Provisional Certificate for COVID-19 Vaccination - 1st Dose

Beneficiary Details

Beneficiary Name / ల Gorli poorna ganesh

Age / వయ 28

Gender / ంగం Male

ID Verified / ఐ ధృ క ంచబ ం PAN Card # CQLPG0157K

Unique Health ID (UHID)

Beneficiary Reference ID 66179772469750

Vaccination Details

Vaccine Name / COVISHIELD

Date of Dose / 25 Jun 2021 (Batch no. 4121Z085)

Next due date / త ప గ Between 17 Sep 2021 and 15 Oct 2021

Vaccinated by / ం న Akilesh

Vaccination at / న Care Workplace For TCS, Visakhapatnam,

Andhra Pradesh

“ పత ం
Together, India will defeat
COVID-19”
- ప నమం న ంద

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
ఏ ప ల సంఘటన జ , దయ స ప ప గ ందం / వర /
ఇ ష ఆ స సంప ంచం / ష ం. 1075

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

https://verify.cowin.gov.in