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

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    Mallikarjuna Kanaka
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    This document is a provisional certificate for a first dose of the COVISHIELD COVID-19 vaccine received by Mallikarjuna Kanakagiri. It provides details of the beneficiary including name, age, gender and ID numbers. It also lists the date and location of vaccination as well as the vaccinator. The certificate notes that the next due date for the second dose is between October 11 and November 8, 2021 and provides contact information for reporting any adverse events.

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    certificate

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    This document is a provisional certificate for a first dose of the COVISHIELD COVID-19 vaccine received by Mallikarjuna Kanakagiri. It provides details of the beneficiary including name, age, gender and ID numbers. It also lists the date and location of vaccination as well as the vaccinator. The certificate notes that the next due date for the second dose is between October 11 and November 8, 2021 and provides contact information for reporting any adverse events.

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    © All Rights Reserved
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    48 views1 page

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

    Uploaded by

    Mallikarjuna Kanaka
    This document is a provisional certificate for a first dose of the COVISHIELD COVID-19 vaccine received by Mallikarjuna Kanakagiri. It provides details of the beneficiary including name, age, gender and ID numbers. It also lists the date and location of vaccination as well as the vaccinator. The certificate notes that the next due date for the second dose is between October 11 and November 8, 2021 and provides contact information for reporting any adverse events.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Provisional Certificate for COVID-19 Vaccination - 1st Dose

    Beneficiary Details

    Beneficiary Name / ಫ ಾನುಭ ಯ ಸರು Mallikarjuna Kanakagiri

    Age / ವಯಸು 20

    Gender / ಂಗ Male

    ID Verified / ಐ. . ಗುರುತು Aadhaar # XXXXXXXX2988

    Unique Health ID (UHID) 77-2538-1288-0147

    Beneficiary Reference ID 11275290343840

    Vaccination Details

    Vaccine Name / ಲ ಸರು COVISHIELD

    Date of Dose / ೂೕ ಾಂಕ 19 Jul 2021 (Batch no. 4121Z126)

    Next due date / ಮುಂ ನ ಲ ೕಡುವ ಾಂಕ Between 11 Oct 2021 and 08 Nov 2021

    Vaccinated by / ಲ ೕ ದವರು PADMAVATHI K

    Vaccination at / ಲ ಾ ದ ಸಳ FLW SDH GANGAVATHI, Koppal, 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 certificate can be verified by scanning the QR code at


    http://verify.cowin.gov.in

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