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  • Vaccination Certificate

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    Gupta Samayamantula
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    This document is a provisional certificate for a first dose of the COVISHIELD COVID-19 vaccine received by S Manjunath, a 24-year-old male. He received the vaccine on July 30, 2021 at PHC Puchakayala Mada in Kurnool, Andhra Pradesh from vaccinator padmavathi. His next due date for the second dose is between October 22 and November 19, 2021. The certificate contains his unique health ID and beneficiary reference ID for verification.

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    Original Title

    vaccination certificate (1)

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    This document is a provisional certificate for a first dose of the COVISHIELD COVID-19 vaccine received by S Manjunath, a 24-year-old male. He received the vaccine on July 30, 2021 at PHC Puchakayala Mada in Kurnool, Andhra Pradesh from vaccinator padmavathi. His next due date for the second dose is between October 22 and November 19, 2021. The certificate contains his unique health ID and beneficiary reference ID for verification.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    8 views1 page

    Vaccination Certificate

    Uploaded by

    Gupta Samayamantula
    This document is a provisional certificate for a first dose of the COVISHIELD COVID-19 vaccine received by S Manjunath, a 24-year-old male. He received the vaccine on July 30, 2021 at PHC Puchakayala Mada in Kurnool, Andhra Pradesh from vaccinator padmavathi. His next due date for the second dose is between October 22 and November 19, 2021. The certificate contains his unique health ID and beneficiary reference ID for verification.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Provisional Certificate for COVID-19 Vaccination - 1st Dose

    Beneficiary Details

    Beneficiary Name / ల S Manjunath

    Age / వయ 24

    Gender / ంగం Male

    ID Verified / ఐ ధృ క ంచబ ం Aadhaar # XXXXXXXX8386

    Unique Health ID (UHID)


    Beneficiary Reference ID 2071611714190

    Vaccination Details

    Vaccine Name / COVISHIELD

    Date of 1st Dose / ద 30 Jul 2021 (Batch no. 4121MC039)

    Next due date / త ప గ Between 22 Oct 2021 and 19 Nov 2021

    Vaccinated by / ం న padmavathi

    Vaccination at / న PHC Puchakayala Mada, Kurnool, 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

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