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    Omm Singh
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    This document is a provisional COVID-19 vaccination certificate for Omm Singh, a 23-year-old male who received his first dose of the COVISHIELD vaccine on June 8, 2021 at the Gopabadnhu Town Hall in Dhenkanal, Odisha. He is due for his second dose between August 31 and September 28, 2021. The vaccine was administered by Rekha Singh. Contact information is provided in case of any adverse events.

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    Certificate (3)

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    This document is a provisional COVID-19 vaccination certificate for Omm Singh, a 23-year-old male who received his first dose of the COVISHIELD vaccine on June 8, 2021 at the Gopabadnhu Town Hall in Dhenkanal, Odisha. He is due for his second dose between August 31 and September 28, 2021. The vaccine was administered by Rekha Singh. Contact information is provided in case of any adverse events.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    10 views1 page

    Certificate

    Uploaded by

    Omm Singh
    This document is a provisional COVID-19 vaccination certificate for Omm Singh, a 23-year-old male who received his first dose of the COVISHIELD vaccine on June 8, 2021 at the Gopabadnhu Town Hall in Dhenkanal, Odisha. He is due for his second dose between August 31 and September 28, 2021. The vaccine was administered by Rekha Singh. Contact information is provided in case of any adverse events.

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    of 1

    Provisional Certificate for COVID-19 Vaccination - 1st Dose

    Beneficiary Details

    Beneficiary Name / ଲାଭାଥୀ ର ନାମ Omm Singh

    Age / ବୟସ 23

    Gender / ଲ Male

    ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Driver’s License # OD0620160164233

    Unique Health ID (UHID)


    Beneficiary Reference ID 68854171306780

    Vaccination Details

    Vaccine Name / ଟିକା ନାମ COVISHIELD

    Date of 1st Dose / ପଥମ େଡାଜର ତାରିଖ 08 Jun 2021 (Batch no. 4121Z092)

    Next due date / ପରବ ୀ ଟୀକାକରଣ ତାରିଖ Between 31 Aug 2021 and 28 Sep 2021

    Vaccinated by / ଟିକା େଦଉଥବା ବ କି ନାମ Rekha Singh

    Vaccination at / ଟୀକାକରଣ ସାନ Gopabadnhu Town Hall (18-44), Dhenkanal,

    Odisha

    “ଔଷଧ ମ ଏବଂ କେଠାରତା ମ


    Together, India will defeat
    COVID-19”
    - ପଧାନମନୀ ନେର େମାଦି

    In case of any adverse events, kindly contact the nearest Public Health Center/
    Healthcare Worker/District Immunization Officer/State Helpline No. 1075
    େକୗଣସି ପକାର ପତିକୂଳ ଘଟଣା ଘଟିେଲ ଦୟାକରି ନିକଟସ ଜନସାସ େକ / ସାସ େସବା କମୀ / ଜିଲା
    ଟୀକାକରଣ ଅଫସର / ରାଜ େହଲଲାଇନ ନମର 1075 ସହିତ େଯାଗାେଯାଗ କର

    This certificate can be verified by scanning the QR code at


    http://verify.cowin.gov.in

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