Certificate for COVID-19 Vaccination

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

Certificate ID 67419347031

Beneficiary Details
Beneficiary Name / लाभाथ चे नाव Santosh Nandram Tamta

Age / वय 23

Gender / लग Male

ID Verified / ओळखप Aadhaar # XXXXXXXX1689

Unique Health ID (UHID) 28-8402-6028-6049

Beneficiary Reference ID 48292129390750

Vaccination Status / लसीकरण ती Fully Vaccinated (2 Doses)

Vaccination Details
Vaccine Name / लसीचे नाव COVISHIELD

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

Manufacturer / उ पादक Serum Institute of India Pvt. Ltd.

Dose Number / डोस मांक 1/2 2/2

Date of Dose / डोसची तारीख 20 Sep 2021 21 Dec 2021

Batch Number / बॅच मांक 4121AA017M 4121Z259

Vaccinated By / यां ा ार लसीकरण KALPANA SAVRE

Vaccination At / लसीकरणाचे ळ KDMCG AZADE PISAVALI UPHC 3, Thane,

Maharashtra

औषध सु ा आ ण श सु ा
Together, India will defeat
COVID-19”
- पंत धान ी. नर मोदी

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

कोणतेही तकूल प रणाम आढळू न आ यास कृपया जवळचे सावज नक आरो य क / आरो यसेवा
कमचारी/ ज हा लसीकरण अ धकारी/ रा य ह पलाइन मांक १०७५ वर संपक साधा.

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in