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COVID-19 Vaccination Certificate

This document is a COVID-19 vaccination certificate issued in India, confirming that Kongthoujam Sachimohon Singh, a 22-year-old male, is fully vaccinated with two doses of COVAXIN. The vaccinations were administered by Kavita Telang at PMC G Galande Hospital on August 11, 2021, and November 1, 2021. 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)
8 views1 page

COVID-19 Vaccination Certificate

This document is a COVID-19 vaccination certificate issued in India, confirming that Kongthoujam Sachimohon Singh, a 22-year-old male, is fully vaccinated with two doses of COVAXIN. The vaccinations were administered by Kavita Telang at PMC G Galande Hospital on August 11, 2021, and November 1, 2021. The certificate includes a QR code for verification and contact information for reporting adverse events.

Uploaded by

ivaandev73
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 97312360719

Beneficiary Details
Beneficiary Name Kongthoujam Sachimohon Singh

Age 22

Gender Male

ID Verified PAN Card # Jitps3310b

Unique Health ID (UHID)


Beneficiary Reference ID 50532210213950
Vaccination Status Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By KAVITA TELANG

Vaccination At PMC G Galande Hospital NagarRd

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

COVID-19 vaccine,
1/2 11 Aug 2021 COVAXIN 37I21016A inactivated virus Bharat Biotech

COVID-19 vaccine,
2/2 01 Nov 2021 COVAXIN 37121035A inactivated virus Bharat Biotech, India

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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