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Final Certificate for COVID-19 Vaccination

Beneficiary Details

Beneficiary Name / ଲାଭାଥୀ ର ନାମ Mohammad sarim

Age / ବୟସ 19

Gender / ଲ Male

ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Aadhaar # XXXXXXXX8799

Unique Health ID (UHID) 36-0108-8710-5879

Beneficiary Reference ID 99232510801370

Vaccination Details

Vaccine Name / ଟିକା ନାମ COVISHIELD

Date of 1st Dose / ପଥମ େଡାଜର ତାରିଖ 28 Jun 2021 (Batch no. 4121mc013)

Date of 2nd Dose / ଦିତୀୟ େଡାଜର ତାରିଖ 20 Sep 2021 (Batch no. 4121Z223)

Vaccinated by / ଟିକା େଦଉଥବା ବ କି ନାମ Amita Mohanty

Vaccination at / ଟୀକାକରଣ ସାନ UTKAL CENTRE POINT JAJPUR ROAD, Jajpur,

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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