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Certificate for COVID-19 Vaccination

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


Certificate ID 49143603047

Beneficiary Details
Beneficiary Name / ଲାଭାଥୀ ର ନାମ Sanaram Kabasi
Age / ବୟସ 44

Gender / ଲ Male

ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Aadhaar # XXXXXXXX4668

Unique Health ID (UHID)


Beneficiary Reference ID 26469377997591
Vaccination Status / ଟୀକାକରଣ ସିତି Fully Vaccinated (2 Doses)

Vaccination Details
Vaccine Name / ଟିକା ନାମ COVISHIELD

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

Manufacturer / ନିମାତା Serum Institute of India Pvt. Ltd.

Dose Number / େଖାରାକ ନମର 1/2 2/2

Date of Dose / ଟୀକାକରଣ ତାରୀଖ 03 Aug 2021 03 Nov 2021

Batch Number / େବଚ ନମର 4121Z010 4120Z092

Vaccinated By / ଟିକା େଦଉଥବା ବ କି ନାମ Rosalin Biswal

Vaccination At / ଟୀକାକରଣ ସାନ CHALLANGUDA SC, Malkangiri, 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 certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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