Certificate for COVID-19 Vaccination

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

Certificate ID 41402700295

Beneficiary Details
Beneficiary Name Govinthan Pethan

Age 65

Gender Male

ID Verified Aadhaar # XXXXXXXX7871

Unique Health ID (UHID)

Beneficiary Reference ID 31539103495735
Vaccination Status Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccine Name COVISHIELD

Vaccine Type COVID-19 vaccine, non-replicating viral vector

Manufacturer Serum Institute of India Pvt. Ltd.

Dose Number 1/2 2/2 Precaution dose

Date of Dose 01 Aug 2021 23 Oct 2021 07 Aug 2022

Batch Number 4121Z115 4121Z009M 4121AA101M

Vaccinated By Mehala

Vaccination At Somanur BPHC

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