Certificate for COVID-19 Vaccination
Issued in India by Ministry of Health & Family Welfare, Govt. of India
Certificate ID 55819721381
Beneficiary Details
Beneficiary Name / लाभाथ का नाम Rakhi Soni
Age / उ 39
Gender / लग Female
ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX4039
Unique Health ID (UHID)
Beneficiary Reference ID 14876093412210
Vaccination Status / टीकाकरण क त Fully Vaccinated (2 Doses) and a Precaution Dose
Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम Jay Shree Nigam
Vaccination At / टीकाकरण का ान WARD 50 UJJAIN, Ujjain, Madhya 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 19 May 2021 COVISHIELD 4121Z073 non-replicating viral vector Serum Institute of India
COVID-19 vaccine,
2/2 26 Aug 2021 COVISHIELD 4121MC064 non-replicating viral vector Serum Institute of India
COVID-19 vaccine, Serum Institute of India Pvt.
Precaution dose 27 Jul 2022 COVISHIELD 4121MF036 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