Final Certificate for COVID-19 Vaccination

Beneficiary Details

Beneficiary Name / लाभाथ च नांव Raziyabi Noormohamed Shaikh

Age / पराय 60

Gender / लग Female

ID Verified / तपा श ी आयडी Aadhaar # XXXXXXXX0795

Unique Health ID (UHID)

Beneficiary Reference ID 10152708862420

Vaccination Details

Vaccine Name / वासीनाच नांव COVISHIELD

Date of 1st Dose / पहली डोसाची तारीश 05 May 2021 (Batch no. 4121Z047 )

Date of 2nd Dose / ू सरी डोसाची तारीश 28 Jul 2021 (Batch no. 4121MC017)

Vaccinated by / वासीन केलां Nilam Satardekar

Vaccination at / वासीन द ो नामो Navelim PHC, South Goa, Goa

“वखद बी आ ण श बी
Together, India will defeat
COVID-19”
- धान मं ी नर मोदी

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075

खंयचोय तकूल प रणाम जाणवलो जा ार, उपकार क न लागसर ा भौशीक भलायक क / भलायक
जतनाय कमचारी/ डि इ ुनायझेशन ऑफ सर/रा हॅ लायन . १०७५ / चेर संपक करचो

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in