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  • Provisional Certificate For COVID-19 Vaccination - 1 Dose: Beneficiary Details

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    pradyumna mallick
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    This document is a provisional COVID-19 vaccination certificate for Pradyumna Kumar Mallick indicating that he received the COVAXIN vaccine on June 28, 2021 at the KIIT Cricket Stadium in Khurda, Odisha. He is due for his second dose between July 26 and August 9, 2021. Contact information is provided in case of any adverse events.

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    This document is a provisional COVID-19 vaccination certificate for Pradyumna Kumar Mallick indicating that he received the COVAXIN vaccine on June 28, 2021 at the KIIT Cricket Stadium in Khurda, Odisha. He is due for his second dose between July 26 and August 9, 2021. Contact information is provided in case of any adverse events.

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    © All Rights Reserved
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    22 views1 page

    Provisional Certificate For COVID-19 Vaccination - 1 Dose: Beneficiary Details

    Uploaded by

    pradyumna mallick
    This document is a provisional COVID-19 vaccination certificate for Pradyumna Kumar Mallick indicating that he received the COVAXIN vaccine on June 28, 2021 at the KIIT Cricket Stadium in Khurda, Odisha. He is due for his second dose between July 26 and August 9, 2021. Contact information is provided in case of any adverse events.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Provisional Certificate for COVID-19 Vaccination - 1st Dose

    Beneficiary Details

    Beneficiary Name / ଲାଭାଥୀ ର ନାମ Pradyumna Kumar Mallick

    Age / ବୟସ 32

    Gender / ଲ Male

    ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Aadhaar # XXXXXXXX9278

    Unique Health ID (UHID) 30-6836-3248-5501

    Beneficiary Reference ID 88517461761360

    Vaccination Details

    Vaccine Name / ଟିକା ନାମ COVAXIN

    Date of Dose / ଟୀକାକରଣ ତାରୀଖ 28 Jun 2021 (Batch no. 37121002A)

    Next due date / ପରବ ୀ ଟୀକାକରଣ ତାରିଖ Between 26 Jul 2021 and 09 Aug 2021

    Vaccinated by / ଟିକା େଦଉଥବା ବ କି ନାମ Smitashri Panda

    Vaccination at / ଟୀକାକରଣ ସାନ KIIT Cricket Stadium(9-1PM), Khurda,

    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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