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Certificate(10)

This document is a COVID-19 vaccination certificate issued in India for Ashish Singh Tomar, who is 19 years old and fully vaccinated with two doses of COVISHIELD. The vaccinations were administered on July 24, 2021, and November 18, 2021, at a mobile vaccination site in Indore, Madhya Pradesh. The certificate includes a QR code for verification and contact information for reporting any adverse events.

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Ashish Tomar
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17 views1 page

Certificate(10)

This document is a COVID-19 vaccination certificate issued in India for Ashish Singh Tomar, who is 19 years old and fully vaccinated with two doses of COVISHIELD. The vaccinations were administered on July 24, 2021, and November 18, 2021, at a mobile vaccination site in Indore, Madhya Pradesh. The certificate includes a QR code for verification and contact information for reporting any adverse events.

Uploaded by

Ashish Tomar
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 68404928518

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Ashish Singh Tomar

Age / उ 19

Gender / लग Male

ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX4990

Unique Health ID (UHID)


Beneficiary Reference ID 20314793583343

Vaccination Status / टीकाकरण क त Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम Vaccinator Name

Vaccination At / टीकाकरण का ान MOBILE ZONE 8, Indore, 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,
1/2 24 Jul 2021 COVISHIELD 4121MC027 non-replicating viral vector Serum Institute of India

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 18 Nov 2021 COVISHIELD 4121MC126 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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