Certificate for COVID-19 Vaccination

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

Certificate ID 12885662092

Beneficiary Details
Beneficiary Name Shaik Hyder Ali

Age 28

Gender Male

ID Verified Passport # NO152211

Unique Health ID (UHID)

Beneficiary Reference ID 32611488590860
Vaccination Status Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccinated By Ch Varalaxmi

Vaccination At Dabeerpura UPHC CIRCLE 6 30

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

COVID-19 vaccine, Serum Institute of India Pvt.

1/2 17 Jun 2021 COVISHIELD 4121MC003 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.

2/2 20 Sep 2021 COVISHIELD 4121AA012M non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.

Precaution dose 26 Oct 2022 COVISHIELD 4122AA012 non-replicating viral vector Ltd.

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