Certificate For COVID-19 Vaccination: Beneficiary Details

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Certificate for COVID-19 Vaccination

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


Certificate ID 22133024153

Beneficiary Details
Beneficiary Name / ಫ ಾನುಭ ಯ ಸರು Rani

Age / ವಯಸು 53

Gender / ಂಗ Female

ID Verified / ಐ. . ಗುರುತು Aadhaar # XXXXXXXX8080

Unique Health ID (UHID)


Beneficiary Reference ID 16274587810360
Vaccination Status / ಲ ೕ ಗ Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / ಲ ೕ ದವರು Sakku bai

Vaccination At / ಲ ಾ ದ ಸಳ Devasamudra PHC, Bellary, Karnataka

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
ೂೕ ಸಂ ೂೕ ಾಂಕ ಲ ಸರು ಾ ಸಂ ಾವ ೕ ಯ ಲ ತ ಾರಕರು

COVID-19 vaccine,
1/2 22 Apr 2021 COVISHIELD 4121Z056 non-replicating viral vector Serum Institute of India

COVID-19 vaccine,
2/2 15 Jul 2021 COVISHIELD 4121MC024 non-replicating viral vector Serum Institute of India

“ಔಷ /ಲ ೕಕು,
ೂ ದೃಢ ೕಕು
Together, India will defeat
COVID-19”
- ಪ ಾನಮಂ ನ ೕಂದ ೕ

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
ಾವ ೕ ಅಡಪ ಾಮ ಉಂ ಾದ ಸಂದಭ ದ , ದಯ ಟು ಸ ೕಪದ ಾವ ಜ ಕ ಆ ೂೕಗ
ೕಂದ /ಆ ೂೕಗ ಶುಷೂ ಾಯ ಕ / ಾ ಲ ಅ ಾ / ಾಜ ಸ ಾಯ ಾ ಸಂ. 1075
ಸಂಪ

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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