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  • KKJH 1

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    SuciEkaWulandari
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    Pandi Bin Jarawi received a meningitis vaccine on May 10, 2023 with a valid period until May 9, 2025. He received his first COVID-19 vaccine dose on November 2, 2021 and his second dose on November 23, 2021 with valid periods for both. The document provides Pandi's personal details and records of three vaccines received.

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    Pandi Bin Jarawi received a meningitis vaccine on May 10, 2023 with a valid period until May 9, 2025. He received his first COVID-19 vaccine dose on November 2, 2021 and his second dose on November 23, 2021 with valid periods for both. The document provides Pandi's personal details and records of three vaccines received.

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

    KKJH 1

    Uploaded by

    SuciEkaWulandari
    Pandi Bin Jarawi received a meningitis vaccine on May 10, 2023 with a valid period until May 9, 2025. He received his first COVID-19 vaccine dose on November 2, 2021 and his second dose on November 23, 2021 with valid periods for both. The document provides Pandi's personal details and records of three vaccines received.

    Copyright:

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

    Name  

      : PANDI BIN JARAWI


    Date Of Birth    : 24 Apr 1956
    Sex     : Male
    Nationality     : INDONESIA
    1. Vaccine or prophylaxis : Date :
          Meningitis Meningococcus ACYW135 10 May 2023

        Manufacture and batch of vaccine : Valid until :


          j202210003 09 May 2025

        Signature and professional status of supervising Official Stamp


    clinician : :

    2. Vaccine or prophylaxis : Date :


          COVID-19 1st Dose 02 Nov 2021

        Manufacture and batch of vaccine : Valid until :


          FF8847

        Signature and professional status of supervising Official Stamp


    clinician : :

    PANDI BIN JARAWI 3. Vaccine or prophylaxis :


          COVID-19 2nd Dose
    Date :
    23 Nov 2021
    KAB. PROBOLINGGO     Manufacture and batch of vaccine : Valid until :
         FL1072
    1300558518
        Signature and professional status of supervising Official Stamp
    clinician : :

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