Certificate for COVID-19 Vaccination
Fully Vaccinated : 2nd Dose
Beneficiary Details
Beneficiary Name / ଲାଭାଥୀ ର ନାମ Aditya Narayan sahoo
Age / ବୟସ 20
Gender / ଲ Male
ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Aadhaar # XXXXXXXX9310
Unique Health ID (UHID)
Beneficiary Reference ID 10657361436050
Vaccination Details
Vaccine Name / ଟିକା ନାମ COVISHIELD
Date of 1st Dose / ପଥମ େଡାଜର ତାରିଖ 19 Jun 2021 (Batch no. 4121Z099)
Date of 2nd Dose / ଦିତୀୟ େଡାଜର ତାରିଖ 28 Sep 2021 (Batch no. 4121MC093)
Vaccinated by / ଟିକା େଦଉଥବା ବ କି ନାମ Rohan Mohapatra
Vaccination at / ଟୀକାକରଣ ସାନ Sechan Vihar School Penthakata, Puri,
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 certificate can be verified by scanning the QR code at
http://verify.cowin.gov.in