Certificate for COVID-19 Vaccination

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

Certificate ID 86846704024

Beneficiary Details
Beneficiary Name / लाभाथ चे नाव Sanskruti Diliprao Raut

Age / वय 19

Gender / लग Female

ID Verified / ओळखप Aadhaar # XXXXXXXX4312

Unique Health ID (UHID)

Beneficiary Reference ID 21366906317403
Vaccination Status / लसीकरण ती Partially Vaccinated (1 Dose)

Vaccination Details
Vaccine Name / लसीचे नाव COVISHIELD

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

Manufacturer / उ पादक Serum Institute of India Pvt. Ltd.

Dose Number / डोस मांक 1/2

Date of Dose / डोसची तारीख 2021-11-12

Batch Number / बॅच मांक 4121AA029M

Next Due Date / पुढील दय तारीख Between 04 Feb 2022 and 04 Mar 2022

Vaccinated By / यां ा ार लसीकरण Yogesh Gawae

Vaccination At / लसीकरणाचे ळ 68 Vichory PHC CCP 45-, Amravati,

Maharashtra

औषध सु ा आ ण श सु ा
Together, India will defeat
COVID-19”
- पंत धान ी. नर मोदी

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

कोणतेही तकूल प रणाम आढळू न आ यास कृपया जवळचे सावज नक आरो य क / आरो यसेवा
कमचारी/ ज हा लसीकरण अ धकारी/ रा य ह पलाइन मांक १०७५ वर संपक साधा.

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in