INTERNATIONAL COVID-19 VACCINATION CERTIFICATE

SERTIFIKAT VAKSINASI COVID-19 INTERNASIONAL

Number / Nomor : 555494462

DETAILS / RINCIAN

Full Name R.PURNOMOSIDI

Nama Lengkap

National Identity Number 3526011005900028

NIK

Passport Number
No. Passport

Date of Birth 1990-05-10

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

25-Mar-2021 First / Pertama Indonesia CoronaVac 1 24001521

08-Apr-2021 Second / Kedua Indonesia CoronaVac 2 24001521

26-Feb-2022 Third / Ketiga Indonesia Astra Zeneca 3 NM0003

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