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Certificate for COVID-19 Vaccination

Fully Vaccinated : 2nd Dose

Beneficiary Details

Beneficiary Name / लाभाथ च Rashami Moreshwar Tari


नां व
Age
/
पराय 24

Gender /
ल Female

ID Verified / तपा श ी आयडी Aadhaar # XXXXXXXX0705
Unique Health ID (UHID)

Beneficiary Reference ID
10152902274197

Vaccination Details

Vaccine Name /
वासीनाच COVISHIELD
नां व
Date of 1st Dose / पहली डोसाची तारीश 30 Jun 2021 (Batch no. 4121MC009)

Date of 2nd Dose


/ ूसरी डोसाची 01 Oct 2021 (Batch no. 4121MC029)
तारीश
Vaccinated by
वासीन“वखद
के लांबी आ ण श बी Punam gawas
/ Vaccination at Together, India will defeat
वासीनCOVID
द ो नामो -19” PHC BETKI SATELLITE CENTER, South
/ - धान मं ी नर मोदी
Goa, Goa

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
खं यचोय तकू ल प रणाम जाणवलो जा ार, उपकार क न लागसर
ा भौशीक भलायक क / भलायक जतनाय कम चारी/ डि इ
ुनायझे शन ऑफ सर/रा हॅ लायन . १०७५ / चे र सं पक करचो

This certificate can be verified by scanning the QR code at

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