MEDICAL RECORDS G. Capco

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VACCINATION AND MEDICAL RECORD POS SYSTEM POVaS Pateros

Patient ID: 13-7606007-2155ACEH

VAXCERT VERIFICATION RECORDS

Name: CAPCO, GIANCARLO CAPILI

Address: SAN ROQUE, 137606011 PATEROS

1st Dose Name-Date: AstraZeneca Symbicort Turbuhaler 08/28/2021

2nd Dose Name-date: AstraZeneca Symbicort Turbuhaler 09/26/2021

3rd Dose Name-Date:

4th Dose Name-Date:

VACCINATION UPDATE: 2nd quarter of 2022

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