Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 75530179075
Beneficiary Details
Beneficiary Name Amar Kumar Shaw
Age 25
Gender Male
ID Verified Aadhaar # XXXXXXXX5857
Unique Health ID (UHID) 14-2508-0744-8266
Beneficiary Reference ID 27786221020050
Vaccination Status Fully Vaccinated (2 Doses)
Vaccination Details
Vaccinated By Dr P K Pal
Vaccination At Dildarnagar UPHC
Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
COVID-19 vaccine,
1/2 09 Sep 2021 COVISHIELD 4121AA008M non-replicating viral vector Serum Institute of India
COVID-19 vaccine, Serum Institute of India Pvt.
2/2 21 Dec 2021 COVISHIELD 4121MC140 non-replicating viral vector Ltd.
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