Provisional Certificate for COVID-19 Vaccination - 1st Dose

Beneficiary Details

Beneficiary Name / ଲାଭାଥୀ ର ନାମ Prasanjit Dash

Age / ବୟସ 24

Gender / ଲ Male

ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Aadhaar # XXXXXXXX8855

Unique Health ID (UHID) 24-5507-5344-2686

Beneficiary Reference ID 72908168527190

Vaccination Details

Vaccine Name / ଟିକା ନାମ COVISHIELD

Date of Dose / ଟୀକାକରଣ ତାରୀଖ 12 Jun 2021 (Batch no. 4121Z092)

Next due date / ପରବ ୀ ଟୀକାକରଣ ତାରିଖ Between 04 Sep 2021 and 02 Oct 2021

Vaccinated by / ଟିକା େଦଉଥବା ବ କି ନାମ Tapaswani Sahoo

Vaccination at / ଟୀକାକରଣ ସାନ Canteen Building BBMCH WP CVC, 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