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Certificate

This certificate documents that Keshav Kumar Nishad, a 23-year-old male, received two doses of the Covishield COVID-19 vaccine in September and December 2021 and a precaution dose in September 2022 in Chhattisgarh, India. It provides details of the vaccine name, batch number, manufacturer and vaccination location for each dose. The certificate encourages working together to defeat COVID-19 and provides contact information in case of any adverse events.

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Keshav Nishad
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83 views

Certificate

This certificate documents that Keshav Kumar Nishad, a 23-year-old male, received two doses of the Covishield COVID-19 vaccine in September and December 2021 and a precaution dose in September 2022 in Chhattisgarh, India. It provides details of the vaccine name, batch number, manufacturer and vaccination location for each dose. The certificate encourages working together to defeat COVID-19 and provides contact information in case of any adverse events.

Uploaded by

Keshav Nishad
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 74494911700

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Keshav Kumar Nishad

Age / उ 23

Gender / लग Male

ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX0390

Unique Health ID (UHID)


Beneficiary Reference ID 7110438112511

Vaccination Status / टीकाकरण क त Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम Yamini Sahu
PS School Sakti Ward BYT, Baloda bazar,
Vaccination At / टीकाकरण का ान Chhattisgarh

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
खुराक क सं या खुराक क तारीख वै ीन का नाम बैच सं या टीका का कार उ पादक

COVID-19 vaccine,
1/2 12 Sep 2021 COVISHIELD 4121AA010M non-replicating viral vector Serum Institute of India

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 06 Dec 2021 COVISHIELD 4121MC121 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


Precaution dose 21 Sep 2022 COVISHIELD 4122Z012M non-replicating viral vector Ltd.

“दवाई भी और कड़ाई भी।


Together, India will defeat
COVID-19”
- धानमं ी नर मोदी

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
टीकाकरण प ात कसी तकूल घटना के होने पर नज़दीक ा क / ा कम / जला टीकाकरण
अ धकारी/रा ह लाइन 1075 पर स क कर

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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