Certificate for COVID-19 Vaccination

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

Certificate ID 54558143188

Beneficiary Details
Beneficiary Name / लाभाथ का नाम Shivsampat

Age / उ 42

Gender / लग Male

ID Verified / पहचान प स ा पत Aadhaar # XXXXXXXX8733

Unique Health ID (UHID)

Beneficiary Reference ID 34693105237623

Vaccination Status / टीकाकरण क त Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / टीका लगाने वाले का नाम Sindhu Anm

Vaccination At / टीकाकरण का ान PHC Kon (CVC-G), Sonbhadra, Uttar Pradesh

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, Serum Institute of India Pvt.

1/2 10 Dec 2021 COVISHIELD 4122MF029 non-replicating viral vector Ltd.

COVID-19 vaccine, Serum Institute of India Pvt.

2/2 25 Apr 2022 COVISHIELD 4121AA097M 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