Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 55115129638
Beneficiary Details
Beneficiary Name Basavaraj Baraker
Age 23
Gender Male
ID Verified Aadhaar # XXXXXXXX5870
Unique Health ID (UHID)
Beneficiary Reference ID 16280332613352
Vaccination Status Fully Vaccinated (2 Doses) and a Precaution Dose
Vaccination Details
Vaccinated By Udaya M
Vaccination At Dambal PHC P3
Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
COVID-19 vaccine, Serum Institute of India Pvt.
1/2 06 Jul 2021 COVISHIELD 4121Z114 non-replicating viral vector Ltd.
COVID-19 vaccine, Serum Institute of India Pvt.
2/2 30 Sep 2021 COVISHIELD 4121Z210 non-replicating viral vector Ltd.
COVID-19 vaccine, Serum Institute of India Pvt.
Precaution dose 17 Aug 2022 COVISHIELD 4121MC1119 non-replicating viral vector Ltd.
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
