Certificate for COVID-19 Vaccination

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

Certificate ID 14509215279

Beneficiary Details
Beneficiary Name / பலனா ெபய Raghavendran T B

Age / வய 32

Gender / பா ன Male

ID Verified / அைடயாள சா PAN Card # AWJPR0396M

Unique Health ID (UHID)

Beneficiary Reference ID 72564962811750
Vaccination Status / த ைல Partially Vaccinated (1 Dose)

Vaccination Details
Vaccine Name / த ெபய COVISHIELD

Vaccine Type / த வைக COVID-19 vaccine, non-replicating viral vector

Manufacturer /  உ ப யாள Serum Institute of India

Dose Number /  ேடா எ 1/2

Date of Dose / ேடா வழ க ப ட ேத 2021-07-22

Batch Number /  ேப எ 4121MC027

Next Due Date / அ த ைவ ேத Between 14 Oct 2021 and 11 Nov 2021

Vaccinated By / த ைய வழ யவ Sakthivel T

Vaccination At / த வழ க ப ட இட Nallampalli APHC WPCVC, Dharmapuri,

Tamil Nadu

“ம ம
மன ட
Together, India will defeat
COVID-19”
- ரதம ம நேர ர ேமா

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
ஏேத எ மைற ைள க ஏ ப டா , தய ெச அ காைம ள ெபா
காதார ைமய / ஆேரா ய பராம ப யாள / மாவ ட த அ வல /
மா ல உத எ . 1075ஐ ெதாட ெகா ள .

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in