Certificate for COVID-19 Vaccination

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

Certificate ID 13603025313

Beneficiary Details
Beneficiary Name / িহতািধকাৰীৰ নাম Debajit Gogoi

Age / বয়স 40

Gender / িলংগ Male

ID Verified / পিৰচয় প সত ািপত PAN Card # BJSPG6444A

Unique Health ID (UHID)

Beneficiary Reference ID 20212475099260
Vaccination Status / কাকৰণৰ ি িত Partially Vaccinated (1 Dose)

Vaccination Details
Vaccine Name / ভি নৰ নাম COVISHIELD

Vaccine Type / ভকিচনৰ কাৰ COVID-19 vaccine, non-replicating viral vector

Manufacturer / িনমাতা Serum Institute of India

Dose Number / পািল সংখ া 1/2

Date of Dose / পািলৰ তািৰখ 2021-09-09

Batch Number / ব সংখ া 4121AA006M

Next Due Date / পৰৱতী িনয়ত তািৰখ Between 02 Dec 2021 and 30 Dec 2021

Vaccinated By / কাকৰণ কিৰেছ Ranu Sonowal

Vaccination At / কাকৰণৰ ান Sector A LPS BVFCL NAMRUP, Dibrugarh,

Assam

“ঔষধৰ লগেত কেঠাৰতাও

Together, India will defeat
COVID-19”
- ধান ম ী নেৰ মাডী

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

িযেকােনা িতকল ঘটনাৰ ত, অনু হ কিৰ িনকটৱতী ৰাজ ৱা া ক / া কমী/িজলা

কাকৰণ িবষয়া/ ৰািজ ক হ লাই ন ৰ 1075 ত যাগােযাগ কৰক।

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in