Certificate for COVID-19 Vaccination

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

Certificate ID 82543189454

Beneficiary Details
Beneficiary Name / ల Jakka Adinarayana

Age / వయ 65

Gender / ంగం Male

ID Verified / ఐ ధృ క ంచబ ం Aadhaar # XXXXXXXX8160

Unique Health ID (UHID)

Beneficiary Reference ID 2082162270560
Vaccination Status / ట Fully Vaccinated (2 Doses)

Vaccination Details
Vaccine Name / COVISHIELD

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

Manufacturer / త Serum Institute of India

Dose Number / సంఖ 1/2 2/2

Date of Dose / 01 Apr 2021 03 May 2021

Batch Number / నంబ 4121Z061 4121Z061

Vaccinated By / ం న M Simhachalam

Vaccination At / న RP Peta Mak CVC SIte, Visakhapatnam,

Andhra Pradesh

“ పత ం
Together, India will defeat
COVID-19”
- ప నమం న ంద

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

ఏ ప ల సంఘటన జ , దయ స ప ప గ ందం / వర /
ఇ ష ఆ స సంప ంచం / ష ం. 1075

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in