MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
RUBEN RAJ A/L S SINNAPPAN
Warganegara / Nationality
MALAYSIAN
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
990525145719 _
SIJIL DIGITAL Tarikh Lahir / Date of Birth
25-May-1999
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
14-Jun-2022
Page 1 of 2
MAKLUMAT VAKSINASI / VACCINATION DETAILS
Dose 1 of 2 Tarikh Divaksin / Date of Vaccination
15-May-2021
Pusat Pemberian Vaksin / Vaccination Center
World Trade Centre Kuala Lumpur (Station 3)
Nama Produk / Product name
Vaxzevria
Nama Umum / Common Name
AstraZeneca
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
AstraZeneca AB covid-19 vaccines
No. Lot / Batch No.
CTMAV538
Dose 2 of 2 Tarikh Divaksin / Date of Vaccination
17-Jul-2021
Pusat Pemberian Vaksin / Vaccination Center
World Trade Centre Kuala Lumpur (Station 3)
Nama Produk / Product name
Vaxzevria
Nama Umum / Common Name
AstraZeneca
Pengeluar / Manufacturer Jenis Vaksin / Vaccine Type
AstraZeneca AB covid-19 vaccines
No. Lot / Batch No.
A1013
MAKLUMAT PENERIMA VAKSIN / VACCINEE DETAILS
Nama / Name
RUBEN RAJ A/L S SINNAPPAN
Warganegara / Nationality
MALAYSIAN
No. Kad Pengenalan / Identity No. No. Pasport / Passport No.
MALAYSIA
990525145719 _
SIJIL DIGITAL Tarikh Lahir / Date of Birth
25-May-1999
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
14-Jun-2022
Page 2 of 2
MAKLUMAT VAKSINASI / VACCINATION DETAILS
Booster Dose 1 Tarikh Divaksin / Date of Vaccination
13-Jan-2022
Pusat Pemberian Vaksin / Vaccination Center
PPV OUTREACH UTAR
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.
FP8233