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Certificate for COVID-19 Vaccination

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


Certificate ID 76490629076

Beneficiary Details
Beneficiary Name Gaurav Dhananjay Khalate

Age 25

Gender F

ID Verified malesPAN Card #

Unique Health ID (UHID) DSPPK2854E

Beneficiary Reference ID 70785458380760


Vaccination Status Fully Vaccinated (2 Doses)

Vaccination Details
Vaccine Name COVISHIELD

Vaccine Type COVID-19 vaccine, non-replicating viral vector

Manufacturer Serum Institute of India Pvt. Ltd.

Dose Number 1/2 2/2

Date of Dose 2021-07-24 2021-11-23

Batch Number 4121Z094 4121Z237

Vaccinated By K. S. Bichukale

Vaccination At SC Widani (RAJALE)PHALTHAN

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

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