Certificate For COVID-19 Vaccination: Beneficiary Details

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Certificate for COVID-19 Vaccination

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


Certificate ID 28612164494

Beneficiary Details
Beneficiary Name / பலனா ெபய Sivakumar

Age / வய 50

Gender / பா ன Male

ID Verified / அைடயாள சா Aadhaar # XXXXXXXX9990

Unique Health ID (UHID)


Beneficiary Reference ID 31566620415124
Vaccination Status / த ைல Partially Vaccinated (1 Dose)

Vaccination Details
Vaccine Name / த ெபய COVISHIELD

Vaccine Type / த வைக COVID-19 vaccine, non-replicating viral vector

Manufacturer /  உ ப யாள Serum Institute of India

Dose Number /  ேடா எ 1/2

Date of Dose / ேடா வழ க ப ட ேத 2021-07-16

Batch Number /  ேப எ 4121Z126

Next Due Date / அ த ைவ ேத Between 08 Oct 2021 and 05 Nov 2021

Vaccinated By / த ைய வழ யவ R.Subbulakshmi

Vaccination At / த வழ க ப ட இட Pikkili APHC, Dharmapuri, Tamil Nadu

“ம ம
மன ட
Together, India will defeat
COVID-19”
- ரதம ம நேர ர ேமா

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
ஏேத எ மைற ைள க ஏ ப டா , தய ெச அ காைம ள ெபா
காதார ைமய / ஆேரா ய பராம ப யாள / மாவ ட த அ வல /
மா ல உத எ . 1075ஐ ெதாட ெகா ள .

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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