Vaccine PDF

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COVID-19 Vaccination

Certificate
Sijil Vaksinasi COVID-19

Basic Information / Maklumat Asas

Medical Record No./BruHims No. : BN53011836

Name/Nama : Nur Arifah Waadiyah Nur Hamiezan, ( )

IC No./No. Kad Pengenalan : 01139428

Passport no./No. pasport : C0457184

Age/Umur : 18

Gender/Jantina : Female

Date of Birth/Tarikh Lahir : 12 May 2004

Telephone No./No. Telefon : +637255717

Vaccine / Vaksin
Dose Batch Brand Country Date of Vaccination
/Dos /Kumpulan /Jenama /Negara /Tarikh Vaksinasi

1st FK6268 PFIZER-BIONTECH COMIRNATY Brunei 15 Nov 2021 14:24

2nd FK6268 PFIZER-BIONTECH COMIRNATY Brunei 13 Dec 2021 13:37

3rd 220102 PFIZER-BIONTECH COMIRNATY Brunei 21 May 2022 16:11

Note/Nota: The vaccinators should keep the "Vaccination Certificate" properly for inspection (Pemberi vaksinasi hendaklah menyimpan "Sijil Vaksinasi"
dengan baik untuk membuat pemeriksaan).

MINISTRY OF
HEALTH

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