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Certificate

This document is a COVID-19 vaccination certificate issued in India by the Ministry of Health & Family Welfare. It details the beneficiary's name, age, gender, vaccination status, and specifics about the vaccine administered, including the type, manufacturer, and dates of doses. The certificate also includes information on how to verify it and contact details for any adverse events.

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Harish Ashok
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0% found this document useful (0 votes)
6 views1 page

Certificate

This document is a COVID-19 vaccination certificate issued in India by the Ministry of Health & Family Welfare. It details the beneficiary's name, age, gender, vaccination status, and specifics about the vaccine administered, including the type, manufacturer, and dates of doses. The certificate also includes information on how to verify it and contact details for any adverse events.

Uploaded by

Harish Ashok
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

Certificate for COVID-19 Vaccination

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


Certificate ID 52017243992

Beneficiary Details
Beneficiary Name / ಫ ಾನುಭ ಯ ಸರು Sarala.s

Age / ವಯಸು 47

Gender / ಂಗ Female

ID Verified / ಐ. . ಗುರುತು Aadhaar # XXXXXXXX7134

Unique Health ID (UHID)


Beneficiary Reference ID 16277175835960
Vaccination Status / ಲ ೕ ಗ Fully Vaccinated (2 Doses)

Vaccination Details
Vaccine Name / ಲ ಸರು COVISHIELD

Vaccine Type / ಾವ ೕ ಯ ಲ COVID-19 vaccine, non-replicating viral vector

Manufacturer / ತ ಾರಕರು Serum Institute of India

Dose Number / ೂೕ ಸಂ 1/2 2/2

Date of Dose / ೂೕ ಾಂಕ 2021-05-31 2021-08-22

Batch Number / ಾ ಸಂ 4121Z084 4121MC058

Vaccinated By / ಲ ೕ ದವರು Rathika

Vaccination At / ಲ ಾ ದ ಸಳ Guttahalli PHC, Kolar, Karnataka

“ಔಷ /ಲ ೕಕು,
ೂ ದೃಢ ೕಕು
Together, India will defeat
COVID-19”
- ಪ ಾನಮಂ ನ ೕಂದ ೕ

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
ಾವ ೕ ಅಡಪ ಾಮ ಉಂ ಾದ ಸಂದಭ ದ , ದಯ ಟು ಸ ೕಪದ ಾವ ಜ ಕ ಆ ೂೕಗ
ೕಂದ /ಆ ೂೕಗ ಶುಷೂ ಾಯ ಕ / ಾ ಲ ಅ ಾ / ಾಜ ಸ ಾಯ ಾ ಸಂ. 1075
ಸಂಪ

This certificate can be verified by scanning the QR code at


[Link]

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