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COVID-19 Vaccination Card

Review document

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Delabajan Alberto
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599 views1 page

COVID-19 Vaccination Card

Review document

Uploaded by

Delabajan Alberto
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

COVID-19 Vaccination Card

Please keep this record card, which includes medical information Card ID no.
about the vaccines you have received 912520
DELA BAJAN ALBERTO ORTEGA N/A

Last Name First Name M.I. Suffix

Address 137604006 TAMBO, 137604 CITY OF Contact No. 9979403083


PARAÑAQUE, 1376 NCR FOURTH DIS-
TRICT, NationalCapitalRegion,

Date of Birth 01/04/1991 Sex M Philhealth No. N/A Category B3

Dosage Seq. Date Vaccine Manufacturer Batch No. Lot No.

08/18/2021 Moderna 939894

1st Dose Schedule


Vaccinator Name:KIMBERLY C SANTOS

09/15/2021 Moderna 3005784

2nd Dose Schedule


Vaccinator Name:Mary Anne Rio O. Hingco

Health Facility NPF Drive Through Contact No.:


Name(1st Dose):

Health Facility NPF Drive Through Contact No.:


Name(2nd Dose):

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