Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 26004362659
Beneficiary Details
Beneficiary Name / लाभाथ चे नाव Shobha Krishnaji Deodhar
Age / वय 67
Gender / लग Male
ID Verified / ओळखप Aadhaar # XXXXXXXX5379
Unique Health ID (UHID)
Beneficiary Reference ID 21363124851827
Vaccination Status / लसीकरण ती Fully Vaccinated (2 Doses)
Vaccination Details
Vaccine Name / लसीचे नाव COVISHIELD
Vaccine Type / लस कार COVID-19 vaccine, non-replicating viral vector
Manufacturer / उ पादक Serum Institute of India Pvt. Ltd.
Dose Number / डोस मांक 1/2 2/2
Date of Dose / डोसची तारीख 29 Nov 2021 03 Mar 2022
Batch Number / बॅच मांक 4121Z237 4121MC169
Vaccinated By / यां ा ार लसीकरण Shweta Pardeshi
Vaccination At / लसीकरणाचे ळ PMC G11BAJAJTharkude Hospital, Pune,
Maharashtra
औषध सु ा आ ण श सु ा
Together, India will defeat
COVID-19”
- पंत धान ी. नर मोदी
In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
कोणतेही तकूल प रणाम आढळू न आ यास कृपया जवळचे सावज नक आरो य क / आरो यसेवा
कमचारी/ ज हा लसीकरण अ धकारी/ रा य ह पलाइन मांक १०७५ वर संपक साधा.
This certificate can be verified by scanning the QR code at
http://verify.cowin.gov.in
