Provisional Certificate for COVID-19 Vaccination - 1st Dose

Beneficiary Details

Beneficiary Name / ଲାଭାଥୀ ର ନାମ Pravanjali Mishra

Age / ବୟସ 51

Gender / ଲ Female

ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Aadhaar # XXXXXXXX5577

Unique Health ID (UHID)

Beneficiary Reference ID 26448791193103

Vaccination Details

Vaccine Name / ଟିକା ନାମ COVISHIELD

Date of Dose / ଟୀକାକରଣ ତାରୀଖ 15 Jun 2021 (Batch no. 4121Z076)

Next due date / ପରବ ୀ ଟୀକାକରଣ ତାରିଖ Between 07 Sep 2021 and 05 Oct 2021

Vaccinated by / ଟିକା େଦଉଥବା ବ କି ନାମ Priyanka Panda

Vaccination at / ଟୀକାକରଣ ସାନ Canteen Building BBMCH CVC NEW, Balangir,

Odisha

“ଔଷଧ ମ ଏବଂ କେଠାରତା ମ

Together, India will defeat
COVID-19”
- ପଧାନମନୀ ନେର େମାଦି

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
େକୗଣସି ପକାର ପତିକୂଳ ଘଟଣା ଘଟିେଲ ଦୟାକରି ନିକଟସ ଜନସାସ େକ / ସାସ େସବା କମୀ / ଜିଲା
ଟୀକାକରଣ ଅଫସର / ରାଜ େହଲଲାଇନ ନମର 1075 ସହିତ େଯାଗାେଯାଗ କର

This is a secure QR code. For further details, please visit

https://verify.cowin.gov.in