Certificate for COVID-19 Vaccination

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

Certificate ID 52138950147

Beneficiary Details
Beneficiary Name P Sumathi

Age 44

Gender Female

ID Verified Aadhaar # XXXXXXXX0885

Unique Health ID (UHID)

Beneficiary Reference ID 16294706149043
Vaccination Status Fully Vaccinated (2 Doses)

Vaccination Details
Vaccine Name COVISHIELD

Vaccine Type COVID-19 vaccine, non-replicating viral vector

Manufacturer Serum Institute of India Pvt. Ltd.

Dose Number 1/2 2/2

Date of Dose 2021-07-20 2021-10-19

Batch Number 4121MC024 4121MF009

Vaccinated By sumitra

Vaccination At WestOf Chordroad SZ 124 (CS)

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