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: 10314599
Emlash punkti/Место вакцинации/Place of vaccination:
Фарғона шаҳар 3-ОП
Vaksina turi/Тип вакцины/Type of vaccine:
Sputnik V
Seriya raqami/Номер серии/Serial number:
Emlash vaqti/Дата вакцинации/Vaccination date:
1020921
1
15-01-2022
1
1020921
2
05-02-2022
2
Pasport/Паспopт/ Local passport :
AA3362536
Xorijga chiqish pasporti/Загранпаспорт/Travelling passport:
FA0927383
To‘liq ismi/Полное имя/Full name:
BOLTABOYEVA MUKADDASXON TURGUNBAYEVNA
JShShIR/ПИНФЛ/PIN:
42908756890015
Tug‘ilgan sana/Дата рождения/Date of birth:
29-08-1975
Jinsi/Пол/Sex:
Ayol / Женщина / Female
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