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COVID-19 Vaccination Certificate

This certificate documents Kiran Dembla receiving two doses of the COVISHIELD COVID-19 vaccine. The first dose was received on June 5, 2021 at Ankura Hospital Kukatpally CVC. The second dose was received on September 9, 2021. Both doses were of the COVISHIELD vaccine manufactured by Serum Institute of India. The certificate can be verified by scanning the QR code provided.

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abhilesh roy
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0% found this document useful (0 votes)
238 views1 page

COVID-19 Vaccination Certificate

This certificate documents Kiran Dembla receiving two doses of the COVISHIELD COVID-19 vaccine. The first dose was received on June 5, 2021 at Ankura Hospital Kukatpally CVC. The second dose was received on September 9, 2021. Both doses were of the COVISHIELD vaccine manufactured by Serum Institute of India. The certificate can be verified by scanning the QR code provided.

Uploaded by

abhilesh roy
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 21706932480

Beneficiary Details
Beneficiary Name Kiran Dembla

Age 45

Gender Female

ID Verified Aadhaar # XXXXXXXX4323

Unique Health ID (UHID) 52-3461-6077-7268

Beneficiary Reference ID 62267658617160


Vaccination Status Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By Robin lukose

Vaccination At Ankura Hospital Kukatpally CVC

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer

COVID-19 vaccine,
1/2 05 Jun 2021 COVISHIELD 4121z082 non-replicating viral vector Serum Institute of India

COVID-19 vaccine,
2/2 09 Sep 2021 COVISHIELD 4121Z108 non-replicating viral vector Serum Institute of India

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

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