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Certificate

This certificate provides details of Pallavi Shukla's COVID-19 vaccination in India. It shows that she received two initial doses of the Covishield vaccine in May and September 2021 and a precaution dose in July 2022. The certificate was issued by the Ministry of Health & Family Welfare, Government of India and includes Pallavi's personal details, vaccination dates and vaccine information to verify her fully vaccinated status.

Uploaded by

Jaya Shukla
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63 views1 page

Certificate

This certificate provides details of Pallavi Shukla's COVID-19 vaccination in India. It shows that she received two initial doses of the Covishield vaccine in May and September 2021 and a precaution dose in July 2022. The certificate was issued by the Ministry of Health & Family Welfare, Government of India and includes Pallavi's personal details, vaccination dates and vaccine information to verify her fully vaccinated status.

Uploaded by

Jaya Shukla
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 84888307055

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Pallavi Shukla

Age / उ 30

Gender / लग Female

ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX3610

Unique Health ID (UHID)


Beneficiary Reference ID 61448041293500

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

Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम Shanta nayar

Vaccination At / टीकाकरण का ान V OLD DH City Hospital, Vidisha, Madhya Pradesh

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, Serum Institute of India Pvt.


1/2 29 May 2021 COVISHIELD 4121z080 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 08 Sep 2021 COVISHIELD 4121AA008M non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


Precaution dose 18 Jul 2022 COVISHIELD 4221P262 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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