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

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    pratyush das
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    This document is a provisional COVID-19 vaccination certificate for Santos DaS, who received the first dose of the COVISHIELD vaccine on July 2, 2021. He is 35 years old and his ID was verified with his PAN card. He is due for his second dose between September 24 and October 22, 2021. The vaccine was administered by Amrita Kerketta at the Koira Chc health center in Sundargarh, Odisha. Contact information is provided in case of any adverse events.

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    This document is a provisional COVID-19 vaccination certificate for Santos DaS, who received the first dose of the COVISHIELD vaccine on July 2, 2021. He is 35 years old and his ID was verified with his PAN card. He is due for his second dose between September 24 and October 22, 2021. The vaccine was administered by Amrita Kerketta at the Koira Chc health center in Sundargarh, Odisha. Contact information is provided in case of any adverse events.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    75 views1 page

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

    Uploaded by

    pratyush das
    This document is a provisional COVID-19 vaccination certificate for Santos DaS, who received the first dose of the COVISHIELD vaccine on July 2, 2021. He is 35 years old and his ID was verified with his PAN card. He is due for his second dose between September 24 and October 22, 2021. The vaccine was administered by Amrita Kerketta at the Koira Chc health center in Sundargarh, Odisha. Contact information is provided 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 / ଲାଭାଥୀ ର ନାମ Santos DaS

    Age / ବୟସ 35

    Gender / ଲ Male

    ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି PAN Card # BEYPD1946R

    Unique Health ID (UHID)


    Beneficiary Reference ID 73589486710820

    Vaccination Details

    Vaccine Name / ଟିକା ନାମ COVISHIELD

    Date of Dose / ଟୀକାକରଣ ତାରୀଖ 02 Jul 2021 (Batch no. 4121Z109)

    Next due date / ପରବ ୀ ଟୀକାକରଣ ତାରିଖ Between 24 Sep 2021 and 22 Oct 2021

    Vaccinated by / ଟିକା େଦଉଥବା ବ କି ନାମ Amrita Kerketta

    Vaccination at / ଟୀକାକରଣ ସାନ Koira Chc, Sundargarh, 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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