Certificate for COVID-19 Vaccination

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

Certificate ID 51874478118

Beneficiary Details
Beneficiary Name / ଲାଭାଥୀ ର ନାମ Amit Kumar Behera

Age / ବୟସ 24

Gender / ଲ Male

ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Aadhaar # XXXXXXXX9708

Unique Health ID (UHID) 48-7075-8300-0074

Beneficiary Reference ID 28878090877810

Vaccination Status / ଟୀକାକରଣ ସିତି Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccine Name / ଟିକା ନାମ COVISHIELD

Vaccine Type / ଟିକା ପକାର COVID-19 vaccine, non-replicating viral vector

Manufacturer / ନିମାତା Serum Institute of India Pvt. Ltd.

Dose Number / େଖାରାକ ନମର 1/2 2/2 Precaution dose

Date of Dose / ଟୀକାକରଣ ତାରୀଖ 29 May 2021 05 Sep 2021 26 Jul 2022

Batch Number / େବଚ ନମର 4121Z074 4121Z202 4121Z303

Vaccinated By / ଟିକା େଦଉଥବା ବ କି ନାମ Namita Lakra

Vaccination At / ଟୀକାକରଣ ସାନ SECTOR 6 HEALTH CENTRE, Sundargarh,

Odisha

“ଔଷଧ ମ ଏବଂ କେଠାରତା ମ

Together, India will defeat
COVID-19”
- ପଧାନମନୀ ନେର େମାଦି

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
େକୗଣସି ପକାର ପତିକୂଳ ଘଟଣା ଘଟିେଲ ଦୟାକରି ନିକଟସ ଜନସାସ େକ / ସାସ େସବା କମୀ / ଜିଲା
ଟୀକାକରଣ ଅଫସର / ରାଜ େହଲଲାଇନ ନମର 1075 ସହିତ େଯାଗାେଯାଗ କର

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in