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  • COVID Vaccination

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    20CSE059 Dain Mathew
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    This document is a provisional certificate for a first dose of the COVISHIELD COVID-19 vaccine received by Dain Mathew, a 21 year old male with ID XXXXXXXX5567. The vaccine was administered on 06 Aug 2021 at Narmadha Poonamalle GH in Poonamallee, Tamil Nadu. The beneficiary is due for the second dose between 29 Oct 2021 and 26 Nov 2021. In case of any adverse events, the beneficiary should contact the nearest public health center, healthcare worker, or state helpline number 1075. This certificate can be verified by scanning the QR code at the provided URL.

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    This document is a provisional certificate for a first dose of the COVISHIELD COVID-19 vaccine received by Dain Mathew, a 21 year old male with ID XXXXXXXX5567. The vaccine was administered on 06 Aug 2021 at Narmadha Poonamalle GH in Poonamallee, Tamil Nadu. The beneficiary is due for the second dose between 29 Oct 2021 and 26 Nov 2021. In case of any adverse events, the beneficiary should contact the nearest public health center, healthcare worker, or state helpline number 1075. This certificate can be verified by scanning the QR code at the provided URL.

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    © All Rights Reserved
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    6 views2 pages

    COVID Vaccination

    Uploaded by

    20CSE059 Dain Mathew
    This document is a provisional certificate for a first dose of the COVISHIELD COVID-19 vaccine received by Dain Mathew, a 21 year old male with ID XXXXXXXX5567. The vaccine was administered on 06 Aug 2021 at Narmadha Poonamalle GH in Poonamallee, Tamil Nadu. The beneficiary is due for the second dose between 29 Oct 2021 and 26 Nov 2021. In case of any adverse events, the beneficiary should contact the nearest public health center, healthcare worker, or state helpline number 1075. This certificate can be verified by scanning the QR code at the provided URL.

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    © All Rights Reserved
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    of 2

    Provisional Certificate for COVID-19 Vaccination - 1st Dose

    Beneficiary Details

    Beneficiary Name / பலனா ெபய Dain Mathew


    21 பான
    Age / Male
    வய Gender /
    அைடயாள சா XXXXXXXX5567
    ID Verified / Aadhaar #

    Unique Health ID (UHID)


    31575860819700
    Beneficiary Reference ID

    Vaccination Details

    Next due date / Vaccinated

    by / Vaccination at /
    Vaccine Name / Date of 1st
    அத ைவ ேத தைய “ம ம
    Dose / மனட
    வழயவ த வழகபட இட
    Between 29 Oct 2021 and
    த ெபய த ேடா ேத
    26 Nov 2021 Narmadha
    COVISHIELD
    Poonamalle GH,
    06 Aug 2021 (Batch no.
    Poonamallee, Tamil Nadu
    4121MC046)
    ைமய / ஆேராய பராம பயாள / மாவட த அவல / மால உத எ.
    1075ஐ ெதாட ெகாள.

    Together, India will defeat


    COVID-19”
    - ரதம ம நேரர ேமா

    In case of any adverse events, kindly contact the nearest Public Health
    Center/ Healthcare Worker/District Immunization Officer/State Helpline No.
    1075
    ஏேத எமைற ைளக ஏபடா, தய ெச அகாைமள ெபா காதார
    This
    certificate can be verified by scanning the QR code at
    http://verify.cowin.gov.in

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