Provisional Certificate for COVID-19 Vaccination - 1st Dose

Beneficiary Details

Beneficiary Name Shiv Kumar

Age 60

Gender Male

ID Verified Aadhaar # XXXXXXXX5102

Unique Health ID (UHID)

Beneficiary Reference ID 28485817939434

Vaccination Details

Vaccine Name COVISHIELD

Date of Dose 25 Mar 2021 (Batch no. 4120Z014)

Next due date Between 17 Jun 2021 and 15 Jul 2021

Vaccinated by Iqbal

Vaccination at Gate Khazana UPHC, Amritsar

Together, India will defeat

COVID-19”
- Prime Minister

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

This is a secure QR code. For further details, please visit

https://verify.cowin.gov.in