Certificate for COVID-19 Vaccination

Partially Vaccinated : 1st Dose

Beneficiary Details

Beneficiary Name / लाभाथ का नाम Umashankar Chaurasia

Age / उ 54

Gender / लग Male

ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX7720

Unique Health ID (UHID)

Beneficiary Reference ID 35705748679752

Vaccination Details

Vaccine Name / वै ीन का नाम COVISHIELD

Date of 1st Dose / पहली खुराक क तारीख 07 Sep 2021 (Batch no. 4121AA005M)

Next due date / अगली नयत त थ Between 30 Nov 2021 and 28 Dec 2021

Vaccinated by / टीका लगाने वाले का नाम Laxmi Rana

Vaccination at / टीकाकरण का ान Nanakmatta PHC, Udham Singh Nagar,

Uttarakhand

“दवाई भी और कड़ाई भी।

Together, India will defeat
COVID-19”
- धानमं ी नर मोदी

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

टीकाकरण प ात कसी तकूल घटना के होने पर नज़दीक ा क / ा कम / जला टीकाकरण

अ धकारी/रा ह लाइन 1075 पर स क कर

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in