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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name
MD FARIZAL BIN MD ZAHIR
Warganegara / Nationality
Malaysian

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
780425015401 780425015401

SIJIL DIGITAL Tarikh Lahir / Date of Birth


25-Apr-1978
VAKSINASI COVID-19
DIGITAL CERTIFICATE for COVID-19 Kementerian Berkuasa / Authority Ministry
VACCINATION KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
Negara Pengeluar / Issuing Country
MALAYSIA
Tarikh Dikeluarkan / Date Issued
02-Mar-2022
Page 1 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


13-Aug-2021
Pusat Pemberian Vaksin / Vaccination Center
Klinik Kesihatan Simpang Empat
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.
FG4421

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


03-Sep-2021
Pusat Pemberian Vaksin / Vaccination Center
Klinik Kesihatan Simpang Empat
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.
FF8871
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
MD FARIZAL BIN MD ZAHIR
Warganegara / Nationality
Malaysian

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
780425015401 780425015401

SIJIL DIGITAL Tarikh Lahir / Date of Birth


25-Apr-1978
VAKSINASI COVID-19
DIGITAL CERTIFICATE for COVID-19 Kementerian Berkuasa / Authority Ministry
VACCINATION KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
Negara Pengeluar / Issuing Country
MALAYSIA
Tarikh Dikeluarkan / Date Issued
02-Mar-2022
Page 2 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose Tarikh Divaksin / Date of Vaccination


15-Jan-2022
Pusat Pemberian Vaksin / Vaccination Center
PPV Offsite Dewan Masjid Sultanah Bahiyah
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.
1K077-1A

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