Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 90125763666
Beneficiary Details
Beneficiary Name / लाभाथ का नाम Shanti Gupta
Age / उ 34
Gender / लग Female
ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX8869
Unique Health ID (UHID)
Beneficiary Reference ID 34664281185607
Vaccination Status / टीकाकरण क त Fully Vaccinated (2 Doses) and a Precaution Dose
Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम POOJA SAHU
GUJ WP Biharipurwa CV 18, Kanpur Nagar, Uttar
Vaccination At / टीकाकरण का ान Pradesh
Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
खुराक क सं या खुराक क तारीख वै ीन का नाम बैच सं या टीका का कार उ पादक
COVID-19 vaccine,
1/2 27 Sep 2021 COVISHIELD 4121MF004 non-replicating viral vector Serum Institute of India
COVID-19 vaccine, Serum Institute of India Pvt.
2/2 04 Feb 2022 COVISHIELD 4121AA083M non-replicating viral vector Ltd.
COVID-19 vaccine, Serum Institute of India Pvt.
Precaution dose 21 Aug 2022 COVISHIELD 4122Z017M non-replicating viral vector Ltd.
“दवाई भी और कड़ाई भी।
Together, India will defeat
COVID-19”
- धानमं ी
In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
टीकाकरण प ात कसी तकूल घटना के होने पर नज़दीक ा क / ा कम / जला टीकाकरण
अ धकारी/रा ह लाइन 1075 पर स क कर
This certificate can be verified by scanning the QR code at
http://verify.cowin.gov.in
