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  • Darmiati Vaksin

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    darmiati vaksin

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    6 views1 page

    Darmiati Vaksin

    Uploaded by

    sandy hidayat

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    KARTU VAKSINASI COVID-19

    No. Tiket : P-YVCGVJGV No. NIK : 1809016104780003


    Nama Lengkap : DARMIATI
    Tanggal Lahir : 1978-04-21
    No.HP : 085279794988
    Alamat : WAY LAYAP I
    Lokasi Menerima : Poskes 02.10.15 Kalianda - 01000004

    Riwayat Pemberian Vaksin Covid-19

    Tanggal Vaksinasi Nama Vaksin No.Batch Lokasi Menerima Keterangan

    2021-10-14 13:52:00 CoronaVac 202108177F Poskes 02.10.15 Kalianda - 01000004 VAKSIN 1 SELESAI

    Catatan:
    Apabila terdapat gejala pasca dilakukan vaksinasi dapat menghubungi :
    Nama : Wahyu Pratomo Ramdhani
    No Telp : 081317801214

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