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Document info

Result type: COVID-19 Vaccination Certificate


Result date: 20 Dec 2021 23:06
Result status: authenticated

COVID-19 Vaccination Certificate


PALANIVEL
Patient: DOB: 15 Apr 1973
THANGAVELU

COVID-19 Vaccination Certificate


19-‫ﺷﻬﺎﺩﺓ ﺗﻄﻌﻴﻢ ﺿﺪ ﻓﻴﺮﻭﺱ ﻛﻮﻓﻴﺪ‬
COVID-19 Vaccination Certificate
‫ﺇﻟﻰ ﻣﻦ ﻳﻬﻤﻪ ﺍﻷﻣﺮ‬
To whomsoever it may concern
This is to certify that: :‫ﺗﺆﻛﺪ ﻫﺬﻩ ﺍﻟﻮﺛﻴﻘﺔ ﺃﻥ‬

Order ID: 8166308543 :‫ﺭﻗﻢ ﻃﻠﺐ‬

Name: PALANIVEL THANGAVELU :‫ﺍﻹﺳﻢ‬

QID/Visa/Passport: 27335613936 :‫ﺟﻮﺍﺯﺍﻟﺴﻔﺮ‬/‫ﺍﻟﺘﺄﺷﻴﺮﺓ‬/‫ﺭﻗﻢ ﺍﻟﺒﻄﺎﻗﺔ ﺍﻟﺸﺨﺼﻴﺔ‬

Medical Record No.: HC01056043 :‫ﺭﻗﻢ ﺍﻟﻤﻠﻒ ﺍﻟﻄﺒﻲ‬

Date of Birth: 15-Apr-1973 :‫ﺗﺎﺭﻳﺦ ﺍﻟﻤﻴﻼﺩ‬

Nationality: Indian :‫ﺍﻟﺠﻨﺴﻴﺔ‬

The above-mentioned individual has received two or more doses of the COVID-19 vaccine:

:19-‫ﺗﻠﻘﻰ ﺍﻟﺸﺨﺺ ﺍﻟﻤﺬﻛﻮﺭ ﺃﻋﻼﻩ ﺟﺮﻋﺘﻴﻦ ﺃﻭ ﺃﻛﺜﺮ ﻣﻦ ﻟﻘﺎﺡ ﺍﻟﺘﻄﻌﻴﻢ ﺿﺪ ﻛﻮﻓﻴﺪ‬

First dose: SARS-CoV-2 (Moderna) - 11-Apr-2021 :‫ﺍﻟﺠﺮﻋﺔ ﺍﻷﻭﻟﻰ‬

Second dose: SARS-CoV-2 (Moderna) - 09-May-2021 :‫ﺍﻟﺠﺮﻋﺔ ﺍﻟﺜﺎﻧﻴﺔ‬

Third dose: SARS-CoV-2 (Moderna) - 19-Dec-2021 :‫ﺍﻟﺠﺮﻋﺔ ﺍﻟﺜﺎﻟﺜﺔ‬

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