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Vaccination Certificate Covid

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Certificate for COVID-19 Vaccination

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


Certificate ID 52295199063

Beneficiary Details
Beneficiary Name / लाभाथ चे नाव Mamta Dahule

Age / वय 30

Gender / लग Female

ID Verified / ओळखप Aadhaar # XXXXXXXX7475

Unique Health ID (UHID)


Beneficiary Reference ID 21380483020737
Vaccination Status / लसीकरण ती Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccine Name / लसीचे नाव COVISHIELD

Vaccine Type / लस कार COVID-19 vaccine, non-replicating viral vector

Manufacturer / उ पादक Serum Institute of India Pvt. Ltd.

Dose Number / डोस मांक 1/2 2/2 Precaution dose

Date of Dose / डोसची तारीख 28 Jun 2021 17 Nov 2021 28 Jul 2022

Batch Number / बॅच मांक 4121MC010 4121MC114 4121MC151

Vaccinated By / यां ा ार लसीकरण Pushpa Manmode

Vaccination At / लसीकरणाचे ळ Rajiv Ratan WCL Hospital, Chandrapur,

Maharashtra

औषध सु ा आ ण श सु ा
Together, India will defeat
COVID-19”
- पंत धान ी. नर मोदी

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

कोणतेही तकूल प रणाम आढळू न आ यास कृपया जवळचे सावज नक आरो य क / आरो यसेवा
कमचारी/ ज हा लसीकरण अ धकारी/ रा य ह पलाइन मांक १०७५ वर संपक साधा.

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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