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Certificate

This document is a COVID-19 vaccination certificate issued in India for Khushal Ravindra Khandagale, confirming he is fully vaccinated with two doses of the COVISHIELD vaccine. The vaccination was administered by Poonam Gaikar at UMC Govt Midtown Rotary in Thane, Maharashtra. The certificate includes details such as the beneficiary's age, gender, and unique health ID, along with instructions for reporting any adverse events.

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10 views1 page

Certificate

This document is a COVID-19 vaccination certificate issued in India for Khushal Ravindra Khandagale, confirming he is fully vaccinated with two doses of the COVISHIELD vaccine. The vaccination was administered by Poonam Gaikar at UMC Govt Midtown Rotary in Thane, Maharashtra. The certificate includes details such as the beneficiary's age, gender, and unique health ID, along with instructions for reporting any adverse events.

Uploaded by

khushkhandagale98
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 30057798533

Beneficiary Details
Beneficiary Name / लाभाथ चे नाव Khushal Ravindra Khandagale

Age / वय 23

Gender / लग Male

ID Verified / ओळखप Aadhaar # XXXXXXXX8925

Unique Health ID (UHID)


Beneficiary Reference ID 54686633896850

Vaccination Status / लसीकरण ती Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / यां ा ार लसीकरण Poonam Gaikar

Vaccination At / लसीकरणाचे ळ UMC Govt Midtown Rotary - HP 4, Thane, 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 08 Oct 2021 COVISHIELD 4121MC094 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 10 Jan 2022 COVISHIELD 4121MF039 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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