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This document is a COVID-19 vaccination certificate issued in India by the Ministry of Health & Family Welfare. It confirms that the beneficiary, Ansari Mohd Shaif, aged 28, is fully vaccinated with two doses of the COVISHIELD vaccine and has received a precaution dose. The certificate includes details such as the vaccination dates, vaccine batch numbers, and a QR code for verification.

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iny.iniyan
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18 views1 page

Fubdubft

This document is a COVID-19 vaccination certificate issued in India by the Ministry of Health & Family Welfare. It confirms that the beneficiary, Ansari Mohd Shaif, aged 28, is fully vaccinated with two doses of the COVISHIELD vaccine and has received a precaution dose. The certificate includes details such as the vaccination dates, vaccine batch numbers, and a QR code for verification.

Uploaded by

iny.iniyan
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 24750001274

Beneficiary Details
Beneficiary Name Ansari Mohd Shaif

Age 28

Gender Male

ID Verified Passport # K1566807

Unique Health ID (UHID)


Beneficiary Reference ID 20135389418330
Vaccination Status Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccinated By SUMAN PAL

Vaccination At CHC KOTWA AT BANI (18 Plus)

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

COVID-19 vaccine,
1/2 21 Jun 2021 COVISHIELD 4121Z086 non-replicating viral vector Serum Institute of India

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 16 Sep 2021 COVISHIELD 4121Z222 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


Precaution dose 04 Sep 2022 COVISHIELD 4121AA089M 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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