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  • Qcwnrze4w7 PV Csq5g3

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    Benjamin Hogyawon
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    This vaccination card provides medical information about the COVID-19 vaccines received by Benjamin Hogyawon including the dates of his first and second Sputnik-V doses administered on July 21, 2021 and October 1, 2021 respectively at the Provincial Capitol Gymnasium health facility. The card lists his personal details and serves as a record of his vaccination.

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    This vaccination card provides medical information about the COVID-19 vaccines received by Benjamin Hogyawon including the dates of his first and second Sputnik-V doses administered on July 21, 2021 and October 1, 2021 respectively at the Provincial Capitol Gymnasium health facility. The card lists his personal details and serves as a record of his vaccination.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Download as pdf or txt
    9 views1 page

    Qcwnrze4w7 PV Csq5g3

    Uploaded by

    Benjamin Hogyawon
    This vaccination card provides medical information about the COVID-19 vaccines received by Benjamin Hogyawon including the dates of his first and second Sputnik-V doses administered on July 21, 2021 and October 1, 2021 respectively at the Provincial Capitol Gymnasium health facility. The card lists his personal details and serves as a record of his vaccination.

    Copyright:

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

    COVID-19

    Vaccination Card
    Please keep this record card, which includes medical information ID No. PV-CSQ5G3
    about the vaccines you have received.

    HOGYAWON BENJAMIN M
    Last Name First Name M.I. Suffix

    Address PUROK 2, BALLIGUI, MADDELA, QUIRINO... Contact No. 09158767423

    Date of Birth 06/30/1979 Sex Male Philhealth No. 62006014335 Category A3

    Date
    Dosage Seq. (mm/dd/yy) Vaccine Manufacturer Batch No. Lot No.

    07/21/21 SPUTNIK-V I-940521


    1st Dose
    Vaccinator Name: RALILAH T. LADIA Signature

    10/01/21 SPUTNIK-V I-940521


    2nd Dose
    (Schedule : / / ) Vaccinator Name: Lovely Almoite Signature

    Health Facility Name: PROVINCIAL CAPITOL GYMNASIUM Contact No: 09758961524

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