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My Vaccine

This document is a certificate of vaccination for an individual named Ajay Kumar Dalai who received the COVISHIELD vaccine on March 10, 2021. It provides details about the beneficiary such as age, gender and ID verification as well as vaccination details including vaccine name, date, location and vaccinator. The certificate encourages working together to defeat COVID-19 and provides contact information in case of adverse events.

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tanisq10
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42 views1 page

My Vaccine

This document is a certificate of vaccination for an individual named Ajay Kumar Dalai who received the COVISHIELD vaccine on March 10, 2021. It provides details about the beneficiary such as age, gender and ID verification as well as vaccination details including vaccine name, date, location and vaccinator. The certificate encourages working together to defeat COVID-19 and provides contact information in case of adverse events.

Uploaded by

tanisq10
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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Final Certificate for COVID-19 Vaccination

Beneficiary Details

Beneficiary Name / ଲାଭାଥୀ ର ନାମ ajay kumar dalai

Age / ବୟସ 39

Gender / ଲ Male

ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି PAN Card # amvpd6835f

Unique Health ID (UHID)


Beneficiary Reference ID 26465385787454

Vaccination Details

Vaccine Name / ଟିକା ନାମ COVISHIELD

Date of Dose / ଟୀକାକରଣ ତାରୀଖ 10 Mar 2021 (Batch no. 4120Z017)

Vaccinated by / ଟିକା େଦଉଥବା ବ କି ନାମ Anupama Mohapatra

Vaccination at / ଟୀକାକରଣ ସାନ CVC DHH NUAPADA, Nuapada, 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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