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Covid-19 Vaccination Certificate: Beneficiary Details

This document is a Covid-19 vaccination certificate issued by the Ministry of Health & Family Welfare of India for Penipa Goutam. It provides details of Mr. Goutam including his name, date of birth, gender, and passport number. It shows he received two doses of the COVISHIELD vaccine, manufactured by Serum Institute of India, with the first dose on July 1, 2021 and the second dose on October 19, 2021. The certificate encourages reporting any adverse events and can be verified by scanning the QR code provided.

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Penipe Goutam
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1K views1 page

Covid-19 Vaccination Certificate: Beneficiary Details

This document is a Covid-19 vaccination certificate issued by the Ministry of Health & Family Welfare of India for Penipa Goutam. It provides details of Mr. Goutam including his name, date of birth, gender, and passport number. It shows he received two doses of the COVISHIELD vaccine, manufactured by Serum Institute of India, with the first dose on July 1, 2021 and the second dose on October 19, 2021. The certificate encourages reporting any adverse events and can be verified by scanning the QR code provided.

Uploaded by

Penipe Goutam
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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Covid-19 Vaccination Certificate

Issued in India by Ministry of Health & Family Welfare, Govt of India


Certificate ID 45143619316

Beneficiary Details

Beneficiary Name Penipa Goutam


Date of Birth (YYYY-MM-DD) 1994-07-24
Gender Male
Passport Number U2702994
Vaccination Status (# of doses) Fully Vaccinated (2 Doses)
Beneficiary Reference ID 84379461629610

Vaccination Details

Vaccine Name COVISHIELD

Vaccine Type COVID-19 vaccine, non-replicating viral vector


Manufacturer Serum Institute of India Pvt. Ltd.
Dose # 1st 2nd
Date of Dose (YYYY-MM-DD) 2021-07-01 2021-10-19
Dose Batch # 4121MC016 4121P233

“Together, India will defeat


COVID-19”
- Prime Minister Narendra Modi

In case of any adverse events, kindly contact the nearest health centre
This certificate is compliant with WHO-DDCC:VS data dictionary

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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