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Certificate

This document is a COVID-19 vaccination certificate issued in India for beneficiary Daphisha Rodborne, who is 22 years old and fully vaccinated with two doses of COVISHIELD. The vaccinations were administered by I WANSHNONG at JAIAW UPHC in Meghalaya on August 22, 2022, and November 14, 2022. It includes details for verification and contact information for reporting adverse events.

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

Certificate

This document is a COVID-19 vaccination certificate issued in India for beneficiary Daphisha Rodborne, who is 22 years old and fully vaccinated with two doses of COVISHIELD. The vaccinations were administered by I WANSHNONG at JAIAW UPHC in Meghalaya on August 22, 2022, and November 14, 2022. It includes details for verification and contact information for reporting adverse events.

Uploaded by

dafirodborne10
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 71705027090

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Daphisha Rodborne

Age / उ 22

Gender / लग Female

ID Verified / पहचान प स ा पत Voter ID # NC00098905

Unique Health ID (UHID)


Beneficiary Reference ID 23414782819181

Vaccination Status / टीकाकरण क त Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम I WANSHNONG

Vaccination At / टीकाकरण का ान JAIAW UPHC, East Khasi Hills, Meghalaya

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
खुराक क सं या खुराक क तारीख वै ीन का नाम बैच सं या टीका का कार उ पादक

COVID-19 vaccine, Serum Institute of India Pvt.


1/2 22 Aug 2022 COVISHIELD 4122AA006M non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 14 Nov 2022 COVISHIELD 4122Z022 non-replicating viral vector Ltd.

“दवाई भी और कड़ाई भी।


Together, India will defeat
COVID-19”
- धानमं ी नर मोदी

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
टीकाकरण प ात कसी तकूल घटना के होने पर नज़दीक ा क / ा कम / जला टीकाकरण
अ धकारी/रा ह लाइन 1075 पर स क कर

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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