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Certificate

This document is a COVID-19 vaccination certificate issued in India for Abdul Kadir, a 20-year-old male, confirming he is fully vaccinated with two doses of the COVISHIELD vaccine. The vaccinations were administered by K.K. Padvi in Nandurbar, Maharashtra, on October 20, 2021, and January 12, 2022. The certificate includes a QR code for verification and contact information for reporting any adverse events.

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0% found this document useful (0 votes)
5 views1 page

Certificate

This document is a COVID-19 vaccination certificate issued in India for Abdul Kadir, a 20-year-old male, confirming he is fully vaccinated with two doses of the COVISHIELD vaccine. The vaccinations were administered by K.K. Padvi in Nandurbar, Maharashtra, on October 20, 2021, and January 12, 2022. The certificate includes a QR code for verification and contact information for reporting any adverse events.

Uploaded by

abdulkadir47366
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 82488031464

Beneficiary Details
Beneficiary Name / लाभाथ चे नाव Abdul Kadir

Age / वय 20

Gender / लग Male

ID Verified / ओळखप Aadhaar # XXXXXXXX6042

Unique Health ID (UHID)


Beneficiary Reference ID 21387909470134

Vaccination Status / लसीकरण ती Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / यां ा ार लसीकरण K.K. Padvi
Akkalkuwa -B.A.Vihir-AKK 1 SC, Nandurbar,
Vaccination At / लसीकरणाचे ळ 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 20 Oct 2021 COVISHIELD 4121Z010M non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 12 Jan 2022 COVISHIELD 4121MF033 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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