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Certificate 1

This document is a COVID-19 vaccination certificate issued in India for Saurabh Vitthal Chavhan, a 17-year-old male who is fully vaccinated with two doses of COVAXIN. The vaccinations were administered by Kailas Mudhalkar at Pusad SDH Hospital in Yavatmal, Maharashtra, with the first dose on January 4, 2022, and the second on February 11, 2022. The certificate includes a QR code for verification and contact information for reporting any adverse events.

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7 views1 page

Certificate 1

This document is a COVID-19 vaccination certificate issued in India for Saurabh Vitthal Chavhan, a 17-year-old male who is fully vaccinated with two doses of COVAXIN. The vaccinations were administered by Kailas Mudhalkar at Pusad SDH Hospital in Yavatmal, Maharashtra, with the first dose on January 4, 2022, and the second on February 11, 2022. The certificate includes a QR code for verification and contact information for reporting any adverse events.

Uploaded by

sauravchavhan443
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Certificate for COVID-19 Vaccination

Issued in India by Ministry of Health & Family Welfare, Govt. of India


Certificate ID 68549662578

Beneficiary Details
Beneficiary Name / लाभाथ चे नाव Saurabh Vitthal Chavhan

Age / वय 17

Gender / लग Male

ID Verified / ओळखप Aadhaar # XXXXXXXX7412

Unique Health ID (UHID)


Beneficiary Reference ID 21368780152271

Vaccination Status / लसीकरण ती Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / यां ा ार लसीकरण Kailas Mudhalkar

Vaccination At / लसीकरणाचे ळ Pusad SDH Hospital, Yavatmal, 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,
1/2 04 Jan 2022 COVAXIN 37I21049A inactivated virus Bharat Biotech, India

COVID-19 vaccine,
2/2 11 Feb 2022 COVAXIN 37G21136A inactivated virus Bharat Biotech, India

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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