VaccineCertificate VCC09072109941

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(19-‫اﻟﺘﻘﺮﻳﺮ اﻟﻄﺒﻲ ﻟﺘﻄﻌﻴﻢ ﻓﺎﻳﺮوس ﻛﻮروﻧﺎ )ﻛﻮﻓﻴﺪ‬

COVID-19 Vaccine Medical Report

Full Name GHULAM MUHAMMAD - - ATTA MUHAMMAD ‫ ﻋ ﻄﺎ ﻣ ﺤ ﻤ ﺪ‬- - ‫ﻏ ﻼ م ﻣ ﺤ ﻤ ﺪ‬ ‫اﻻﺳﻢ‬

ID Number 2386608364 2386608364 ‫ر ﻗ ﻢ ا ﻟ ﻬ ﻮﻳ ﺔ‬

Date of birth 04 Jan 1969 1969 ‫ ​ ﻳﻨﺎﻳﺮ‬04 ‫ﺗﺎرﻳﺦ اﳌﻴﻼد‬

Nationality Pakistan ‫ﺑﺎ ﻛ ﺴ ﺘﺎ ن‬ ‫اﻟ ﺠﻨ ﺴﻴ ﺔ‬

Vaccine Type AstraZeneca (VAXZEVRIA®, COVISHIELD™) ‫أﺳﺘﺮاز ﻳﻨﻴﻜﺎ‬ ‫ﻧ ﻮ ع اﻟﺘ ﻄ ﻌﻴ ﻢ‬

Date 2021-03-26 2021 ‫ ​ ﻣﺎرس‬26 ‫اﻟﺘﺎرﻳﺦ‬

Batch Number 4120Z018 4120Z018 ‫ر ﻗ ﻢ اﻟﺘ ﺸ ﻐﻴ ﻠ ﺔ‬

Vaccine Type Pfizer-BionTech (COMIRNATY®) ‫ﺑ ﻴ ﻮﻧ ﺘ ﻚ‬- ‫ﻓ ﺎﻳ ﺰ ر‬ ‫ﻧ ﻮ ع اﻟﺘ ﻄ ﻌﻴ ﻢ‬

Date 2021-07-09 2021 ‫ ​ ﻳﻮﻟﻴﻮ‬09 ‫اﻟﺘﺎرﻳﺦ‬

Batch Number FD8813 FD8813 ‫ر ﻗ ﻢ اﻟﺘ ﺸ ﻐﻴ ﻠ ﺔ‬

Vaccine Type Pfizer-BionTech (COMIRNATY®) ‫ﺑ ﻴ ﻮﻧ ﺘ ﻚ‬- ‫ﻓ ﺎﻳ ﺰ ر‬ ‫ﻧ ﻮ ع اﻟﺘ ﻄ ﻌﻴ ﻢ‬

Date 2021-12-22 2021 ‫ ​ دﻳﺴﻤﺒﺮ‬22 ‫اﻟﺘﺎرﻳﺦ‬

Batch Number FJ1966 FJ1966 ‫ر ﻗ ﻢ اﻟﺘ ﺸ ﻐﻴ ﻠ ﺔ‬

Vaccine Type Pfizer-BionTech (COMIRNATY®) ‫ﺑ ﻴ ﻮﻧ ﺘ ﻚ‬- ‫ﻓ ﺎﻳ ﺰ ر‬ ‫ﻧ ﻮ ع اﻟﺘ ﻄ ﻌﻴ ﻢ‬

Date 2022-05-23 2022 ‫ ​ ﻣﺎﻳﻮ‬23 ‫اﻟﺘﺎرﻳﺦ‬

Batch Number FP7070 FP7070 ‫ر ﻗ ﻢ اﻟﺘ ﺸ ﻐﻴ ﻠ ﺔ‬

‫ اﳌﻤﻠﻜﺔ اﻟﻌﺮﺑﻴﺔ اﻟﺴﻌﻮدﻳﺔ‬،‫ﺗﻢ إﺻﺪار ﻫﺬا اﻟﺘﻘﺮ ﻳﺮ ﻣﻦ ﻗﺒﻞ وزارة اﻟﺼﺤﺔ‬

‫ﻫﺬا اﻟﺘﻘﺮ ﻳﺮ ﻟﻺﺳﺘﺨﺪام اﻟﻄﺒﻲ ﺧﺎرج اﳌﻤﻠﻜﺔ ﰲ اﻟﺪول اﻟﱵ ﻟﻢ ﺗﺮﺗﺒﻂ إﻟﻜﺘﺮوﻧﻴﺎ ﻣﻊ اﻷﻧﻈﻤﺔ اﻟﺤﻜﻮﻣﻴﺔ ﰲ اﳌﻤﻠﻜﺔ اﻟﻌﺮﺑﻴﺔ اﻟﺴﻌﻮدﻳﺔ‬

This Report has been issued by the Ministry of Health, Kingdom of Saudi Arabia

This report is intended to be used for medical purposes outside the Kingdom of Saudi Arabia, in the countries that are not integrated with
the Kingdom's government systems.

Kindly scan the QR code to vaildate Report No. ‫رﻗﻢ اﻟﺘﻘﺮ ﻳﺮ‬ ‫ﻳﺮﺟﻰ ﻣﺴﺢ اﻟﺒﺎرﻛﻮد ﻟﻠﺘﺤﻘﻖ ﻣﻦ ﺻﺤﺔ‬

this report VCC09072109941 ‫ﻫﺬا اﻟﺘﻘﺮ ﻳﺮ‬

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