Provisional Certificate for COVID-19 Vaccination - 1st Dose

Beneficiary Details

Beneficiary Name / ల Pendimi Santosh Kumar

Age / వయ 37

Gender / ంగం Male

ID Verified / ఐ ధృ క ంచబ ం Aadhaar # XXXXXXXX8379

Unique Health ID (UHID)

Beneficiary Reference ID 2087541621120

Vaccination Details

Vaccine Name / COVISHIELD

Date of 1st Dose / ద 03 Jul 2021 (Batch no. 4121Z106)

Next due date / త ప గ Between 25 Sep 2021 and 23 Oct 2021

Vaccinated by / ం న Dr V C S Reddy

Vaccination at / న GCVC HSL Medical Department,

Visakhapatnam, Andhra Pradesh

“ పత ం
Together, India will defeat
COVID-19”
- ప నమం న ంద

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

ఏ ప ల సంఘటన జ , దయ స ప ప గ ందం / వర /
ఇ ష ఆ స సంప ంచం / ష ం. 1075

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in