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COVID-19 Vaccination Certificate Details

This document is a provisional certificate for the first dose of COVID-19 vaccination for a 19-year-old female named Kavya, who received the COVISHIELD vaccine on July 17, 2021. The next due date for her second dose is between October 9, 2021, and November 6, 2021, and the vaccination was administered by Anitha at Sirwar PHC, Raichur, Karnataka. It includes information on how to report adverse events and a QR code for verification.

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Kavya
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11 views1 page

COVID-19 Vaccination Certificate Details

This document is a provisional certificate for the first dose of COVID-19 vaccination for a 19-year-old female named Kavya, who received the COVISHIELD vaccine on July 17, 2021. The next due date for her second dose is between October 9, 2021, and November 6, 2021, and the vaccination was administered by Anitha at Sirwar PHC, Raichur, Karnataka. It includes information on how to report adverse events and a QR code for verification.

Uploaded by

Kavya
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

Provisional Certificate for COVID-19 Vaccination - 1st Dose

Beneficiary Details

Beneficiary Name / ಫ ಾನುಭ ಯ ಸರು Kavya

Age / ವಯಸು 19

Gender / ಂಗ Female

ID Verified / ಐ. . ಗುರುತು Aadhaar # XXXXXXXX0891

Unique Health ID (UHID)


Beneficiary Reference ID 98173358169910

Vaccination Details

Vaccine Name / ಲ ಸರು COVISHIELD

Date of Dose / ೂೕ ಾಂಕ 17 Jul 2021 (Batch no. 4121Z126)

Next due date / ಮುಂ ನ ಲ ೕಡುವ ಾಂಕ Between 09 Oct 2021 and 06 Nov 2021

Vaccinated by / ಲ ೕ ದವರು Anitha

Vaccination at / ಲ ಾ ದ ಸಳ Sirwar PHC, Raichur, 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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