Certificate for COVID-19 Vaccination

Fully Vaccinated : 2nd Dose

Beneficiary Details

Beneficiary Name / ల Basava Vasantha Kumar

Age / వయ 64

Gender / ంగం Male

ID Verified / ఐ ధృ క ంచబ ం Aadhaar # XXXXXXXX7375

Unique Health ID (UHID)

Beneficiary Reference ID 8777514190692

Vaccination Details

Vaccine Name / COVISHIELD

Date of 1st Dose / ద 06 Mar 2021 (Batch no. 4120Z010)

Date of 2nd Dose / ండవ 22 Apr 2021 (Batch no. 4121Z052)

Vaccinated by / ం న Ch Sireesha

Vaccination at / న Pedagantyada PHC CVC, Visakhapatnam, Andhra

Pradesh

“ పత ం
Together, India will defeat
COVID-19”
- ప నమం న ంద

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075

ఏ ప ల సంఘటన జ , దయ స ప ప గ ందం / వర /
ఇ ష ఆ స సంప ంచం / ష ం. 1075

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in