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Ministry of Health & Family Welfare

Government of India

Certificate for COVID-19 Vaccination


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

Cerlificate iD 53981780389

Beneficiary Details
R. Suganya Devi
Beneficiary Name/uwOTT6uil607 6lLuj
35
Age/ 6wgi
Gender / UTovi6OTLD Femaie

Aadhaar # XXXXXXXx8074
ID Verified/ 6LuTOTE FT6010

Unique Health ID (UHID)

Beneficiary Reference ID 16191825917720

Vaccination Status/ SGLYA Blsom6v Fully Vaccinated (2 Doses)

Vaccination Details
Vaccine Name/ $Guydlulsot Gluuuj cOVISHIELD
coviD-19 vaccine, non-repiicating virai vector
Vaccine Type 56Lysl au6ms
Serum Institute of India Pvt. Ltd.
Manufacturer/ 2pu$lunsnj
1/2 2/2
Dose Number/ &LnoD 616D0T
2021-07-12 2021-10-03
Date of Dose/ GLT6IU UPTHBÚULL G55|
41212108 4121MFO07
Batch Number/ EuL s160OT

Vaccinated By/ $6uytlmu aphibluwouT Rishvana S

Surampatti UPHC, Erode, Tamil Nadu


Vaccination At/ $Guyl prAiBULLL BL

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Together, India will defeat
COVID-19

7 Case ot any acverse events. kindiy contact the neatest Public Heaith Centeri

eNSrTe WorkerDstre? im:nzaton c e r Statee Hetpline No. 1075

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