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Certificate

This document is a COVID-19 vaccination certificate issued in India for Pooja Ram Milan Chaudhary, confirming she is fully vaccinated with two doses of COVISHIELD and a precaution dose. The certificate includes details such as her age, gender, vaccination dates, and the administering hospital. It also provides information on how to report any adverse events and a QR code for verification.

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poojac93k
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47 views1 page

Certificate

This document is a COVID-19 vaccination certificate issued in India for Pooja Ram Milan Chaudhary, confirming she is fully vaccinated with two doses of COVISHIELD and a precaution dose. The certificate includes details such as her age, gender, vaccination dates, and the administering hospital. It also provides information on how to report any adverse events and a QR code for verification.

Uploaded by

poojac93k
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 92800416381

Beneficiary Details
Beneficiary Name / लाभाथ चे नाव Pooja Ram Milan Chaudhary

Age / वय 29

Gender / लग Female

ID Verified / ओळखप Aadhaar # XXXXXXXX2154

Unique Health ID (UHID)


Beneficiary Reference ID 31779999898090
Vaccination Status / लसीकरण ती Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccine Name / लसीचे नाव COVISHIELD

Vaccine Type / लस कार COVID-19 vaccine, non-replicating viral vector

Manufacturer / उ पादक Serum Institute of India Pvt. Ltd.

Dose Number / डोस मांक 1/2 2/2 Precaution dose

Date of Dose / डोसची तारीख 03 Jun 2021 15 Sep 2021 18 Jun 2022

Batch Number / बॅच मांक 4121Z090 4121mc080 4121Z280

Vaccinated By / यां ा ार लसीकरण Reshma Pujari

Vaccination At / लसीकरणाचे ळ BHAGWATI HOSPITAL 1, Mumbai, Maharashtra

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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