Certificat International de Vaccination ou de Prophylaxie
ABDUL DHOLENK***
Passport X8188***
15th July 1961
E26-000990575
In accordance with the International Health Regulations
conformément au Règlement sanitaire international
| Vaccine / Prophylaxis | Manufacturer & Batch no. | Date | Valid Until | Supervising Clinician |
|---|---|---|---|---|
| MENINGITIS MENINGOCOCCUS | BIOFARMA menivax ACYW97007725 | 22nd June 2026 | 22nd June 2029 | dr. H. M. Rivaldi |
| POLIO | BIOFARMA POLIOMYELITIS 21000725 | 22nd June 2026 | 30th November 2026 | Klinik Beafar dr. H. M. Burhan |