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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
YOGA GURNIANTO
Warganegara / Nationality
Indonesian

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
_ X1039385
SIJIL DIGITAL Tarikh Lahir / Date of Birth
VAKSINASI COVID-19 08-Jun-1994
DIGITAL CERTIFICATE for COVID-19 Kementerian Berkuasa / Authority Ministry
VACCINATION KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
Negara Pengeluar / Issuing Country
MALAYSIA
Tarikh Dikeluarkan / Date Issued
21-Oct-2023
Page 1 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


21-Jul-2021
Pusat Pemberian Vaksin / Vaccination Center
Klinik Kesihatan Jalan Masjid
Nama Produk / Product name
CoronaVac
Nama Umum / Common Name
Sinovac
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Sinovac Biotech covid-19 vaccines
No. Lot / Batch No.
C202106103

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


11-Aug-2021
Pusat Pemberian Vaksin / Vaccination Center
Klinik Kesihatan Jalan Masjid
Nama Produk / Product name
CoronaVac
Nama Umum / Common Name
Sinovac
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Sinovac Biotech covid-19 vaccines
No. Lot / Batch No.
202106050P
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
YOGA GURNIANTO
Warganegara / Nationality
Indonesian

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
_ X1039385
SIJIL DIGITAL Tarikh Lahir / Date of Birth
VAKSINASI COVID-19 08-Jun-1994
DIGITAL CERTIFICATE for COVID-19 Kementerian Berkuasa / Authority Ministry
VACCINATION KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
Negara Pengeluar / Issuing Country
MALAYSIA
Tarikh Dikeluarkan / Date Issued
21-Oct-2023
Page 2 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose 1 Tarikh Divaksin / Date of Vaccination


17-Dec-2021
Pusat Pemberian Vaksin / Vaccination Center
Stadium Tertutup Samarahan
Nama Produk / Product name
Comirnaty
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Biontech Manufacturing GmbH SARS-CoV-2 mRNA vaccine
No. Lot / Batch No.
FK0892

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