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This certificate confirms that Mahesh Kumar Mohanty, age 28, received two doses of the COVISHIELD COVID-19 vaccine. He received his first dose on July 6, 2021 and his second dose on October 19, 2021. Both doses were administered by SEBATI DHAR at the Ertal PHC in Bhadrak, Odisha. The certificate provides contact information for reporting any adverse effects from the vaccine.

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47 views1 page

Certificate PDF

This certificate confirms that Mahesh Kumar Mohanty, age 28, received two doses of the COVISHIELD COVID-19 vaccine. He received his first dose on July 6, 2021 and his second dose on October 19, 2021. Both doses were administered by SEBATI DHAR at the Ertal PHC in Bhadrak, Odisha. The certificate provides contact information for reporting any adverse effects from the vaccine.

Uploaded by

mahesh
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

Fully Vaccinated : 2nd Dose

Beneficiary Details

Beneficiary Name / ଲାଭାଥୀ ର ନାମ Mahesh Kumar Mohanty

Age / ବୟସ 28

Gender / ଲ Male

ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Aadhaar # XXXXXXXX1315

Unique Health ID (UHID)


Beneficiary Reference ID 40167904948530

Vaccination Details

Vaccine Name / ଟିକା ନାମ COVISHIELD

Date of 1st Dose / ପଥମ େଡାଜର ତାରିଖ 06 Jul 2021 (Batch no. 4121Z106)

Date of 2nd Dose / ଦିତୀୟ େଡାଜର ତାରିଖ 19 Oct 2021 (Batch no. 4121MC104)

Vaccinated by / ଟିକା େଦଉଥବା ବ କି ନାମ SEBATI DHAR

Vaccination at / ଟୀକାକରଣ ସାନ Ertal PHC, Bhadrak, 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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