Master Kiegan Raphael Cardoza, born on October 15th, 2022, has received various routine vaccinations from birth through February 2023, including BCG, OPV, IPV, PENTA, PCV, Rotavirus, MR, JE, and influenza vaccines according to the schedule. The certificate was issued by Dr. [name] on [date].

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    This immunization certificate certifies that Master Kiegan Raphael Cardoza, born on October 15th, 2022, has received various routine vaccinations from birth through February 2023, including BCG, OPV, IPV, PENTA, PCV, Rotavirus, MR, JE, and influenza vaccines according to the schedule. The certificate was issued by Dr. [name] on [date].

    Copyright:

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

    Sample Immunization Certificate

    Uploaded by

    Joe Cardoza
    This immunization certificate certifies that Master Kiegan Raphael Cardoza, born on October 15th, 2022, has received various routine vaccinations from birth through February 2023, including BCG, OPV, IPV, PENTA, PCV, Rotavirus, MR, JE, and influenza vaccines according to the schedule. The certificate was issued by Dr. [name] on [date].

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    of 1

    IMMUNIZATION CERTIFICATE

    This is to certify that Master Kiegan Raphael Cardoza, date of birth 15/10/2022, has
    received the following vaccination as mentioned below:

    S. No Vaccine Date
    1. BCG vaccine 15/10/2022
    2. OPV 15/10/2022
    3. OPV- 1 30/11/2022
    4. OPV- 2 28/12/2022
    5. OPV- 3 01/02/2023
    6. IPV - 1 30/11/2022
    7. IPV - 2 01/02/2023
    8. PENTA - 1 30/11/2022
    9. PENTA – 2 28/12/2022
    10. PENTA - 3 01/02/2023
    11. PCV - 1 30/11/2022
    12. PCV – 2 01/02/2023
    13. PCV - 3 30/08/2023
    14. ROTAVIRUS - 1 30/11/2022
    15. ROTAVIRUS - 1 28/12/2022
    16. ROTAVIRUS - 1 01/02/2023
    17. MR - 1 30/08/2023
    18. JE - 1 30/08/2023
    19. Influenza (IIV) - 1 24/03/2023
    20. Influenza (IIV) - 2 24/04/2023
    21 TCG 24/04/2023

    Dr. ________________________________

    Dated: ________________________

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