Scribd Logo
Upload

Welcome to Scribd!

  • Vacc Card

    Uploaded by

    Yana Pot
    7 views1 page
    This document is a vaccination card that tracks influenza and pneumonia vaccines received by a patient over multiple years. It includes fields for the patient's name and address and charts for recording the administration date, vaccine lot number, administering person's name and signature for influenza and pneumonia vaccines in 2021, 2022, and 2023.

    Original Description:

    Vaccination card template

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is a vaccination card that tracks influenza and pneumonia vaccines received by a patient over multiple years. It includes fields for the patient's name and address and charts for recording the administration date, vaccine lot number, administering person's name and signature for influenza and pneumonia vaccines in 2021, 2022, and 2023.

    Copyright:

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

    Vacc Card

    Uploaded by

    Yana Pot
    This document is a vaccination card that tracks influenza and pneumonia vaccines received by a patient over multiple years. It includes fields for the patient's name and address and charts for recording the administration date, vaccine lot number, administering person's name and signature for influenza and pneumonia vaccines in 2021, 2022, and 2023.

    Copyright:

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

    VACCINATION CARD

    Name:
    Address:
    VACCINES
    2021 2022 2023
    Administration
    date
    Influenza Lot No.
    Administered by:
    (Name and
    Signature)
    Administration
    date
    Lot No.
    Pneumonia Administered by:
    (Name and
    Signature)

    VACCINATION CARD
    Name:
    Address:
    VACCINES
    2021 2022 2023
    Administration
    date
    Influenza Lot No.
    Administered by:
    (Name and
    Signature)
    Administration
    date
    Lot No.
    Pneumonia Administered by:
    (Name and
    Signature)

    VACCINATION CARD
    Name:
    Address:
    VACCINES
    2021 2022 2023
    Administration
    date
    Influenza Lot No.
    Administered by:
    (Name and
    Signature)
    Administration
    date
    Lot No.
    Pneumonia Administered by:
    (Name and
    Signature)

    You might also like