Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 97056763742
Beneficiary Details
Beneficiary Name / ಫ ಾನುಭ ಯ ಸರು Muniyappa
Age / ವಯಸು 81
Gender / ಂಗ Male
ID Verified / ಐ. . ಗುರುತು Voter ID # NMO2686640
Unique Health ID (UHID)
Beneficiary Reference ID 16291544537072
Vaccination Status / ಲ ೕ ಗ Fully Vaccinated (2 Doses)
Vaccination Details
Vaccine Name / ಲ ಸರು COVISHIELD
Vaccine Type / ಾವ ೕ ಯ ಲ COVID-19 vaccine, non-replicating viral vector
Manufacturer / ತ ಾರಕರು Serum Institute of India
Dose Number / ೂೕ ಸಂ 1/2 2/2
Date of Dose / ೂೕ ಾಂಕ 30 Apr 2021 25 Aug 2021
Batch Number / ಾ ಸಂ 4121Z057 4121MC058
Vaccinated By / ಲ ೕ ದವರು Ashwini Mahabaleshwar Gunagi
Vaccination At / ಲ ಾ ದ ಸಳ Muddenahalli PHC, Chikkaballapur,
Karnataka
“ಔಷ /ಲ ೕಕು,
ೂ ದೃಢ ೕಕು
Together, India will defeat
COVID-19”
- ಪ ಾನಮಂ ನ ೕಂದ ೕ
In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
ಾವ ೕ ಅಡಪ ಾಮ ಉಂ ಾದ ಸಂದಭ ದ , ದಯ ಟು ಸ ೕಪದ ಾವ ಜ ಕ ಆ ೂೕಗ
ೕಂದ /ಆ ೂೕಗ ಶುಷೂ ಾಯ ಕ / ಾ ಲ ಅ ಾ / ಾಜ ಸ ಾಯ ಾ ಸಂ. 1075
ಸಂಪ
This certificate can be verified by scanning the QR code at
http://verify.cowin.gov.in