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This document is a COVID-19 vaccination certificate issued in India for Biplab Kanjilal, a 66-year-old male, confirming he is fully vaccinated with two doses of COVISHIELD and a precaution dose. The vaccinations were administered by Rimi Ghosh at Pandua RH BVS, with the first dose on November 17, 2021, and the precaution dose on August 17, 2022. The certificate includes a QR code for verification and contact information for reporting adverse events.

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10 views1 page

certificate

This document is a COVID-19 vaccination certificate issued in India for Biplab Kanjilal, a 66-year-old male, confirming he is fully vaccinated with two doses of COVISHIELD and a precaution dose. The vaccinations were administered by Rimi Ghosh at Pandua RH BVS, with the first dose on November 17, 2021, and the precaution dose on August 17, 2022. The certificate includes a QR code for verification and contact information for reporting adverse events.

Uploaded by

bpc.pandua
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Certificate for COVID-19 Vaccination

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


Certificate ID 51141101066

Beneficiary Details
Beneficiary Name Biplab Kanjilal

Age 66

Gender Male

ID Verified Aadhaar # XXXXXXXX9935

Unique Health ID (UHID)


Beneficiary Reference ID 36720824997429
Vaccination Status Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccinated By RIMI GHOSH

Vaccination At 02 PANDUA RH BVS

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer

COVID-19 vaccine, Serum Institute of India Pvt.


1/2 17 Nov 2021 COVISHIELD 4121Z236 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 16 Feb 2022 COVISHIELD 4121MC162 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


Precaution dose 17 Aug 2022 COVISHIELD 4021Z023M non-replicating viral vector Ltd.

Together, India will defeat


COVID-19”
- Prime Minister Narendra Modi

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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