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19-01-2026 10:34 AM
Please Proceed to Admission Counter to register as Caregiver / Patient. Thank you.
Caregiver
Penjaga
Accompany
Peneman
Visitor
Pelawat
Visitor
Pelawat
Patient
Pesakit
NRIC / PASSPORT
Name
Phone No.
Covid-19 Vaccination
Status
Fully Vaccinated
Dose 1
Choose One
AstraZeneca (VaxZevria)
CanSino
Covaxin
Covishield
Janssen (Johnson & Johnson)
Moderna (Spikevax)
Novavax
Pfizer–BioNTech (Comirnaty)
Sinopharm
Sinovac (CoronaVac)
Sputnik V
Sputnik Light
Dose 1 Date
Dose 2
Choose One
AstraZeneca (VaxZevria)
CanSino
Covaxin
Covishield
Janssen (Johnson & Johnson)
Moderna (Spikevax)
Novavax
Pfizer–BioNTech (Comirnaty)
Sinopharm
Sinovac (CoronaVac)
Sputnik V
Sputnik Light
Dose 2 Date
Booster Dose?
Booster Dose
Choose One
AstraZeneca (VaxZevria)
CanSino
Covaxin
Covishield
Janssen (Johnson & Johnson)
Moderna (Spikevax)
Novavax
Pfizer–BioNTech (Comirnaty)
Sinopharm
Sinovac (CoronaVac)
Sputnik V
Sputnik Light
Booster Date
Patient (Pesakit)
MRN / NRIC / PASSPORT
Name
Ward
Register
