O'ZBEKISTON RESPUBLIKASI
SOG'LIQNI SAQLASH VAZIRLIGI
KORONAVIRUS (COVID-19) GA QARSHI
EMLANGANLIK TO‘G‘RISIDA
SERTIFIKAT
MINISTRY OF HEALTH
OF THE REPUBLIC OF UZBEKISTAN
CORONAVIRUS (COVID-19)
VACCINATION
CERTIFICATE
ID: 10837857
Emlash punkti/Место вакцинации/Place of vaccination:
КТМП ФИЛИАЛИ
Vaksina turi/Тип вакцины/Type of vaccine:
Moderna
Seriya raqami/Номер серии/Serial number:
Emlash vaqti/Дата вакцинации/Vaccination date:
058D21A
1
05-08-2021
1
058D21A
2
21-09-2021
2
Pasport/Паспopт/ Local passport :
AA3141506
Xorijga chiqish pasporti/Загранпаспорт/Travelling passport:
FA0453099
To‘liq ismi/Полное имя/Full name:
ORTIKOV ABROR UKTAMOVICH
JShShIR/ПИНФЛ/PIN:
30509861590035
Tug‘ilgan sana/Дата рождения/Date of birth:
05-09-1986
Jinsi/Пол/Sex:
Erkak / Мужчина / Male
Sanitariya-epideiologik osoyishtalik va jamoat salomatligi xizmati/СЭС/SES
Manzil/Адрес/Adress:
Toshkent,
Chilonzor, Bunyodkor-45
Telefon: +998 78 888 01 01(012)
Email: kancelyariyaresdsenm@ssv.uz