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Provisional Certificate For COVID-19 Vaccination - 1 Dose: Beneficiary Details

This document provides a provisional certificate for a first dose of the COVID-19 vaccine. It details that a 30-year-old male named B Nagababu received a dose of the Covishield vaccine on April 20, 2021 at the GOLLAPROLU PHC Government center in East Godavari, Andhra Pradesh. He is due for his second dose between May 18, 2021 and June 15, 2021. The vaccine was administered by Y Rachel Priscilla.

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Naga Babu
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54 views1 page

Provisional Certificate For COVID-19 Vaccination - 1 Dose: Beneficiary Details

This document provides a provisional certificate for a first dose of the COVID-19 vaccine. It details that a 30-year-old male named B Nagababu received a dose of the Covishield vaccine on April 20, 2021 at the GOLLAPROLU PHC Government center in East Godavari, Andhra Pradesh. He is due for his second dose between May 18, 2021 and June 15, 2021. The vaccine was administered by Y Rachel Priscilla.

Uploaded by

Naga Babu
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 / ల B Nagababu

Age / వయ 30

Gender / ంగం Male

ID Verified / ఐ ధృ క ంచబ ం Aadhaar # XXXXXXXX0316

Unique Health ID (UHID)


Beneficiary Reference ID 2119289612080

Vaccination Details

Vaccine Name / COVISHIELD

Date of Dose / 20 Apr 2021 (Batch no. 4121Z049)

Next due date / త ప గ Between 18 May 2021 and 15 Jun 2021

Vaccinated by / ం న Y Rachel Priscilla

Vaccination at / న GOLLAPROLU PHC Govt, East Godavari, Andhra Prad

“ పత ం
Together, India will defeat
COVID-19”
- ప నమం న ంద

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
ఏ ప ల సంఘటన జ , దయ స ప ప గ ందం / వర /
ఇ ష ఆ స సంప ంచం / ష ం. 1075

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


https://verify.cowin.gov.in

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