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Certificate

The document is a provisional COVID-19 vaccination certificate for a person named Muddana Sai Varshik who received the first dose of the COVAXIN vaccine on May 3, 2021. It provides details of the beneficiary such as name, age, gender and ID number. It also lists the vaccine name, batch number, date of vaccination and the next due date for the second dose. Contact information is given in case of any adverse events.

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Said Varshik
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41 views1 page

Certificate

The document is a provisional COVID-19 vaccination certificate for a person named Muddana Sai Varshik who received the first dose of the COVAXIN vaccine on May 3, 2021. It provides details of the beneficiary such as name, age, gender and ID number. It also lists the vaccine name, batch number, date of vaccination and the next due date for the second dose. Contact information is given in case of any adverse events.

Uploaded by

Said Varshik
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
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Provisional Certificate for COVID-19 Vaccination - 1st Dose

Beneficiary Details

Beneficiary Name / ଲାଭାଥୀ ର ନାମ Muddana Sai Varshik

Age / ବୟସ 20

Gender / ଲ Male

ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Aadhaar # XXXXXXXX1833

Unique Health ID (UHID)


Beneficiary Reference ID 22308727469650

Vaccination Details

Vaccine Name / ଟିକା ନାମ COVAXIN

Date of Dose / ଟୀକାକରଣ ତାରୀଖ 03 May 2021 (Batch no. 37F21036A)

Next due date / ପରବ ୀ ଟୀକାକରଣ ତାରିଖ Between 31 May 2021 and 14 Jun 2021

Vaccinated by / ଟିକା େଦଉଥବା ବ କି ନାମ Ranu Hembram

Vaccination at / ଟୀକାକରଣ ସାନ UPHC C S PUR (AGE 18-44), Khurda, Odisha

“ଔଷଧ ମ ଏବଂ କେଠାରତା ମ


Together, India will defeat
COVID-19”
- ପଧାନମନୀ ନେର େମାଦି

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
େକୗଣସି ପକାର ପତିକୂଳ ଘଟଣା ଘଟିେଲ ଦୟାକରି ନିକଟସ ଜନସାସ େକ / ସାସ େସବା କମୀ / ଜିଲା
ଟୀକାକରଣ ଅଫସର / ରାଜ େହଲଲାଇନ ନମର 1075 ସହିତ େଯାଗାେଯାଗ କର

This is a secure QR code. For further details, please visit


https://verify.cowin.gov.in

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