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Certificate for COVID-19 Vaccination

Fully Vaccinated : 2nd Dose

Beneficiary Details

Beneficiary Name Purushothaman

Age 23

Gender Male

ID Verified Aadhaar # XXXXXXXX8278

Unique Health ID (UHID)


Beneficiary Reference ID 31542948111423

Vaccination Details

Vaccine Name COVISHIELD

Date of 1st Dose 04 Jun 2021 (Batch no. 4121Z091)

Date of 2nd Dose 25 Sep 2021 (Batch no. 4121Z224)

Vaccinated by Jayasudha

Vaccination at Saram APHC

Together, India will defeat


COVID-19”
- Prime Minister Narendra Modi

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

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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