Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 10631429816
Beneficiary Details
Beneficiary Name Gorakshnath Ramchandra Humbe
Age 41
Gender Male
ID Verified Aadhaar # XXXXXXXX2350
Unique Health ID (UHID)
Beneficiary Reference ID 21392970737110
Vaccination Status Fully Vaccinated (2 Doses)
Vaccination Details
Vaccine Name COVISHIELD
Vaccine Type COVID-19 vaccine, non-replicating viral vector
Manufacturer Serum Institute of India Pvt. Ltd.
Dose Number 1/2 2/2
Date of Dose 2021-09-03 2021-11-26
Batch Number 4121P161 4121AA053M
Vaccinated By Vijaya Kale
Vaccination At NMMC GENERAL HOSPITAL VASHI10A
Together, India will defeat
COVID-19”
- Prime Minister Narendra Modi
In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
This certificate can be verified by scanning the QR code at
http://verify.cowin.gov.in