Final Certificate for COVID-19 Vaccination

Beneficiary Details

Beneficiary Name / ଲାଭାଥୀ ର ନାମ Bellana KavyA

Age / ବୟସ 27

Gender / ଲ Female

ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Aadhaar # XXXXXXXX1916

Unique Health ID (UHID) 46-2604-8443-5058

Beneficiary Reference ID 63897484532980

Vaccination Details

Vaccine Name / ଟିକା ନାମ COVISHIELD

Date of 1st Dose / ପଥମ େଡାଜର ତାରିଖ 27 May 2021 (Batch no. 4121Z072)

Date of 2nd Dose / ଦିତୀୟ େଡାଜର ତାରିଖ 20 Aug 2021 (Batch no. 4121MC052)

Vaccinated by / ଟିକା େଦଉଥବା ବ କି ନାମ SANJUBATI SABAR

Vaccination at / ଟୀକାକରଣ ସାନ GOVT. CT TRAINING SCHOOL, Rayagada,

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