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Provisional Certificate for COVID-19 Vaccination - 1st Dose

Beneficiary Details

Beneficiary Name / ‫م‬ ‫د‬ Zalin

Age / 24

Gender / Female

ID Verified / ‫ڈی‬ ‫ہآ‬ PAN Card # ACEPZ4303M

Unique Health ID (UHID)


Beneficiary Reference ID 99546291065060

Vaccination Details

Vaccine Name / ‫م‬ ‫و‬ COVISHIELD

Date of 1st Dose / ‫ر‬ ‫راک‬ 02 Aug 2021 (Batch no. 4121MC043)

Next due date / ‫رہ ر‬ ‫ا‬ Between 25 Oct 2021 and 22 Nov 2021

Vaccinated by / ‫م‬ ‫وا‬ Pinki Khajuria

Vaccination at / ‫م‬ ‫ری‬ Talab Khatikan UPHC, Jammu, Jammu and

Kashmir

‫اور‬ ‫دوا‬
Together, India will defeat
COVID-19”
‫دی‬ ‫ر‬ ‫ا‬ ‫ وز‬-

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
1075 ‫ا‬ / ‫ور‬ / ‫اہ م د‬ ‫رت‬ ‫ف وا‬
‫ر‬/ ‫آ‬ ‫۔‬ ‫را‬

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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