Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 49158878828
Beneficiary Details
Beneficiary Name / ಫ ಾನುಭ ಯ ಸರು Nasreen Khanum
Age / ವಯಸು 43
Gender / ಂಗ Female
ID Verified / ಐ. . ಗುರುತು Aadhaar # XXXXXXXX8443
Unique Health ID (UHID)
Beneficiary Reference ID 16294227687390
Vaccination Status / ಲ ೕ ಗ Partially Vaccinated (1 Dose)
Vaccination Details
Vaccine Name / ಲ ಸರು COVISHIELD
Vaccine Type / ಾವ ೕ ಯ ಲ COVID-19 vaccine, non-replicating viral vector
Manufacturer / ತ ಾರಕರು Serum Institute of India Pvt. Ltd.
Dose Number / ೂೕ ಸಂ 1/2
Date of Dose / ೂೕ ಾಂಕ 31 Dec 2021
Batch Number / ಾ ಸಂ 4121AA032M
Next Due Date / ಮುಂ ನ ಲ ೕಡುವ ಾಂಕ Between 25 Mar 2022 and 22 Apr 2022
Vaccinated By / ಲ ೕ ದವರು Geetha
Vaccination At / ಲ ಾ ದ ಸಳ EZ33 Sultanpalya UPHC, BBMP, Karnataka
“ಔಷ /ಲ ೕಕು,
ೂ ದೃಢ ೕಕು
Together, India will defeat
COVID-19”
- ಪ ಾನಮಂ ನ ೕಂದ ೕ
In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
ಾವ ೕ ಅಡಪ ಾಮ ಉಂ ಾದ ಸಂದಭ ದ , ದಯ ಟು ಸ ೕಪದ ಾವ ಜ ಕ ಆ ೂೕಗ
ೕಂದ /ಆ ೂೕಗ ಶುಷೂ ಾಯ ಕ / ಾ ಲ ಅ ಾ / ಾಜ ಸ ಾಯ ಾ ಸಂ. 1075
ಸಂಪ
This certificate can be verified by scanning the QR code at
http://verify.cowin.gov.in