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Certificate For COVID-19 Vaccination: Beneficiary Details

This document is a certificate of vaccination issued by the Ministry of Health & Family Welfare, Government of India. It provides details of the vaccination of Avinash, a 34-year-old male, including that he received two doses of the COVISHIELD vaccine, manufactured by Serum Institute of India. The dates of the first and second doses were June 17, 2021 and July 15, 2021 respectively. It encourages citizens to work together to defeat COVID-19 and provides contact information in case of any adverse events.

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Nitin Kumar C
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131 views1 page

Certificate For COVID-19 Vaccination: Beneficiary Details

This document is a certificate of vaccination issued by the Ministry of Health & Family Welfare, Government of India. It provides details of the vaccination of Avinash, a 34-year-old male, including that he received two doses of the COVISHIELD vaccine, manufactured by Serum Institute of India. The dates of the first and second doses were June 17, 2021 and July 15, 2021 respectively. It encourages citizens to work together to defeat COVID-19 and provides contact information in case of any adverse events.

Uploaded by

Nitin Kumar C
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Certificate for COVID-19 Vaccination

Issued in India by Ministry of Health & Family Welfare, Govt. of India


Certificate ID 79195861521

Beneficiary Details
Beneficiary Name / ಫ ಾನುಭ ಯ ಸರು Avinash

Age / ವಯಸು 34

Gender / ಂಗ Male

ID Verified / ಐ. . ಗುರುತು Passport # R2928127

Unique Health ID (UHID) 15-7058-1765-6702

Beneficiary Reference ID 51944404615840


Vaccination Status / ಲ ೕ ಗ Fully Vaccinated (2 Doses)

Vaccination Details
Vaccine Name / ಲ ಸರು COVISHIELD

Vaccine Type / ಾವ ೕ ಯ ಲ COVID-19 vaccine, non-replicating viral vector

Manufacturer / ತ ಾರಕರು Serum Institute of India Pvt. Ltd.

Dose Number / ೂೕ ಸಂ 1/2 2/2

Date of Dose / ೂೕ ಾಂಕ 17 Jun 2021 15 Jul 2021

Batch Number / ಾ ಸಂ 4121Z094 4121MC024

Vaccinated By / ಲ ೕ ದವರು MCH

Vaccination At / ಲ ಾ ದ ಸಳ BRS MCH Hospital, Udupi, Karnataka

“ಔಷ /ಲ ೕಕು,
ೂ ದೃಢ ೕಕು
Together, India will defeat
COVID-19”
- ಪ ಾನಮಂ ನ ೕಂದ ೕ

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
ಾವ ೕ ಅಡಪ ಾಮ ಉಂ ಾದ ಸಂದಭ ದ , ದಯ ಟು ಸ ೕಪದ ಾವ ಜ ಕ ಆ ೂೕಗ
ೕಂದ /ಆ ೂೕಗ ಶುಷೂ ಾಯ ಕ / ಾ ಲ ಅ ಾ / ಾಜ ಸ ಾಯ ಾ ಸಂ. 1075
ಸಂಪ

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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