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This document is a COVID-19 vaccination certificate issued in India for Md Adil Alam, who is 21 years old and fully vaccinated with two doses of COVISHIELD and a precaution dose. The vaccinations were administered by Kalindi Kuhawaha at a facility in Deoria, Uttar Pradesh. The certificate includes details such as the beneficiary's ID, vaccination dates, and batch numbers, and can be verified online.

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Iqbal Akhtar
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0% found this document useful (0 votes)
2 views1 page

certificate (21) (4)

This document is a COVID-19 vaccination certificate issued in India for Md Adil Alam, who is 21 years old and fully vaccinated with two doses of COVISHIELD and a precaution dose. The vaccinations were administered by Kalindi Kuhawaha at a facility in Deoria, Uttar Pradesh. The certificate includes details such as the beneficiary's ID, vaccination dates, and batch numbers, and can be verified online.

Uploaded by

Iqbal Akhtar
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 24608607191

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Md Adil Alam

Age / उ 21

Gender / लग Male

ID Verified / पहचान प स ा पत Passport # W3632250

Unique Health ID (UHID)


Beneficiary Reference ID 18295307275080

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

Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम Kalindi Kuhawaha

Vaccination At / टीकाकरण का ान Bhatpar Rani 18 And Above, Deoria, Uttar 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 28 Sep 2021 COVISHIELD 4121MF004 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 19 Jan 2022 COVISHIELD 4121AA064M non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


Precaution dose 29 Sep 2022 COVISHIELD 4121AA089M 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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