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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
NIK MOHAMAD AIZUDDIN BIN NIK MAZLAN
Warganegara / Nationality
Malaysian

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
971206036327 _

SIJIL DIGITAL Tarikh Lahir / Date of Birth


06-Dec-1997
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
14-Feb-2022
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MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


24-Aug-2021
Pusat Pemberian Vaksin / Vaccination Center
Kota Bharu Medical Centre
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

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


16-Sep-2021
Pusat Pemberian Vaksin / Vaccination Center
Kota Bharu Medical Centre
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.
5020097
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
NIK MOHAMAD AIZUDDIN BIN NIK MAZLAN
Warganegara / Nationality
Malaysian

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
971206036327 _

SIJIL DIGITAL Tarikh Lahir / Date of Birth


06-Dec-1997
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
14-Feb-2022
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MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose Tarikh Divaksin / Date of Vaccination


14-Feb-2022
Pusat Pemberian Vaksin / Vaccination Center
PPV Offsite Parking Compound Of Klinik Primer Lembah Sireh Dr Siti
Sabariah Ismail
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.
1K077-1A

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