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Provisional Certificate for COVID-19 Vaccination - 1st Dose

Beneficiary Details

Beneficiary Name / ‫م‬ ‫د‬ Mufaizul Zaman

Age / 22

Gender / Male

ID Verified / ‫ڈی‬ ‫ہآ‬ Aadhaar # XXXXXXXX6651

Unique Health ID (UHID)


Beneficiary Reference ID 14220732424203

Vaccination Details

Vaccine Name / ‫م‬ ‫و‬ COVISHIELD

Date of 1st Dose / ‫ر‬ ‫راک‬ 18 Sep 2021 (Batch no. 4121Z211)

Next due date / ‫رہ ر‬ ‫ا‬ Between 11 Dec 2021 and 08 Jan 2022

Vaccinated by / ‫م‬ ‫وا‬ mehraj-u-din darzi

Vaccination at / ‫م‬ ‫ری‬ Uphc Harwan, Srinagar, Jammu and

Kashmir

‫اور‬ ‫دوا‬
Together, India will defeat
COVID-19”
‫دی‬ ‫ر‬ ‫ا‬ ‫ وز‬-

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
1075 ‫ا‬ / ‫ور‬ / ‫اہ م د‬ ‫رت‬ ‫ف وا‬
‫ر‬/ ‫آ‬ ‫۔‬ ‫را‬

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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