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DIGITAL CERTIFICATE For COVID-19 VACCINATION

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MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS

Nama / Name

Warganegara / Nationality
Malaysian
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA

SIJIL DIGITAL Tarikh Lahir / Date of Birth

VAKSINASI COVID-19
DIGITAL CERTIFICATE for COVID-19 Kementerian Berkuasa / Authority Ministry
VACCINATION KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
Negara Pengeluar / Issuing Country
MALAYSIA
Tarikh Dikeluarkan / Date Issued
16-Feb-2022
Page 1 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Dose 1 of 2 Tarikh Divaksin / Date of Vaccination


27-Jul-2021
Pusat Pemberian Vaksin / Vaccination Center
KLINIK MEDIVIRON (KLINIK DR ARASA)
Nama Produk / Product name
Comirnaty
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Biontech Manufacturing GmbH SARS-CoV-2 mRNA vaccine
No. Lot / Batch No.
FF0884

Dose 2 of 2 Tarikh Divaksin / Date of Vaccination


17-Aug-2021
Pusat Pemberian Vaksin / Vaccination Center
KLINIK MEDIVIRON (KLINIK DR ARASA)
Nama Produk / Product name
Comirnaty
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Biontech Manufacturing GmbH SARS-CoV-2 mRNA vaccine
No. Lot / Batch No.
FE8163
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name

Warganegara / Nationality
Malaysian

MALAYSIA No. Kad Pengenalan / Identity No. No. Pasport / Passport No.

SIJIL DIGITAL Tarikh Lahir / Date of Birth

VAKSINASI COVID-19
DIGITAL CERTIFICATE for COVID-19 Kementerian Berkuasa / Authority Ministry
VACCINATION KEMENTERIAN KESIHATAN (MINISTRY OF HEALTH)
Negara Pengeluar / Issuing Country
MALAYSIA
Tarikh Dikeluarkan / Date Issued
16-Feb-2022
Page 2 of 2

MAKLUMAT VAKSINASI / VACCINATION DETAILS

Booster Dose Tarikh Divaksin / Date of Vaccination


24-Jan-2022
Pusat Pemberian Vaksin / Vaccination Center
Klinik Mediviron ( Sri Sentosa )
Nama Produk / Product name
Comirnaty
Nama Umum / Common Name
Pfizer
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
Biontech Manufacturing GmbH SARS-CoV-2 mRNA vaccine
No. Lot / Batch No.
FM9281

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