Certificate for COVID-19 Vaccination

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

Certificate ID 55757453741

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Aarti

Age / उ 43

Gender / लग Female

ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX8629

Unique Health ID (UHID)

Beneficiary Reference ID 84851756881900

Vaccination Status / टीकाकरण क त Fully Vaccinated (2 Doses) and a Precaution Dose

Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम Kusum
Sanjay Gandhi DH Mangolpuri S1, North West Delhi,
Vaccination At / टीकाकरण का ान Delhi

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
खुराक क सं या खुराक क तारीख वै ीन का नाम बैच सं या टीका का कार उ पादक

COVID-19 vaccine,
1/2 20 Aug 2021 COVISHIELD 4121MC057 non-replicating viral vector Serum Institute of India

COVID-19 vaccine, Serum Institute of India Pvt.

2/2 13 Nov 2021 COVISHIELD 4121MC116 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.

Precaution dose 07 Sep 2022 COVISHIELD 4122Z003 non-replicating viral vector Ltd.

“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