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Ministry of Health & Family Welfare

Government of India

Certificate for COVID-19 Vaccination


Issued in India by Ministry of Health & Family Welfare, Govt, of India
Certificate ID 96478867473

Beneficiary Details
Beneficiary Name / Riyaz Abdul Rahim Shaikh
Age / 51
Gender / Male
ID Verified / Aadhaar # XXXXXXXX5405
Unique Health ID (UHID)
Beneficiary Reference ID 21392506025418
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 Pvt. Ltd.
Dose Number / Vaccination At /
Date of Dose / 1/2 2/2
2021-09-08 2021-12-0
Batch Number / 8
Vaccinated By / 4121Z241 4121Z241
KUŞUM NIKAM
NMMC VASHIGAON UPHC, Thane, Maharashtra

Together, India will defeat


COVID-19”

เท case of any adverse events, kindly contact the nearest Public


Health Center/ Healthcare Worker/District Immunization
Officer/state Helpline No. 1075
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COWIN
Winning Over COVID

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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