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Provisional Certificate for COVID-19 Vaccination - 1st Dose

Beneficiary Details

Beneficiary Name / ଲାଭାଥୀ ର ନାମ Debi Prasad Tripathy

Age / ବୟସ 21

Gender / ଲ Male

ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Aadhaar # XXXXXXXX5648

Unique Health ID (UHID) 24-8340-5230-2084

Beneficiary Reference ID 75384999421050

Vaccination Details

Vaccine Name / ଟିକା ନାମ COVISHIELD

Date of Dose / ଟୀକାକରଣ ତାରୀଖ 31 May 2021 (Batch no. 4121Z074)

Next due date / ପରବ ୀ ଟୀକାକରଣ ତାରିଖ Between 23 Aug 2021 and 20 Sep 2021

Vaccinated by / ଟିକା େଦଉଥବା ବ କି ନାମ Roupyamyee Singha

Vaccination at / ଟୀକାକରଣ ସାନ GOVT.CVC SAHARA N.H.(18-44yrs), Cuttack,

Odisha

“ଔଷଧ ମ ଏବଂ କେଠାରତା ମ


Together, India will defeat
COVID-19”
- ପଧାନମନୀ ନେର େମାଦି

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
େକୗଣସି ପକାର ପତିକୂଳ ଘଟଣା ଘଟିେଲ ଦୟାକରି ନିକଟସ ଜନସାସ େକ / ସାସ େସବା କମୀ / ଜିଲା
ଟୀକାକରଣ ଅଫସର / ରାଜ େହଲଲାଇନ ନମର 1075 ସହିତ େଯାଗାେଯାଗ କର

This is a secure QR code. For further details, please visit


https://verify.cowin.gov.in

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