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Certificate

This document is a COVID-19 vaccination certificate issued in India for Rishikesh Yadav, who is 24 years old and fully vaccinated with two doses of the COVISHIELD vaccine. The vaccinations were administered on October 28, 2021, and November 18, 2022, at PMC G7 Anna Saheb Magar, Pune, Maharashtra, by a healthcare worker. The certificate includes a QR code for verification and contact information for reporting any adverse events.

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rishikeshifa001
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22 views1 page

Certificate

This document is a COVID-19 vaccination certificate issued in India for Rishikesh Yadav, who is 24 years old and fully vaccinated with two doses of the COVISHIELD vaccine. The vaccinations were administered on October 28, 2021, and November 18, 2022, at PMC G7 Anna Saheb Magar, Pune, Maharashtra, by a healthcare worker. The certificate includes a QR code for verification and contact information for reporting any adverse events.

Uploaded by

rishikeshifa001
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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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 17497059019

Beneficiary Details
Beneficiary Name / लाभाथ चे नाव Rishikesh Yadav

Age / वय 24

Gender / लग Male

ID Verified / ओळखप Aadhaar # XXXXXXXX0857

Unique Health ID (UHID)


Beneficiary Reference ID 90832648085580

Vaccination Status / लसीकरण ती Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / यां ा ार लसीकरण sis hajare

Vaccination At / लसीकरणाचे ळ PMC G7 Anna Saheb Magar, Pune, Maharashtra

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
डोस मांक डोसची तारीख लसीचे नाव बॅच मांक लस कार उ पादक

COVID-19 vaccine, Serum Institute of India Pvt.


1/2 28 Oct 2021 COVISHIELD 4121Z011M non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 18 Nov 2022 COVISHIELD 4122Z015 non-replicating viral vector Ltd.

औषध सु ा आ ण श सु ा
Together, India will defeat
COVID-19”
- पंत धान ी. नर मोदी

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
कोणतेही तकूल प रणाम आढळू न आ यास कृपया जवळचे सावज नक आरो य क / आरो यसेवा
कमचारी/ ज हा लसीकरण अ धकारी/ रा य ह पलाइन मांक १०७५ वर संपक साधा.

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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