Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 28098528099
Beneficiary Details
Beneficiary Name / लाभाथ का नाम Smita Raj
Age / उ 26
Gender / लग Female
ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXXCard
Unique Health ID (UHID) 14-5310-6041-7852
Beneficiary Reference ID 7116311920901
Vaccination Status / टीकाकरण क त Fully Vaccinated (2 Doses) and a Precaution Dose
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 Precaution dose
Date of Dose / खुराक क तारीख 25 Jan 2021 22 Feb 2021 28 Jan 2022
Batch Number / बैच सं या 420Z010 420Z010 4121MF046
Vaccinated By / टीका लगाने वाले का नाम Mamta Sahu
Vaccination At / टीकाकरण का ान CHINGRAJPARA SSK, Bilaspur, Chhattisgarh
“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