Certificate for COVID-19 Vaccination

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

Certificate ID 43591841924

Beneficiary Details
Beneficiary Name Vishvesh Rajeshkumar Trivedi

Age 21

Gender Male

ID Verified Aadhaar # XXXXXXXX8041

Unique Health ID (UHID) 70-7170-5325-0050

Beneficiary Reference ID 11770478248593

Vaccination Status Fully Vaccinated (2 Doses)

Vaccination Details
Vaccine Name COVISHIELD

Vaccine Type COVID-19 vaccine, non-replicating viral vector

Manufacturer Serum Institute of India

Dose Number 1/2 2/2

Date of Dose 21 Jun 2021 15 Sep 2021

Batch Number 4121Z103 4121Z223

Vaccinated By Dharmishthaben Maheriya

Vaccination At NARODA CHC

Together, India will defeat

COVID-19”
- Prime Minister Narendra Modi

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

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in