Certificate for COVID-19 Vaccination

Fully Vaccinated : 2nd Dose

Beneficiary Details

Beneficiary Name Mohammed Fahat

Age 21

Gender Male

ID Verified Aadhaar # XXXXXXXX8897

Unique Health ID (UHID)

Beneficiary Reference ID 26371086309600

Vaccination Details

Vaccine Name COVISHIELD

Date of 1st Dose 28 Jul 2021 (Batch no. 4121Z130)

Date of 2nd Dose 22 Oct 2021 (Batch no. 4121P229)

Vaccinated by Shila Kumtekar

Vaccination at BAILUR MAVALLI 1

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