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  • ALKI SOMPAH v2

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    Siti Juleha
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    This document contains information about Alki Sompah's COVID-19 vaccination record. It lists their name, date of birth, phone number, address, and the details of the two doses of vaccine they received, including the date, vaccine name, batch number and location. It also provides contact information for if any symptoms occur after vaccination.

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    This document contains information about Alki Sompah's COVID-19 vaccination record. It lists their name, date of birth, phone number, address, and the details of the two doses of vaccine they received, including the date, vaccine name, batch number and location. It also provides contact information for if any symptoms occur after vaccination.

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    © All Rights Reserved
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    5 views1 page

    ALKI SOMPAH v2

    Uploaded by

    Siti Juleha
    This document contains information about Alki Sompah's COVID-19 vaccination record. It lists their name, date of birth, phone number, address, and the details of the two doses of vaccine they received, including the date, vaccine name, batch number and location. It also provides contact information for if any symptoms occur after vaccination.

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    © All Rights Reserved
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    KARTU VAKSINASI COVID-19

    No. Tiket : Q-00ODFOSG No. NIK : 7504010603990001


    Nama Lengkap : ALKI SOMPAH
    Tanggal Lahir : 1999-03-06
    No.HP : 081243098847
    Alamat : DESA TORSIAJE
    Lokasi Menerima : IKUR KOTO - 00500002

    Riwayat Pemberian Vaksin Covid-19

    Tanggal Nama Vaksin No.Batch Lokasi Menerima Keterangan


    Vaksinasi

    2022-01-11 CoronaVac 2021091530 POLRES GORONTALO KOTA - SELESAI


    10:22:00 03540003 DOSIS 1

    2022-02-25 COVID-19 Vaccine Fm6894 IKUR KOTO - 00500002 Dosis 2


    19:12:00 Pfizer

    Catatan:
    Apabila terdapat gejala pasca dilakukan vaksinasi dapat menghubungi :
    Nama : Ainil Fitri
    No Telp : 085263860890

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