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Certificate

This document is a certificate for COVID-19 vaccination issued in India, confirming that Vishnu Vasan M, a 26-year-old male, is fully vaccinated with two doses of the COVISHIELD vaccine. The vaccination was administered by S. Lavanya at Lakshmipuram UPHC, with the first dose on May 28, 2021, and the second dose on August 24, 2021. The certificate includes a QR code for verification and contact information for reporting any adverse events.

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59 views1 page

Certificate

This document is a certificate for COVID-19 vaccination issued in India, confirming that Vishnu Vasan M, a 26-year-old male, is fully vaccinated with two doses of the COVISHIELD vaccine. The vaccination was administered by S. Lavanya at Lakshmipuram UPHC, with the first dose on May 28, 2021, and the second dose on August 24, 2021. The certificate includes a QR code for verification and contact information for reporting any adverse events.

Uploaded by

vivaonthelookout
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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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 86426724442

Beneficiary Details
Beneficiary Name Vishnu Vasan M

Age 26

Gender Male

ID Verified Aadhaar # XXXXXXXX4736

Unique Health ID (UHID)


Beneficiary Reference ID 95126110347810
Vaccination Status Fully Vaccinated (2 Doses)

Vaccination Details
Vaccine Name COVISHIELD

Vaccine Type COVID-19 vaccine, non-replicating viral vector

Manufacturer Serum Institute of India

Dose Number 1/2 2/2

Date of Dose 2021-05-28 2021-08-24

Batch Number 4121Z073 4121Z147

Vaccinated By S.Lavanya

Vaccination At Lakshmipuram UPHC 45plus

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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