Certificate for COVID-19 Vaccination

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

Certificate ID 91490217095

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Mahboob Alam

Age / उ 73

Gender / लग Male

ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX6366

Unique Health ID (UHID) 48-0682-7113-1436

Beneficiary Reference ID 38326989045070

Vaccination Status / टीकाकरण क त Partially Vaccinated (1 Dose)

Vaccination Details
Vaccine Name / वै ीन का नाम COVISHIELD

Vaccine Type / टीका का कार COVID-19 vaccine, non-replicating viral vector

Manufacturer / उ पादक Serum Institute of India

Dose Number / खुराक क सं या 1/2

Date of Dose / खुराक क तारीख 2021-09-20

Batch Number / बैच सं या 4121P199

Next Due Date / अगली नयत त थ Between 13 Dec 2021 and 10 Jan 2022

Vaccinated By / टीका लगाने वाले का नाम Deepak Karmkar

Vaccination At / टीकाकरण का ान Andhra Ass. English School, East

Singhbhum, Jharkhand

“दवाई भी और कड़ाई भी।

Together, India will defeat
COVID-19”
- धानमं ी नर मोदी

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

टीकाकरण प ात कसी तकूल घटना के होने पर नज़दीक ा क / ा कम / जला टीकाकरण

अ धकारी/रा ह लाइन 1075 पर स क कर

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in