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Certificate

This document is a COVID-19 vaccination certificate issued in India, confirming that Yashraj Brijrajsinh Gohil, a 22-year-old male, is fully vaccinated with two doses of the COVISHIELD vaccine. The first dose was administered on July 30, 2021, and the second dose on December 11, 2021, by Rashmiben Malivad at OM CINEPLEX. The certificate includes a unique ID and can be verified online.

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Yashu Banna
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0% found this document useful (0 votes)
20 views1 page

Certificate

This document is a COVID-19 vaccination certificate issued in India, confirming that Yashraj Brijrajsinh Gohil, a 22-year-old male, is fully vaccinated with two doses of the COVISHIELD vaccine. The first dose was administered on July 30, 2021, and the second dose on December 11, 2021, by Rashmiben Malivad at OM CINEPLEX. The certificate includes a unique ID and can be verified online.

Uploaded by

Yashu Banna
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 37645213566

Beneficiary Details
Beneficiary Name Yashraj brijrajsinh gohil

Age 22

Gender Male

ID Verified Aadhaar # XXXXXXXX1140

Unique Health ID (UHID) 12-2307-8037-7759

Beneficiary Reference ID 41393451289360


Vaccination Status Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By Rashmiben Malivad

Vaccination At OM CINEPLEX

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

COVID-19 vaccine,
1/2 30 Jul 2021 COVISHIELD 4121Z115 non-replicating viral vector Serum Institute of India

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 11 Dec 2021 COVISHIELD 4121MC128 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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