Certificate for COVID-19 Vaccination

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

Certificate ID 61897585969

Beneficiary Details
Beneficiary Name / लाभाथ को नाम Bhagi Rath Dhital

Age / उमेर 55

Gender / लङ्ग Male

ID Verified / प हचान पु ग रएको Aadhaar # XXXXXXXX6039

Unique Health ID (UHID) 64-5415-1810-1353

Beneficiary Reference ID 30536401098989

Vaccination Status / खोपको अव ा Fully Vaccinated (2 Doses)

Vaccination Details
Vaccine Name / खोपको नाम COVISHIELD

Vaccine Type / खोपको कार COVID-19 vaccine, non-replicating viral vector

Manufacturer / उ पादक Serum Institute of India

Dose Number / डोजको न र 1/2 2/2

Date of Dose / डोजको म त 22 Apr 2021 16 Jul 2021

Batch Number / ाच न र 4121Z021 4121Z105

Vaccinated By / खोप लगाउने Ruth Shanker

Vaccination At / खोप लगाइएको ान Tharpu HWC, West Sikkim, Sikkim

“औषधी प न अनुशासन प न
Together, India will defeat
COVID-19”
- धानम ी नर मोदी

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

कुनै प न तकुल घटना भएमा, न जकैको सावज नक ा के / ा कम / ज ाको खोप कमचारी/

रा लाई ह लाइन न र 1075 मा स क गनुहोस्

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in