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Certificate

This document is a COVID-19 vaccination certificate issued in India for a beneficiary named Raymond, who is 65 years old and fully vaccinated with two doses of the COVISHIELD vaccine. The vaccination was administered by R. Nageshwari at Tisayanvillai UGPHC on June 24, 2021, and September 26, 2021. The certificate includes a QR code for verification and contact information for reporting adverse events.

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69 views1 page

Certificate

This document is a COVID-19 vaccination certificate issued in India for a beneficiary named Raymond, who is 65 years old and fully vaccinated with two doses of the COVISHIELD vaccine. The vaccination was administered by R. Nageshwari at Tisayanvillai UGPHC on June 24, 2021, and September 26, 2021. The certificate includes a QR code for verification and contact information for reporting adverse events.

Uploaded by

ambroseraymond
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 31208551396

Beneficiary Details
Beneficiary Name Raymond

Age 65

Gender Male

ID Verified Aadhaar # XXXXXXXX2159

Unique Health ID (UHID)


Beneficiary Reference ID 31548234624742
Vaccination Status Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By R.Nageshwari

Vaccination At Tisayanvillai UGPHC

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

COVID-19 vaccine,
1/2 24 Jun 2021 COVISHIELD 4121MC008 non-replicating viral vector Serum Institute of India

COVID-19 vaccine,
2/2 26 Sep 2021 COVISHIELD 4121P217 non-replicating viral vector Serum Institute of 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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