Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 40748868411
Beneficiary Details
Beneficiary Name / ଲାଭାଥୀ ର ନାମ Sumati Dehury
Age / ବୟସ 34
Gender / ଲ Female
ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Aadhaar # XXXXXXXX2264
Unique Health ID (UHID)
Beneficiary Reference ID 43148030956650
Vaccination Status / ଟୀକାକରଣ ସିତି Fully Vaccinated (2 Doses)
Vaccination Details
Vaccine Name / ଟିକା ନାମ COVISHIELD
Vaccine Type / ଟିକା ପକାର COVID-19 vaccine, non-replicating viral vector
Manufacturer / ନିମାତା Serum Institute of India Pvt. Ltd.
Dose Number / େଖାରାକ ନମର 1/2 2/2
Date of Dose / ଟୀକାକରଣ ତାରୀଖ 07 Sep 2021 18 Dec 2021
Batch Number / େବଚ ନମର 4121MC043 4121MC043
Vaccinated By / ଟିକା େଦଉଥବା ବ କି ନାମ Chabibala Biswal
Vaccination At / ଟୀକାକରଣ ସାନ DHENKANAL PPC CVC, Dhenkanal, Odisha
“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
