Certificate for COVID-19 Vaccination

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

Certificate ID 97415475570

Beneficiary Details
Beneficiary Name / ଲାଭାଥୀ ର ନାମ Tofan Kumar Sahoo

Age / ବୟସ 20

Gender / ଲ Male

ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Aadhaar # XXXXXXXX1838

Unique Health ID (UHID) 20-8680-6064-4560

Beneficiary Reference ID 34559389142090

Vaccination Status / ଟୀକାକରଣ ସିତି Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccine Name / ଟିକା ନାମ COVISHIELD

Vaccine Type / ଟିକା ପକାର COVID-19 vaccine, non-replicating viral vector

Manufacturer / ନିମାତା Serum Institute of India Pvt. Ltd.

Dose Number / େଖାରାକ ନମର 1/2 2/2 Precaution dose

Date of Dose / ଟୀକାକରଣ ତାରୀଖ 08 Jun 2021 03 Sep 2021 16 Jul 2022

Batch Number / େବଚ ନମର 4121Z092 4121P133 4121Z279

Vaccinated By / ଟିକା େଦଉଥବା ବ କି ନାମ Sukanya

Vaccination At / ଟୀକାକରଣ ସାନ CHAULIAGANJA CHC 18 And Above, Cuttack,

Odisha

“ଔଷଧ ମ ଏବଂ କେଠାରତା ମ

Together, India will defeat
COVID-19”
- ପଧାନମନୀ ନେର େମାଦି

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
େକୗଣସି ପକାର ପତିକୂଳ ଘଟଣା ଘଟିେଲ ଦୟାକରି ନିକଟସ ଜନସାସ େକ / ସାସ େସବା କମୀ / ଜିଲା
ଟୀକାକରଣ ଅଫସର / ରାଜ େହଲଲାଇନ ନମର 1075 ସହିତ େଯାଗାେଯାଗ କର

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in