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Certificate

This document is a COVID-19 vaccination certificate issued by the Ministry of Health & Family Welfare in India for an individual named Manish Singh, who is 22 years old and fully vaccinated with two doses of the COVISHIELD vaccine. The vaccination was administered by Aruna Mishra at Sarojni Nagar CHC in Lucknow, with the first dose on July 29, 2021, and the second dose on November 12, 2021. The certificate includes a QR code for verification and provides contact information for reporting adverse events.

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72 views1 page

Certificate

This document is a COVID-19 vaccination certificate issued by the Ministry of Health & Family Welfare in India for an individual named Manish Singh, who is 22 years old and fully vaccinated with two doses of the COVISHIELD vaccine. The vaccination was administered by Aruna Mishra at Sarojni Nagar CHC in Lucknow, with the first dose on July 29, 2021, and the second dose on November 12, 2021. The certificate includes a QR code for verification and provides contact information for reporting adverse events.

Uploaded by

ms1685354
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 24174505294

Beneficiary Details
Beneficiary Name Manish Singh

Age 22

Gender Male

ID Verified Aadhaar # XXXXXXXX8861

Unique Health ID (UHID)


Beneficiary Reference ID 34664243069856
Vaccination Status Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By Aruna Mishra

Vaccination At Sarojni Nagar CHC LUCKNOW

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

COVID-19 vaccine,
1/2 29 Jul 2021 COVISHIELD 4121z131 non-replicating viral vector Serum Institute of India

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 12 Nov 2021 COVISHIELD 4121MF018 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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