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Certificate

This document is a COVID-19 vaccination certificate issued in India for an individual named Adarsh Kumar, who is 20 years old and fully vaccinated with two doses and a precaution dose of the COVISHIELD vaccine. The vaccinations were administered by Kaushalya Kumari at the Old PHC Building in Forbesganj, Bihar. The certificate includes a unique ID and can be verified online via a QR code.

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adarshsing6202
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4 views1 page

Certificate

This document is a COVID-19 vaccination certificate issued in India for an individual named Adarsh Kumar, who is 20 years old and fully vaccinated with two doses and a precaution dose of the COVISHIELD vaccine. The vaccinations were administered by Kaushalya Kumari at the Old PHC Building in Forbesganj, Bihar. The certificate includes a unique ID and can be verified online via a QR code.

Uploaded by

adarshsing6202
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 67751728146

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Adarsh kumar

Age / उ 20

Gender / लग Male

ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX1432

Unique Health ID (UHID) 27-1580-4414-4462

Beneficiary Reference ID 75105321763730

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

Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम Kaushalya Kumari- FBG

Vaccination At / टीकाकरण का ान Old PHC Building Forbesganj, Araria, Bihar

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 10 May 2021 COVISHIELD 4121Z042 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 04 Aug 2021 COVISHIELD 4121Z116 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


Precaution dose 20 May 2022 COVISHIELD 4121MF034 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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