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Vaccination Certificate

This certificate documents an individual's COVID-19 vaccination in India. It provides details of the beneficiary such as name, age, gender, and ID number. It shows the individual received two doses of the COVISHIELD vaccine, manufactured by Serum Institute of India. The dates, batch numbers, and location of each dose are specified. A QR code is included to verify the certificate's authenticity on the government's website.

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0% found this document useful (0 votes)
313 views1 page

Vaccination Certificate

This certificate documents an individual's COVID-19 vaccination in India. It provides details of the beneficiary such as name, age, gender, and ID number. It shows the individual received two doses of the COVISHIELD vaccine, manufactured by Serum Institute of India. The dates, batch numbers, and location of each dose are specified. A QR code is included to verify the certificate's authenticity on the government's website.

Uploaded by

Vanrith pich
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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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

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