Final Certificate for COVID-19 Vaccination

Beneficiary Details

Beneficiary Name / लाभाथ च नांव Vithal Harijan

Age / पराय 36

Gender / लग Male

ID Verified / तपा श ी आयडी Aadhaar # XXXXXXXX2115

Unique Health ID (UHID)

Beneficiary Reference ID 10152973223355

Vaccination Details

Vaccine Name / वासीनाच नांव COVISHIELD

Date of 1st Dose / पहली डोसाची तारीश 19 May 2021 (Batch no. 4121Z059)

Date of 2nd Dose / ू सरी डोसाची तारीश 12 Aug 2021 (Batch no. 4121MC022)

Vaccinated by / वासीन केलां Mamatha

Vaccination at / वासीन द ो नामो RAJHANS, South Goa, Goa

“वखद बी आ ण श बी
Together, India will defeat
COVID-19”
- धान मं ी नर मोदी

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

खंयचोय तकूल प रणाम जाणवलो जा ार, उपकार क न लागसर ा भौशीक भलायक क / भलायक
जतनाय कमचारी/ डि इ ुनायझेशन ऑफ सर/रा हॅ लायन . १०७५ / चेर संपक करचो

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in