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Vaccine Certificate

This document is a COVID-19 vaccination certificate issued in India, confirming that Mandar Dhandole, a 22-year-old male, is fully vaccinated with two doses of the COVISHIELD vaccine. The vaccination was administered by Pratibha Lanjewar at Saoner RH on June 21, 2021, and October 12, 2021. The certificate includes a QR code for verification and contact information for reporting any adverse events.

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yash1999kadam
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42 views1 page

Vaccine Certificate

This document is a COVID-19 vaccination certificate issued in India, confirming that Mandar Dhandole, a 22-year-old male, is fully vaccinated with two doses of the COVISHIELD vaccine. The vaccination was administered by Pratibha Lanjewar at Saoner RH on June 21, 2021, and October 12, 2021. The certificate includes a QR code for verification and contact information for reporting any adverse events.

Uploaded by

yash1999kadam
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 31307491768

Beneficiary Details
Beneficiary Name Mandar Dhandole

Age 22

Gender Male

ID Verified Aadhaar # XXXXXXXX3115

Unique Health ID (UHID) 51-7140-4027-8222

Beneficiary Reference ID 91518296956410


Vaccination Status Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By PRATIBHA LANJEWAR

Vaccination At Saoner RH(Bhalerao) Covishield

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

COVID-19 vaccine,
1/2 21 Jun 2021 COVISHIELD 4121MC007 non-replicating viral vector Serum Institute of India

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 12 Oct 2021 COVISHIELD 4121AA029M 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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