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

This document is a provisional certificate for the first dose of COVID-19 vaccination for Amit Kumar Sahoo, an 18-year-old male. He received the COVISHIELD vaccine on September 3, 2021, and the next dose is due between November 26, 2021, and December 24, 2021. The vaccination was administered by Jyostna Bage at Kalyan Mandap Biramitrapur, Odisha.

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32 views1 page

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

This document is a provisional certificate for the first dose of COVID-19 vaccination for Amit Kumar Sahoo, an 18-year-old male. He received the COVISHIELD vaccine on September 3, 2021, and the next dose is due between November 26, 2021, and December 24, 2021. The vaccination was administered by Jyostna Bage at Kalyan Mandap Biramitrapur, Odisha.

Uploaded by

Arya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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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 / ଲାଭାଥୀ ର ନାମ Amit Kumar Sahoo

Age / ବୟସ 18

Gender / ଲ Male

ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Aadhaar # XXXXXXXX3982

Unique Health ID (UHID) 71-4016-1362-5221

Beneficiary Reference ID 55161507150590

Vaccination Details

Vaccine Name / ଟିକା ନାମ COVISHIELD

Date of 1st Dose / ପଥମ େଡାଜର ତାରିଖ 03 Sep 2021 (Batch no. 4121Z186)

Next due date / ପରବ ୀ ଟୀକାକରଣ ତାରିଖ Between 26 Nov 2021 and 24 Dec 2021

Vaccinated by / ଟିକା େଦଉଥବା ବ କି ନାମ Jyostna Bage

Vaccination at / ଟୀକାକରଣ ସାନ Kalyan Mandap Biramitrapur, Sundargarh,

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

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