Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 70761587248
Beneficiary Details
Beneficiary Name / ଲାଭାଥୀ ର ନାମ Rajat Kumar Prusty
Age / ବୟସ 22
Gender / ଲ Male
ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Aadhaar # XXXXXXXX2243
Unique Health ID (UHID)
Beneficiary Reference ID 26456823188239
Vaccination Status / ଟୀକାକରଣ ସିତି Fully Vaccinated (2 Doses) and a Precaution Dose
Vaccination Details
Vaccinated By / ଟିକା େଦଉଥବା ବ କି ନାମ Rebati Sahu
Vaccination At / ଟୀକାକରଣ ସାନ Jharadihi CHC, Mayurbhanj, Odisha
Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
େଖାରାକ ନମର ଟୀକାକରଣ ତାରୀଖ ଟିକା ନାମ େବଚ ନମର ଟିକା ପକାର ନିମାତା
COVID-19 vaccine,
1/2 23 Jun 2021 COVISHIELD 4121MC008 non-replicating viral vector Serum Institute of India
COVID-19 vaccine, Serum Institute of India Pvt.
2/2 01 Oct 2021 COVISHIELD 4121MC093 non-replicating viral vector Ltd.
COVID-19 vaccine, Serum Institute of India Pvt.
Precaution dose 18 Aug 2022 COVISHIELD 4122AA001M non-replicating viral vector Ltd.
“ଔଷଧ ମ ଏବଂ କେଠାରତା ମ
Together, India will defeat
COVID-19”
- ପଧାନମନୀ ନେର େମାଦି
In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
େକୗଣସି ପକାର ପତିକୂଳ ଘଟଣା ଘଟିେଲ ଦୟାକରି ନିକଟସ ଜନସାସ େକ / ସାସ େସବା କମୀ / ଜିଲା
ଟୀକାକରଣ ଅଫସର / ରାଜ େହଲଲାଇନ ନମର 1075 ସହିତ େଯାଗାେଯାଗ କର
This certificate can be verified by scanning the QR code at
http://verify.cowin.gov.in
