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INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL


Number / Nomor : 462567306

DETAILS / RINCIAN

Full Name HJ SURYA MARLITA


Nama Lengkap

National Identity Number 1271025305650002


NIK

Passport Number
No. Passport

Date of Birth 1965-05-13


Tanggal Lahir
For further details, please visit
https://verify.kemkes.go.id

VACCINATION DETAILS / RINCIAN VAKSINASI

Date of vaccination Dose Number Country of Vaccination Vaccine Manufacturer Batch ID


Tanggal Vaksinasi Dosis ke Negara /Tempat Vaksinasi Jenis Vaksin Batch ID

27-Sep-2021 First / Pertama Indonesia COVID-19 Vaccine Pfizer FF8279

19-Oct-2021 Second / Kedua Indonesia COVID-19 Vaccine Pfizer FF8279

Vaccination is to protect ourselves and our families, neighbors and protect Indonesian people and people worldwide.
Vaksinasi melindungi diri kita, keluarga kita, tetangga dan melindungi rakyat Indonesia dan manusia di seluruh dunia.

World Health Organization Digital Documentation for COVID-19 Certificates Format

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