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Certificate for COVID-19 Vaccination

Fully Vaccinated : 2nd Dose


Beneficiary Details Vaccine Name /
वासीनाच नां व
Beneficiary Name /
लाभाथीचें़ नांव Date of 1st Dose /
पहली डोसाची तारीश
Age
Date of 2nd Dose /
/ सरी डोसाची तारीश

पिर Vaccinated by / वासीन


के लां

Vaccination at / वासीन


Gender / लिंग
Shripad S Kotharkar
lsD Verified / ल आयडी
32
Unique Health ID Male
(UHID)
Aadhaar #
Beneficiary Reference
xxxxxxxx2426
ID

Vaccination Details 10151556450818


COVISHIELD

22 July 2021 (Batch


no. 4121MC018)

14 Oct 2021 (Batch


no. 4121MC022)

Shilpa gawade

Community Hall
Taliegao, North Goa,
Goa

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