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COVID-19 Vaccination Certificate India

This document is a COVID-19 vaccination certificate issued in India for Sushma Moundekar, who is 44 years old and fully vaccinated with two doses of the COVISHIELD vaccine. The vaccination was administered by Abhinay Atala at MC G Nandanvan Uphc Site A in Nagpur, Maharashtra. The certificate includes a unique ID and instructions for reporting any adverse events.

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sushmamoundekar
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8 views1 page

COVID-19 Vaccination Certificate India

This document is a COVID-19 vaccination certificate issued in India for Sushma Moundekar, who is 44 years old and fully vaccinated with two doses of the COVISHIELD vaccine. The vaccination was administered by Abhinay Atala at MC G Nandanvan Uphc Site A in Nagpur, Maharashtra. The certificate includes a unique ID and instructions for reporting any adverse events.

Uploaded by

sushmamoundekar
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 21905360417

Beneficiary Details
Beneficiary Name / लाभाथ चे नाव Sushma Moundekar

Age / वय 44

Gender / लग Female

ID Verified / ओळखप Aadhaar # XXXXXXXX8929

Unique Health ID (UHID)


Beneficiary Reference ID 21365345128742

Vaccination Status / लसीकरण ती Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / यां ा ार लसीकरण Abhinay Atala

Vaccination At / लसीकरणाचे ळ MC G Nandanvan Uphc Site A, Nagpur, Maharashtra

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
डोस मांक डोसची तारीख लसीचे नाव बॅच मांक लस कार उ पादक

COVID-19 vaccine, Serum Institute of India Pvt.


1/2 10 Dec 2021 COVISHIELD 4121AA056M non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 17 Mar 2022 COVISHIELD 4121MC151 non-replicating viral vector Ltd.

औषध सु ा आ ण श सु ा
Together, India will defeat
COVID-19”
- पंत धान

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
कोणतेही तकूल प रणाम आढळू न आ यास कृपया जवळचे सावज नक आरो य क / आरो यसेवा
कमचारी/ ज हा लसीकरण अ धकारी/ रा य ह पलाइन मांक १०७५ वर संपक साधा.

This certificate can be verified by scanning the QR code at


[Link]

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