REPUBLIC OF THE PHILIPPINES

The City Government of Baguio

COVID-19 VACCINATION CERTIFICATE

This serves as proof that the vaccinee whose name and
details appear herein below has been vaccinated against Covid-19.

Personal Details

Name: GLORIANNE APRIL PEREZ RETUTA

Birthdate: April 29, 2000
Sex: Female
Barangay: BROOKSIDE

Vaccination Details

Dose
Vaccine Brand Vaccination Site Lot Number Vaccination Date
Number
UB BAKUNA
1 ASTRAZENECA CTMAV503 March 24, 2021
CENTER
UB BAKUNA
2 ASTRAZENECA ABV7279 June 01, 2021
CENTER
SLU BAKUNA December 03,
1st Booster MODERNA 086J21A
CENTER 2021

Scan the QR Code to validate authenticity.

The QR Code should be directed to https://bakuna.baguio.gov.ph.

This computer-generated document is issued by the City Government of Baguio,

through the Health Services Office. All data made available through
https://bakuna.baguio.gov.ph is verified and encrypted.

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