CERTIFICADO DE VACUNACIÓN / VACCINATION CERTIFICATE

Name / Name Date of Birth

BRAVO PACHAS FERNANDO 30/11/1995
BELISARIO

Id documentDNI Nationality / NationalityPERU

: 71436233

Sex / Sex Vaccine / VaccineCOVVACY

M Vaccine

Vacunado / Vaccinated

Fecha de
Dosage
Vacunación / Fabricante y Lote de Vacuna / Product Lugar de Vacunación / Vaccination
/
Vaccination Name and Manufacturer Lot Number Place
Dosage
Date

LIMA - Iep Nuestra Señora Del Carmen

16/09/2021 1st dose SINOPHARM (B2021082213)
- LIMA CAÑETE IMPERIAL

2nd LIMA - Iep Nuestra Señora Del Carmen

18/10/2021 SINOPHARM (B2021082363)
dose - LIMA CAÑETE IMPERIAL

26/03/2022 3rd dose ASTRAZENECA (78257) LIMA - SAME HEALTH FACILITY -

Certificate issued by/ Certificate issued by: Fecha de Emisión / Date of Issue
Ministry of Health of Peru 19/04/2022 17:19

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