Certificate for COVID-19 Vaccination

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

Certificate ID 10171056616

Beneficiary Details
Beneficiary Name / ಫ ಾನುಭ ಯ ಸರು Joshua J

Age / ವಯಸು 26

Gender / ಂಗ Male

ID Verified / ಐ. . ಗುರುತು PAN Card # BIEPJ6814N

Unique Health ID (UHID)

Beneficiary Reference ID 16294578263151
Vaccination Status / ಲ ೕ ಗ Fully Vaccinated (2 Doses)

Vaccination Details
Vaccine Name / ಲ ಸರು COVISHIELD

Vaccine Type / ಾವ ೕ ಯ ಲ COVID-19 vaccine, non-replicating viral vector

Manufacturer / ತ ಾರಕರು Serum Institute of India Pvt. Ltd.

Dose Number / ೂೕ ಸಂ 1/2 2/2

Date of Dose / ೂೕ ಾಂಕ 11 Jan 2022 14 Apr 2022

Batch Number / ಾ ಸಂ 4121AA070M 4121Z022M

Vaccinated By / ಲ ೕ ದವರು USHA DEVI

Vaccination At / ಲ ಾ ದ ಸಳ BYATARAYANAPURA UPHC C1 - Y 11, BBMP,

Karnataka

“ಔಷ /ಲ ೕಕು,
ೂ ದೃಢ ೕಕು
Together, India will defeat
COVID-19”
- ಪ ಾನಮಂ ನ ೕಂದ ೕ

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
ಾವ ೕ ಅಡಪ ಾಮ ಉಂ ಾದ ಸಂದಭ ದ , ದಯ ಟು ಸ ೕಪದ ಾವ ಜ ಕ ಆ ೂೕಗ
ೕಂದ /ಆ ೂೕಗ ಶುಷೂ ಾಯ ಕ / ಾ ಲ ಅ ಾ / ಾಜ ಸ ಾಯ ಾ ಸಂ. 1075
ಸಂಪ

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in