Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
AMIRUL FAZZUAN BIN AZMI
Warganegara / Nationality
Malaysian

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
911223025107 911223025107

SIJIL DIGITAL Tarikh Lahir / Date of Birth


23-Dec-1991
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
30-Dec-2021
Page 1 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


02-Jun-2021
Pusat Pemberian Vaksin / Vaccination Center
Klinik Kesihatan Jeniang
Nama Produk / Product name
CoronaVac Suspension for Injection SARS-CoV-2 Vaccine (Vero Cell),
Inactivated
Nama Umum / Common Name
Sinovac
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Sinovac Life Sciences Co. Ltd. COVID-19 vaccine, inactivated
virus
No. Lot / Batch No.
5018885

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


23-Jun-2021
Pusat Pemberian Vaksin / Vaccination Center
Klinik Kesihatan Jeniang
Nama Produk / Product name
CoronaVac Suspension for Injection SARS-CoV-2 Vaccine (Vero Cell),
Inactivated
Nama Umum / Common Name
Sinovac
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Sinovac Life Sciences Co. Ltd. COVID-19 vaccine, inactivated
virus
No. Lot / Batch No.
5018885
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
AMIRUL FAZZUAN BIN AZMI
Warganegara / Nationality
Malaysian

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
911223025107 911223025107

SIJIL DIGITAL Tarikh Lahir / Date of Birth


23-Dec-1991
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
30-Dec-2021
Page 2 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose Tarikh Divaksin / Date of Vaccination


27-Dec-2021
Pusat Pemberian Vaksin / Vaccination Center
Pejabat Kesihatan Daerah Kubang Pasu
Nama Produk / Product name
COMIRNATY Concentrate for Dispersion for Injection
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
BioNTech Europe GmbH COVID-19 vaccine, RNA based
No. Lot / Batch No.
FL5324

You might also like