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Anshu Covid Vaccination Card

This document is a COVID-19 vaccination certificate issued in India for Anshu Kumar, who is 24 years old and fully vaccinated with two doses of COVISHIELD and a precaution dose. The vaccinations were administered by Jyoti Kumari at HSC Barheta, with the first dose on July 30, 2021, and the precaution dose on September 23, 2022. The certificate includes a QR code for verification and contact information for reporting adverse events.
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0% found this document useful (0 votes)
43 views1 page

Anshu Covid Vaccination Card

This document is a COVID-19 vaccination certificate issued in India for Anshu Kumar, who is 24 years old and fully vaccinated with two doses of COVISHIELD and a precaution dose. The vaccinations were administered by Jyoti Kumari at HSC Barheta, with the first dose on July 30, 2021, and the precaution dose on September 23, 2022. The certificate includes a QR code for verification and contact information for reporting adverse events.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Certificate for COVID-19 Vaccination

Issued in India by Ministry of Health & Family Welfare, Govt. of India


Certificate ID 69550744400

Beneficiary Details
Beneficiary Name Anshu Kumar

Age 24

Gender Male

ID Verified Aadhaar # XXXXXXXX0904

Unique Health ID (UHID)


Beneficiary Reference ID 5964999846030
Vaccination Status Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccinated By JYOTI KUMARI

Vaccination At HSC Barheta

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer

COVID-19 vaccine,
1/2 30 Jul 2021 COVISHIELD 4121MC036 non-replicating viral vector Serum Institute of India

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 12 Nov 2021 COVISHIELD 4121MC124 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


Precaution dose 23 Sep 2022 COVISHIELD 4122Z023 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

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