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    6 views1 page

    Surya Di

    Uploaded by

    Aghiest Utungga Al Birru
    Vuvvuvuuvvuvuu

    Copyright:

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

    KARTU VAKSINASI COVID-19

    No.TiketNama : P-KWHYWHKGQ No.NIK : 3527050903930011


    LengkapTangg : SURYADI
    al LahirNo.HP : 1993-03-09
    Alamat :
    : SAMPANG
    Lokasi Menerima : RSUP Dr Sardjito - 08010602

    Riwayat Pemberian Vaksin Covid-19

    TanggalV Nama No.Batch LokasiMe Keterangan


    aksinasi Vaksin nerima

    11-11-2022 COVID-19 FF9876 RSUP Dr SUDAH DI VAKSIN Ke 3 Tahap Ke 1


    15:20:08:00 Vaccine SARDJITO PADA TANGGAL 11 NOVEMBER 2022
    AstraZeneca 06097803

    Catatan:
    Apabila terdapat gejala pasca dilakukan vaksinasi dapat menghubungi :
    Nama : Yora Handika Putri Panai
    NoTelp : 081548907181

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