DRS. ALI MURTADI, MSI.pdf

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Education

KARTU VAKSINASI COVID-19
No. Tiket No. NIK
Nama Lengkap
Tanggal Lahir
No.HP
Alamat
: P-K59IRNFG : 3504031504580004
: DRS. ALI MURTADI, MSI.
: 1958-04-15
: 082132826677
: BANGOAN KEC KEDUNGWARU
Lokasi Menerima : POLI POLRES LAMPUNG TIMUR - 01010005
Riwayat Pemberian Vaksin Covid-19
Tanggal Vaksinasi Nama
Vaksin
No.Batch Lokasi Menerima Keterangan
2023-06-12
10:52:00
Sinopharm 202106B1421 POLI POLRES LAMPUNG TIMUR -
01010005
dosis 1
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: DONI SANTOSA
: 081369785638

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