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Certificate

This document is a COVID-19 vaccination certificate issued in India, detailing the beneficiary's name, age, and vaccination status. The individual, Kshirasagar Agastya Mahesh, is partially vaccinated with one dose of COVAXIN on January 8, 2022. It includes information on the vaccine manufacturer, next due date for the second dose, and contact details for reporting adverse events.
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0% found this document useful (0 votes)
2 views1 page

Certificate

This document is a COVID-19 vaccination certificate issued in India, detailing the beneficiary's name, age, and vaccination status. The individual, Kshirasagar Agastya Mahesh, is partially vaccinated with one dose of COVAXIN on January 8, 2022. It includes information on the vaccine manufacturer, next due date for the second dose, and contact details for reporting adverse events.
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 80630643238

Beneficiary Details
Beneficiary Name / लाभाथ चे नाव Kshirasagar Agastya Mahesh

Age / वय 15

Gender / लग Male

ID Verified / ओळखप Aadhaar # XXXXXXXX9353

Unique Health ID (UHID)


Beneficiary Reference ID 21392555399771
Vaccination Status / लसीकरण ती Partially Vaccinated (1 Dose)

Vaccination Details
Vaccine Name / लसीचे नाव COVAXIN

Vaccine Type / लस कार COVID-19 vaccine, inactivated virus

Manufacturer / उ पादक Bharat Biotech, India

Dose Number / डोस मांक 1/2

Date of Dose / डोसची तारीख 2022-01-08

Batch Number / बॅच मांक 37H21128A

Next Due Date / पुढील दय तारीख Between 05 Feb 2022 and 19 Feb 2022

Vaccinated By / यां ा ार लसीकरण MITALI DESALE

Vaccination At / लसीकरणाचे ळ BNMC KAMATGHAR UPHC, Thane, Maharashtra

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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