Certificate for COVID-19 Vaccination

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

Certificate ID 41717869422

Beneficiary Details
Beneficiary Name / लाभाथ चे नाव Rishap Jaleriya

Age / वय 27

Gender / लग Male

ID Verified / ओळखप Aadhaar # XXXXXXXX6710

Unique Health ID (UHID)

Beneficiary Reference ID 21713867594590

Vaccination Status / लसीकरण ती Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccinated By / यां ा ार लसीकरण Susan John

Vaccination At / लसीकरणाचे ळ AFS Lohegaon Only Armed Forces, Pune, Maharashtra

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
डोस मांक डोसची तारीख लसीचे नाव बॅच मांक लस कार उ पादक

COVID-19 vaccine, Serum Institute of India Pvt.

1/2 07 Mar 2021 COVISHIELD 4121Z012 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.

2/2 12 May 2021 COVISHIELD 4121Z012 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.

Precaution dose 08 Mar 2022 COVISHIELD 4121MF042 non-replicating viral vector Ltd.

औषध सु ा आ ण श सु ा
Together, India will defeat
COVID-19”
- पंत धान ी. नर मोदी

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
कोणतेही तकूल प रणाम आढळू न आ यास कृपया जवळचे सावज नक आरो य क / आरो यसेवा
कमचारी/ ज हा लसीकरण अ धकारी/ रा य ह पलाइन मांक १०७५ वर संपक साधा.

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in