Document info

Result type: COVID-19 Vaccination Certificate

Result date: 19 Mar 2021 00:05
Result status: authenticated

COVID-19 Vaccination Certificate

SHARMAINE
Patient: DOB: 10 Mar 1994
AMBAL

COVID-19 Vaccination Certificate

 19-‫ﺷﻬﺎﺩﺓ ﺗﻄﻌﻴﻢ ﺿﺪ ﻓﻴﺮﻭﺱ ﻛﻮﻓﻴﺪ‬
COVID-19 Vaccination Certificate
‫ﺇﻟﻰ ﻣﻦ ﻳﻬﻤﻪ ﺍﻷﻣﺮ‬
To whomsoever it may concern
This is to certify that: :‫ﺗﺆﻛﺪ ﻫﺬﻩ ﺍﻟﻮﺛﻴﻘﺔ ﺃﻥ‬

Order ID: 6846688269 :‫ﺭﻗﻢ ﻃﻠﺐ‬

SHARMAINE JOY DEMANDANTE
Name: AMBAL :‫ﺍﻹﺳﻢ‬

QID/Visa/Passport: 29460804400 :‫ﺟﻮﺍﺯ ﺍﻟﺴﻔﺮ‬/‫ﺍﻟﺘﺄﺷﻴﺮﺓ‬/‫ﺭﻗﻢ ﺍﻟﺒﻄﺎﻗﺔ ﺍﻟﺸﺨﺼﻴﺔ‬

Medical Record No.: HC05345290 :‫ﺭﻗﻢ ﺍﻟﻤﻠﻒ ﺍﻟﻄﺒﻲ‬

Date of Birth: 10-Mar-1994 :‫ﺗﺎﺭﻳﺦ ﺍﻟﻤﻴﻼﺩ‬

Nationality: Filipino :‫ﺍﻟﺠﻨﺴﻴﺔ‬

The above mentioned has received

the two doses of the vaccine as :‫ﺃﻋﻄﻲ ﺍﻟﻤﺬﻛﻮﺭ ﺃﻋﻼﻩ ﺟﺮﻋﺘﻴﻦ ﻣﻦ ﻟﻘﺎﺡ‬
follows:

First dose received on: SARS-CoV-2 (Pfizer) - 24-Feb-2021 :‫ﺃﻋﻄﻴﺖ ﺍﻟﺠﺮﻋﺔ ﺍﻷﻭﻟﻰ ﺑﺘﺎﺭﻳﺦ‬

Second dose received on: SARS-CoV-2 (Pfizer) - 17-Mar-2021 :‫ﺃﻋﻄﻴﺖ ﺍﻟﺠﺮﻋﺔ ﺍﻟﺜﺎﻧﻴﺔ ﺑﺘﺎﺭﻳﺦ‬