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Vaccination Certificate 1

Poonam, age 39, received two doses of the COVISHIELD COVID-19 vaccine. She received her first dose on June 24, 2021 and her second dose on October 5, 2021. Both doses were of the COVISHIELD vaccine manufactured by Serum Institute of India and administered by Richa at the vaccination center in Amethi, Uttar Pradesh. The certificate provides Poonam's vaccination details that can be verified online and advises contacting local health authorities in case of any adverse events.

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0% found this document useful (0 votes)
120 views1 page

Vaccination Certificate 1

Poonam, age 39, received two doses of the COVISHIELD COVID-19 vaccine. She received her first dose on June 24, 2021 and her second dose on October 5, 2021. Both doses were of the COVISHIELD vaccine manufactured by Serum Institute of India and administered by Richa at the vaccination center in Amethi, Uttar Pradesh. The certificate provides Poonam's vaccination details that can be verified online and advises contacting local health authorities in case of any adverse events.

Uploaded by

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Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Certificate for COVID-19 Vaccination

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


Certificate ID 21908118868

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Poonam

Age / उ 39

Gender / लग Female

ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX0399

Unique Health ID (UHID)


Beneficiary Reference ID 34626799314446

Vaccination Status / टीकाकरण क त Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम Richa

Vaccination At / टीकाकरण का ान SC Mangrauli Jagdishpur, Amethi, Uttar Pradesh

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
खुराक क सं या खुराक क तारीख वै ीन का नाम बैच सं या टीका का कार उ पादक

COVID-19 vaccine,
1/2 24 Jun 2021 COVISHIELD 4121MC008 non-replicating viral vector Serum Institute of India

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 05 Oct 2021 COVISHIELD 4121MF008 non-replicating viral vector Ltd.

“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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