Provisional Certificate for COVID-19 Vaccination - 1st Dose

Beneficiary Details

Beneficiary Name / ‫م‬ ‫د‬ China Devi

Age / 46

Gender / Female

ID Verified / ‫ڈی‬ ‫ہآ‬ Aadhaar # XXXXXXXX4604

Unique Health ID (UHID)

Beneficiary Reference ID 14233322173060

Vaccination Details

Vaccine Name / ‫م‬ ‫و‬ COVISHIELD

Date of Dose / ‫ر‬ ‫راک‬ 06 May 2021 (Batch no. 4121Z060)

Next due date / ‫رہ ر‬ ‫ا‬ Between 29 Jul 2021 and 26 Aug 2021

Vaccinated by / ‫م‬ ‫وا‬ Raj Kumari

Vaccination at / ‫م‬ ‫ری‬ Sunetar SC, Udhampur, Jammu and Kashmir

‫اور‬ ‫دوا‬
Together, India will defeat
COVID-19”
‫دی‬ ‫ر‬ ‫ا‬ ‫ وز‬-

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
1075 ‫ا‬ / ‫ور‬ / ‫اہ م د‬ ‫رت‬ ‫ف وا‬
‫ر‬/ ‫آ‬ ‫۔‬ ‫را‬

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in