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

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    Bhavana Murthy
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    This document is a provisional COVID-19 vaccination certificate for a first dose. It provides details about the beneficiary including name, age, gender and ID numbers. It also includes vaccination details such as the vaccine name, date of administration, batch number, and the person who administered it. Finally, it provides information about when to return for the next due dose and contact details in case of any adverse events.

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    Certificate

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    This document is a provisional COVID-19 vaccination certificate for a first dose. It provides details about the beneficiary including name, age, gender and ID numbers. It also includes vaccination details such as the vaccine name, date of administration, batch number, and the person who administered it. Finally, it provides information about when to return for the next due dose and contact details in case of any adverse events.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    30 views1 page

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

    Uploaded by

    Bhavana Murthy
    This document is a provisional COVID-19 vaccination certificate for a first dose. It provides details about the beneficiary including name, age, gender and ID numbers. It also includes vaccination details such as the vaccine name, date of administration, batch number, and the person who administered it. Finally, it provides information about when to return for the next due dose and contact details in case of any adverse events.

    Copyright:

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

    Provisional Certificate for COVID-19 Vaccination - 1st Dose

    Beneficiary Details

    Beneficiary Name / ಫ ಾನುಭ ಯ ಸರು Bhavana K B

    Age / ವಯಸು 20

    Gender / ಂಗ Female

    ID Verified / ಐ. . ಗುರುತು Aadhaar # XXXXXXXX6465

    Unique Health ID (UHID) 55-5337-3764-3878

    Beneficiary Reference ID 73422744572950

    Vaccination Details

    Vaccine Name / ಲ ಸರು COVAXIN

    Date of Dose / ೂೕ ಾಂಕ 03 Jul 2021 (Batch no. 37F21070A)

    Next due date / ಮುಂ ನ ಲ ೕಡುವ ಾಂಕ Between 31 Jul 2021 and 14 Aug 2021

    Vaccinated by / ಲ ೕ ದವರು METTY

    Vaccination at / ಲ ಾ ದ ಸಳ RxDx Kadugodi P3, BBMP, Karnataka

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


    https://verify.cowin.gov.in

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