Certificate for COVID-19 Vaccination

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

Certificate ID 10375158026

Beneficiary Details
Beneficiary Name / ಫ ಾನುಭ ಯ ಸರು Chinmayi. B

Age / ವಯಸು 19

Gender / ಂಗ Female

ID Verified / ಐ. . ಗುರುತು Aadhaar # XXXXXXXX2205

Unique Health ID (UHID)

Beneficiary Reference ID 10175631083400
Vaccination Status / ಲ ೕ ಗ Partially Vaccinated (1 Dose)

Vaccination Details
Vaccine Name / ಲ ಸರು COVAXIN

Vaccine Type / ಾವ ೕ ಯ ಲ COVID-19 vaccine, inactivated virus

Manufacturer / ತ ಾರಕರು Bharat Biotech, India

Dose Number / ೂೕ ಸಂ 1/2

Date of Dose / ೂೕ ಾಂಕ 17 Jan 2022

Batch Number / ಾ ಸಂ 37M21018A

Next Due Date / ಮುಂ ನ ಲ ೕಡುವ ಾಂಕ Between 14 Feb 2022 and 28 Feb 2022

Vaccinated By / ಲ ೕ ದವರು DR LAVANYA

Vaccination At / ಲ ಾ ದ ಸಳ SZ 153 Vijaya bi furcated pu , BBMP,

Karnataka

“ಔಷ /ಲ ೕಕು,
ೂ ದೃಢ ೕಕು
Together, India will defeat
COVID-19”
- ಪ ಾನಮಂ ನ ೕಂದ ೕ

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
ಾವ ೕ ಅಡಪ ಾಮ ಉಂ ಾದ ಸಂದಭ ದ , ದಯ ಟು ಸ ೕಪದ ಾವ ಜ ಕ ಆ ೂೕಗ
ೕಂದ /ಆ ೂೕಗ ಶುಷೂ ಾಯ ಕ / ಾ ಲ ಅ ಾ / ಾಜ ಸ ಾಯ ಾ ಸಂ. 1075
ಸಂಪ

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in