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Certificate For COVID-19 Vaccination: Beneficiary Details

This document is a certificate of vaccination issued by the Ministry of Health & Family Welfare of India. It provides details of the COVID-19 vaccination of Shamim Ahmed Khan, a 47-year-old male. He received two doses of the Covishield vaccine, manufactured by Serum Institute of India. The first dose was on December 8, 2021 and the second dose was on March 3, 2022. The certificate can be verified by scanning the QR code provided.

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rajan khan
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0% found this document useful (0 votes)
68 views1 page

Certificate For COVID-19 Vaccination: Beneficiary Details

This document is a certificate of vaccination issued by the Ministry of Health & Family Welfare of India. It provides details of the COVID-19 vaccination of Shamim Ahmed Khan, a 47-year-old male. He received two doses of the Covishield vaccine, manufactured by Serum Institute of India. The first dose was on December 8, 2021 and the second dose was on March 3, 2022. The certificate can be verified by scanning the QR code provided.

Uploaded by

rajan khan
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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Certificate for COVID-19 Vaccination

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


Certificate ID 54788432604

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Shamim Ahmed Khan

Age / उ 47

Gender / लग Male

ID Verified / पहचान प स ा पत Passport # N6569693

Unique Health ID (UHID)


Beneficiary Reference ID 49677606252270
Vaccination Status / टीकाकरण क त Fully Vaccinated (2 Doses)

Vaccination Details
Vaccine Name / वै ीन का नाम COVISHIELD

Vaccine Type / टीका का कार COVID-19 vaccine, non-replicating viral vector

Manufacturer / उ पादक Serum Institute of India Pvt. Ltd.

Dose Number / खुराक क सं या 1/2 2/2

Date of Dose / खुराक क तारीख 08 Dec 2021 03 Mar 2022

Batch Number / बैच सं या 4121MF017 4121Z017M

Vaccinated By / टीका लगाने वाले का नाम Rita Yadav

Vaccination At / टीकाकरण का ान TARY PIPARA AGARWA, Kushinagar, Uttar

Pradesh

“दवाई भी और कड़ाई भी।


Together, India will defeat
COVID-19”
- धानमं ी नर मोदी

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075

टीकाकरण प ात कसी तकूल घटना के होने पर नज़दीक ा क / ा कम / जला टीकाकरण


अ धकारी/रा ह लाइन 1075 पर स क कर

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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