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1. 19 - ‫ﻛﻮﻓﻴﺪ‬ ‫ﻣﻄﻌﻮﻡ‬ ‫ﺷﻬﺎﺩﺓ‬
COVID - 19 Vaccination Certification
‫ﺍﻟﻮﻃﻨﻲ‬ ‫ﺍﻟﺮﻗﻢ‬
National Number :
: 2000119392
2000119392
‫ﺍﻻﺳﻢ‬
‫ﺍﻟﻤﻴﻼﺩ‬ ‫ﺗﺎﺭﻳﺦ‬
‫ﺍﻟﻤﺮﺟﻌﻲ‬ ‫ﺍﻟﺮﻣﺰ‬
Reference No.
Date of Birth
Name :
:
:
:
:
:
‫ﺍﻟﻤﺒﻴﻀﻴﻦ‬ ‫ﻋﻴﺴﻰ‬ ‫ﻏﺎﺯﻯ‬ ‫ﻣﺤﻤﺪ‬
17/07/2000
88LDQ4QQRL
Mohammad GHAZI essa MOBEIDEN
17/07/2000
88LDQ4QQRL
‫ﺍﻟﺠﺮﻋﺔ‬
Dose
‫ﺍﻟﻤﻄﻌﻮﻡ‬
Vaccine
‫ﺍﻟﺘﺸﻐﻴﻠﺔ‬ ‫ﺭﻗﻢ‬
Lot No.
‫ﺍﻟﺘﺎﺭﻳﺦ‬
Date
‫ﺍﻟﻤﺮﻛﺰ‬
Healthcare Center
1
‫ﺳﻴﻨﻮﻓﺎﺭﻡ‬
Sinopharm
HV0041
04/07/2021
‫ﻋﺒﺪﺍﻟﻠﻪ‬ ‫ﺍﻟﻤﻠﻚ‬ ‫ﻣﺪﻳﻨﺔ‬-1‫ﺑﻮﺍﺑﺔ‬ ‫ﻓﻴﺼﻞ‬ ‫ﺍﻻﻣﻴﺮ‬ ‫ﺻﺎﻟﺔ‬
‫ﺍﻟﻘﻮﻳﺴﻤﺔ‬-‫ﺍﻟﺜﺎﻧﻲ‬
2
‫ﺳﻴﻨﻮﻓﺎﺭﻡ‬
Sinopharm
202105B1062
29/07/2021
‫ﻋﺒﺪﺍﻟﻠﻪ‬ ‫ﺍﻟﻤﻠﻚ‬ ‫ﻣﺪﻳﻨﺔ‬-1‫ﺑﻮﺍﺑﺔ‬ ‫ﻓﻴﺼﻞ‬ ‫ﺍﻻﻣﻴﺮ‬ ‫ﺻﺎﻟﺔ‬
‫ﺍﻟﻘﻮﻳﺴﻤﺔ‬-‫ﺍﻟﺜﺎﻧﻲ‬