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Ministry of Health & Family Welfare Government of India Certificate for COVID-19 Vaccination Issued in India by Ministry of Health & Family Welfare, Govt. of India Certificate ID 18154969379 Beneficiary Details Beneficiary Name / ere a1 Ankta Singh Age! 35 25 Gender / ferT Female ID Verified / veer va verti Aadhaar # XXXXXXXX6697 Unique Heetth ID (UHID) Beneficiary Reference ID 3388511237010 Vaccination Status / dteprascor ot feat Fully Vaccinated (2 Doses) Vaccination Details Vaccine Name fer 1-H COvIsHIELD Vaccine Type | fara Hart COVID-19 vaccine, non-replicating viral vector Manufacturer sereer Serum Institute of India Dose Number / 3a 61 asa we 22 Date of Dose / gree tate 04 Jun 2021 14 Sep 2021 Batch Number / de aaa 41212085, anizne Vaccinated By / Brat amnPt are rare Laxmi Vaccination At / Errata ert Sarvodya Hospital Sec 19, Faridabad, Haryana + + “care vit atk wars Hi es Together, India will defeat COVID-19” In case of any adverse events, kindy contact the nesrest Publi Heath Center Heatticare Worker/Distiet nmunieaton OffcerState Helpline No, 1075, “Sema et a eT BP ee ee Tee HT CATE rote fea a1 1075 AI COwIN ‘ E eos +5 his cetfeate can be verted ay scanning the OR code a nto Neryeown gavin

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