Certificate for COVID-19 Vaccination
Fully Vaccinated : 2nd Dose
Beneficiary Details
Beneficiary Name Sunita Kripashankar JaiswaL
Age 44
Gender Female
ID Verified Aadhaar # XXXXXXXX5864
Unique Health ID (UHID) 61-1770-3105-3038
Beneficiary Reference ID 16915193056060
Vaccination Details
Vaccine Name COVISHIELD
Date of 1st Dose 29 Jun 2021 (Batch no. 4121Z085)
Date of 2nd Dose 19 Oct 2021 (Batch no. 4121MC109)
Vaccinated by Nikisha Gawade
Vaccination at Indian Oil Nagar
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