Certificate for COVID-19 Vaccination

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

Certificate ID 62544393090

Beneficiary Details
Beneficiary Name Manohar N

Age 32

Gender Male

ID Verified Aadhaar # XXXXXXXX8614

Unique Health ID (UHID)

Beneficiary Reference ID 20791475975730
Vaccination Status Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccine Name Ponmalar

Vaccine Type Hosur UPHC

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer

COVID-19 vaccine,
1/2 04 Jun 2021 COVISHIELD 4121Z085 non-replicating viral Serum Institute of India
vector
COVID-19 vaccine,
2/2 28 Aug 2021 COVISHIELD 4121Z108 non-replicating viral Serum Institute of India
vector
COVID-19 vaccine, Serum Institute of India
Precaution dose 13 Aug 2022 COVISHIELD 4121AA101M non-replicating viral Pvt. Ltd.
vector

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