Certificate for COVID-19 Vaccination

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

Certificate ID 29961475386

Beneficiary Details
Beneficiary Name / িহতািধকাৰীৰ নাম Wasim AkraM

Age / বয়স 19

Gender / িলংগ Male

ID Verified / পিৰচয় প সত ািপত PAN Card # DXTPA2177P

Unique Health ID (UHID)

Beneficiary Reference ID 11177667079700
Vaccination Status / কাকৰণৰ ি িত Fully Vaccinated (2 Doses)

Vaccination Details
Vaccine Name / ভি নৰ নাম COVISHIELD

Vaccine Type / ভকিচনৰ কাৰ COVID-19 vaccine, non-replicating viral vector

Manufacturer / িনমাতা Serum Institute of India

Dose Number / পািল সংখ া 1/2 2/2

Date of Dose / পািলৰ তািৰখ 19 May 2021 28 Aug 2021

Batch Number / ব সংখ া 4121Z074 4121MC064

Vaccinated By / কাকৰণ কিৰেছ Chinu Das

Vaccination At / কাকৰণৰ ান Amguri MPHC, Bongaigaon, Assam

“ঔষধৰ লগেত কেঠাৰতাও

Together, India will defeat
COVID-19”
- ধান ম ী নেৰ মাডী

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

িযেকােনা িতকল ঘটনাৰ ত, অনু হ কিৰ িনকটৱতী ৰাজ ৱা া ক / া কমী/িজলা

কাকৰণ িবষয়া/ ৰািজ ক হ লাই ন ৰ 1075 ত যাগােযাগ কৰক।

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in