Cashier, Receptionist

Full Name

Emirates ID No.

ͱ̻̹̺͙̓ Ͳ̠͙͆

͂*̘͙̻ͣ̓ ͙ ͂̀ ̺͙̾ Ͳ̷ͣ

Name of the Health Care Center

MA DIANA ADA MANALO

***-1-983-***-****-7

ONE CENTRAL COVID19 VACCINATION - Dubai

COVID-19 Vaccination Card

19 ͡ ௬̴ ̹ Ͳ௬̯̘ͩ ̷̗͂̓ͩ

784-1-983-***-****-7

Passport No. ̵̠̺͙ ͙ͤ ̚ Ͳ̷ͣ

Emirate

Dubai

̻͛ͣ̓ ͙

̗́͡

MM

Vaccine Date - ΡΎϘϠϟ ΦϳέΎΗ Vaccine Name - ΡΎϘϠϟ ϡγ Dose - ΔϋέΟϟ Lot Number - ϲϠγϠγΗϟ ϡϗέϟ 28/09/2021 Pfizer - BioNTech - ϙΗϧϭϳΑ έίϳΎϓ First Dose - ϰϟϭϷ ΔϋέΟϟ FG2943 19/10/2021 Pfizer - BioNTech - ϙΗϧϭϳΑ έίϳΎϓ Second Dose - ΔϳϧΎΛϟ ΔϋέΟϟ FF8846 Date of Birth͇͡ ௬̻̺͙ ̟̘̀ͣ̓

10/05/1983 10/05/1983

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