Certificate for COVID-19 Vaccination

Issued in India by Ministry of Health & Family Welfare, Govt. of India

Certificate ID 54390294016

Beneficiary Details
Beneficiary Name / लाभाथ चे नाव Vidyanand Doulati Kamble

Age / वय 36

Gender / लग Male

ID Verified / ओळखप Aadhaar # XXXXXXXX5872

Unique Health ID (UHID)

Beneficiary Reference ID 67816985789050
Vaccination Status / लसीकरण ती Fully Vaccinated (2 Doses)

Vaccination Details
Vaccine Name / लसीचे नाव COVISHIELD

Vaccine Type / लस कार COVID-19 vaccine, non-replicating viral vector

Manufacturer / उ पादक Serum Institute of India Pvt. Ltd.

Dose Number / डोस मांक 1/2 2/2

Date of Dose / डोसची तारीख 2021-09-08 2021-12-02

Batch Number / बॅच मांक 4121Z061 4121MC056

Vaccinated By / यां ा ार लसीकरण Varsha Dadasaheb Avtade

Vaccination At / लसीकरणाचे ळ IGM Hospital, Kolhapur, Maharashtra

औषध सु ा आ ण श सु ा
Together, India will defeat
COVID-19”
- पंत धान ी. नर मोदी

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

कोणतेही तकूल प रणाम आढळू न आ यास कृपया जवळचे सावज नक आरो य क / आरो यसेवा
कमचारी/ ज हा लसीकरण अ धकारी/ रा य ह पलाइन मांक १०७५ वर संपक साधा.

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in