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Vaccination Certificate

This document is a COVID-19 vaccination certificate issued in India for beneficiary Pobitra Pegu, who is 22 years old and male. He is fully vaccinated with two doses of the COVISHIELD vaccine, administered by Domoyonti Doley at a healthcare facility in Dhemaji, Assam. The certificate includes details such as the vaccination dates, batch numbers, and a QR code for verification.

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

Vaccination Certificate

This document is a COVID-19 vaccination certificate issued in India for beneficiary Pobitra Pegu, who is 22 years old and male. He is fully vaccinated with two doses of the COVISHIELD vaccine, administered by Domoyonti Doley at a healthcare facility in Dhemaji, Assam. The certificate includes details such as the vaccination dates, batch numbers, and a QR code for verification.

Uploaded by

dayallbenny
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 31115582204

Beneficiary Details
Beneficiary Name / িহতািধকাৰীৰ নাম Pobitra Pegu

Age / বয়স 22

Gender / িলংগ Male

ID Verified / পিৰচয় প সত ািপত Voter ID # JSP0676676

Unique Health ID (UHID)


Beneficiary Reference ID 4625057790160

Vaccination Status / কাকৰণৰ ি িত Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / কাকৰণ কিৰেছ Domoyonti Doley

Vaccination At / কাকৰণৰ ান Sekai / Arimara / Mitebarcamp, Dhemaji, Assam

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
পািল সংখ া পািলৰ তািৰখ ভি নৰ নাম ব সংখ া ভকিচনৰ কাৰ িনমাতা

COVID-19 vaccine,
1/2 30 Aug 2021 COVISHIELD 4121MC054 non-replicating viral vector Serum Institute of India

COVID-19 vaccine, Serum Institute of India Pvt.


2/2 25 Dec 2021 COVISHIELD 4121MC147 non-replicating viral vector Ltd.

“ঔষধৰ লগেত কেঠাৰতাও


Together, India will defeat
COVID-19”
- ধান ম ী নেৰ মাডী

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
িযেকােনা িতকল ঘটনাৰ ত, অনু হ কিৰ িনকটৱতী ৰাজ ৱা া ক / া কমী/িজলা
কাকৰণ িবষয়া/ ৰািজ ক হ লাই ন ৰ 1075 ত যাগােযাগ কৰক।

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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