Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 76803006814
Beneficiary Details
Beneficiary Name Atul Priy
Age 35
Gender Male
ID Verified Aadhaar # XXXXXXXX3727
Unique Health ID (UHID)
Beneficiary Reference ID 72136049669600
Vaccination Status Fully Vaccinated (2 Doses)
Vaccination Details
Vaccine Name COVISHIELD
Vaccine Type COVID-19 vaccine, non-replicating viral vector
Manufacturer Serum Institute of India
Dose Number 1/2 2/2
Date of Dose 29 May 2021 25 Sep 2021
Batch Number 4121Z077 4121AA021M
Vaccinated By Poonam
Vaccination At Bhangrola PHC 3
Together, India will defeat
COVID-19”
- Prime Minister Narendra Modi
In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
This certificate can be verified by scanning the QR code at
http://verify.cowin.gov.in