You are on page 1of 2

MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
NOOR ZAWIYAH BINTI NOR ASMADI
Warganegara / Nationality
Malaysian

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
861111355272 861111355272

SIJIL DIGITAL Tarikh Lahir / Date of Birth


11-Nov-1986
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-Feb-2022
Page 1 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


30-Jul-2021
Pusat Pemberian Vaksin / Vaccination Center
Dewan Serbaguna Jawi, Seberang Perai Selatan
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.
FE3430

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


20-Aug-2021
Pusat Pemberian Vaksin / Vaccination Center
Dewan Serbaguna Jawi, Seberang Perai Selatan
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.
FE8163
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
NOOR ZAWIYAH BINTI NOR ASMADI
Warganegara / Nationality
Malaysian

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
861111355272 861111355272

SIJIL DIGITAL Tarikh Lahir / Date of Birth


11-Nov-1986
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-Feb-2022
Page 2 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose Tarikh Divaksin / Date of Vaccination


19-Jan-2022
Pusat Pemberian Vaksin / Vaccination Center
KLINIK ECO MEDIC
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.
FL4210

You might also like