RECEIPT S.No.

108
COVID 19 VACCINATION SLIP Date: t )/o -+/ 2 L

1. Name of Beneficiary : S h_etc,JJ J)o.s

2. Mobile No. of Beneficiary : q G41- Q..9 s 1 '2- 3

3. Vaccination Site : Apollo Clinic, Thakurpukur

4. Vaccine Received: COVAXIN

5. Date of 1st Dose : t / o"f / 1- 1-

6. Date of 2nd Dose : Between 4 - 6 weeks as per schedule

By Cash on a/c of Covid -19 Vaccine

[ Rs.: 1410/-]
Signature of Authorised Person

Licencee : Muskanumang Health Care LLP

"MUSKAN", 289, Diamond Harbour Road, Thakurpukur, Kolkata - 700 063
Phone: 033-2467 1020 / 1021 Email: thakurpukurkol@apolloclinic.com
Mobile: 6290251825 / 7439485859