Certificate for COVID-19 Vaccination

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

Certificate ID 20348954132

Beneficiary Details
Beneficiary Name / ଲାଭାଥୀ ର ନାମ Sanjay Kudada

Age / ବୟସ 18

Gender / ଲ Male

ID Verified / ଆଇଡି ସତ ାପିତ େହାଇଛି Aadhaar # XXXXXXXX9275

Unique Health ID (UHID)

Beneficiary Reference ID 26473329840945

Vaccination Status / ଟୀକାକରଣ ସିତି Fully Vaccinated (2 Doses)

Vaccination Details
Vaccinated By / ଟିକା େଦଉଥବା ବ କି ନାମ CHUMKI DALABEHERA

Vaccination At / ଟୀକାକରଣ ସାନ BARKOTE CHC, Deogarh, Odisha

Dose Number Date of Dose Vaccine Name Batch Number Vaccine Type Manufacturer
େଖାରାକ ନମର ଟୀକାକରଣ ତାରୀଖ ଟିକା ନାମ େବଚ ନମର ଟିକା ପକାର ନିମାତା

COVID-19 vaccine,
1/2 05 Feb 2022 COVAXIN 37G21168A inactivated virus Bharat Biotech, India

COVID-19 vaccine,
2/2 02 Aug 2022 COVAXIN C1022014 inactivated virus Bharat Biotech, India

“ଔଷଧ ମ ଏବଂ କେଠାରତା ମ

Together, India will defeat
COVID-19”
- ପଧାନମନୀ ନେର େମାଦି

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
େକୗଣସି ପକାର ପତିକୂଳ ଘଟଣା ଘଟିେଲ ଦୟାକରି ନିକଟସ ଜନସାସ େକ / ସାସ େସବା କମୀ / ଜିଲା
ଟୀକାକରଣ ଅଫସର / ରାଜ େହଲଲାଇନ ନମର 1075 ସହିତ େଯାଗାେଯାଗ କର

This certificate can be verified by scanning the QR code at

http://verify.cowin.gov.in