Certificate for COVID-19 Vaccination

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

Certificate ID 83171869107

Beneficiary Details
Beneficiary Name / ଲାଭାଥୀ ର ନାମ Somnath Mmohanty

Age / ବୟସ 17

Gender / ଲ Male

ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Aadhaar # XXXXXXXX1527

Unique Health ID (UHID)

Beneficiary Reference ID 21674166743470
Vaccination Status / ଟୀକାକରଣ ସିତି Fully Vaccinated (2 Doses)

Vaccination Details
Vaccine Name / ଟିକା ନାମ COVAXIN

Vaccine Type / ଟିକା ପକାର COVID-19 vaccine, inactivated virus

Manufacturer / ନିମାତା Bharat Biotech, India

Dose Number / େଖାରାକ ନମର 1/2 2/2

Date of Dose / ଟୀକାକରଣ ତାରୀଖ 04 Jan 2022 02 Feb 2022

Batch Number / େବଚ ନମର 37G21074A 37G21108A

Vaccinated By / ଟିକା େଦଉଥବା ବ କି ନାମ Baidehi Naik

Vaccination At / ଟୀକାକରଣ ସାନ Larambha PHC Attabira 15, Bargarh,

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