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Certificate for COVID-19 Vaccination

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


Certificate ID 53318849754

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Dayaram

Age / उ 19

Gender / लग Male

ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX3328

Unique Health ID (UHID)


Beneficiary Reference ID 49146030777960
Vaccination Status / टीकाकरण क त Partially Vaccinated (1 Dose)

Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम Mala Yadav

Vaccination At / टीकाकरण का ान Sambhal Urban DCH, Sambhal, Uttar Pradesh

Next Dose Due / अगली नयत त थ Between 08 Apr 2022 and 06 May 2022

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 15 Jan 2022 COVISHIELD 4121AA078M 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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