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Certificate for COVID-19 Vaccination

Fully Vaccinated : 2nd Dose

Beneficiary Details

Beneficiary Name / ಫ ಾನುಭ ಯ ಸರು Zadingluaia Chinzah

Age / ವಯಸು 39

Gender / ಂಗ Male

ID Verified / ಐ. . ಗುರುತು Aadhaar # XXXXXXXX1904

Unique Health ID (UHID) 52-3763-7670-5050

Beneficiary Reference ID 78519195884860

Vaccination Details

Vaccine Name / ಲ ಸರು COVISHIELD

Date of 1st Dose / ದಲ ೂೕ ಾಂಕ 16 Jun 2021 (Batch no. 4121Z059)

Date of 2nd Dose / ಎರಡ ೕ ೂೕ ಾಂಕ 11 Sep 2021 (Batch no. 4121Z110)

Vaccinated by / ಲ ೕ ದವರು SHIVAPPA I.L

Vaccination at / ಲ ಾ ದ ಸಳ JAIN BLOCK 2, BBMP, Karnataka

“ಔಷ /ಲ ೕಕು,
ೂ ದೃಢ ೕಕು
Together, India will defeat
COVID-19”
- ಪ ಾನಮಂ ನ ೕಂದ ೕ

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
ಾವ ೕ ಅಡಪ ಾಮ ಉಂ ಾದ ಸಂದಭ ದ , ದಯ ಟು ಸ ೕಪದ ಾವ ಜ ಕ ಆ ೂೕಗ
ೕಂದ /ಆ ೂೕಗ ಶುಷೂ ಾಯ ಕ / ಾ ಲ ಅ ಾ / ಾಜ ಸ ಾಯ ಾ ಸಂ. 1075
ಸಂಪ

This certificate can be verified by scanning the QR code at


http://verify.cowin.gov.in

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