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INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL


Number / Nomor : 190607264

DETAILS / RINCIAN

Full Name SRIWULAN BT KARTOWAGIMUN


Nama Lengkap

National Identity Number 3502157006800068


NIK

Passport Number E4677451


No. Passport

Date of Birth 1980-06-30


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

VACCINATION DETAILS / RINCIAN VAKSINASI

Date of vaccination Dose Number Country of Vaccination Vaccine Manufacturer Type Batch ID
Tanggal Vaksinasi Dosis ke Negara /Tempat Vaksinasi Jenis Vaksin Type Batch ID

10-Nov-2021 First / Pertama Indonesia CoronaVac 1 P-FJXIY7JO

08-Dec-2021 Second / Kedua Indonesia CoronaVac 2 Q-001PHFQ2

11-May-2022 Third / Ketiga Indonesia Zifivax 3 UU-0MXNEEC

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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