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Provisional Certificate for COVID-19 Vaccination - 1st Dose

Beneficiary Details

Beneficiary Name / িহতািধকাৰীৰ নাম Manika Ddebnath

Age / বয়স 45

Gender / িলংগ Female

ID Verified / পিৰচয় প সত ািপত Aadhaar # XXXXXXXX8576

Unique Health ID (UHID)


Beneficiary Reference ID 11997581617630

Vaccination Details

Vaccine Name / ভি নৰ নাম COVISHIELD

Date of 1st Dose / থম পািলৰ তািৰখ 04 May 2021 (Batch no. 4121z051)

Next due date / পৰৱতী িনয়ত তািৰখ Between 27 Jul 2021 and 24 Aug 2021

Vaccinated by / কাকৰণ কিৰেছ AJOB NEHAR LASKAR

Vaccination at / কাকৰণৰ ান Sonai BPHC(COVISHIELD), Cachar, Assam

“ঔষধৰ লগেত কেঠাৰতাও


Together, India will defeat
COVID-19”
- ধান ম ী নেৰ মাডী

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

িযেকােনা িতকল ঘটনাৰ ত, অনু হ কিৰ িনকটৱতী ৰাজ ৱা া ক / া কমী/িজলা


কাকৰণ িবষয়া/ ৰািজ ক হ লাই ন ৰ 1075 ত যাগােযাগ কৰক।

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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