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Certificate

This document is a certificate of COVID-19 vaccination issued by the Ministry of Health & Family Welfare of India to Ram Kumar, a 23-year-old male. It shows that he has received both doses of the COVISHIELD vaccine. The first dose was on June 20, 2021 and the second dose was on December 11, 2021. Both doses were administered at the Thayilpatti BPHC workplace in Sivakasi, Tamil Nadu.

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Gowtham L
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85 views1 page

Certificate

This document is a certificate of COVID-19 vaccination issued by the Ministry of Health & Family Welfare of India to Ram Kumar, a 23-year-old male. It shows that he has received both doses of the COVISHIELD vaccine. The first dose was on June 20, 2021 and the second dose was on December 11, 2021. Both doses were administered at the Thayilpatti BPHC workplace in Sivakasi, Tamil Nadu.

Uploaded by

Gowtham L
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 13592926103

Beneficiary Details
Beneficiary Name / பலனா ெபய Ram Kumar

Age / வய 23

Gender / பா ன Male

ID Verified / அைடயாள சா Aadhaar # XXXXXXXX7291

Unique Health ID (UHID)


Beneficiary Reference ID 31580657418787
Vaccination Status / த ைல Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / த ைய வழ யவ Mahalakshmi

Vaccination At / த வழ க ப ட இட Thayilpatti BPHC workplace, Sivakasi, Tamil Nadu

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
ேடா எ ேடா வழ க ப ட த ெபய ேப எ த வைக உ ப யாள
ேத
COVID-19 vaccine,
1/2 20 Jun 2021 COVISHIELD 4121MC003 non-replicating viral vector Serum Institute of India

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 11 Dec 2021 COVISHIELD 4121MC147 non-replicating viral vector Ltd.

“ம ம
மன ட
Together, India will defeat
COVID-19”
- ரதம ம நேர ர ேமா

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
ஏேத எ மைற ைள க ஏ ப டா , தய ெச அ காைம ள ெபா
காதார ைமய / ஆேரா ய பராம ப யாள / மாவ ட த அ வல /
மா ல உத எ . 1075ஐ ெதாட ெகா ள .

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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