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Certificate for COVID-19 Vaccination

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


Certificate ID 10152037032

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Shailendra Kumar Singha

Age / उ 40

Gender / लग Male

ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX5557

Unique Health ID (UHID)


Beneficiary Reference ID 34696813000584

Vaccination Status / टीकाकरण क त Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम PIYUSH

Vaccination At / टीकाकरण का ान ADPHC PAYAGPUR, Varanasi, 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,
1/2 04 Jun 2021 COVISHIELD 4121Z076 non-replicating viral vector Serum Institute of India

COVID-19 vaccine,
2/2 09 Sep 2021 COVISHIELD 4121AA011M non-replicating viral vector Serum Institute of India

“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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