Provisional Certificate for COVID-19 Vaccination - 1st Dose

Beneficiary Details

Beneficiary Name / பலனா ெபய JEYAKUMAR R

Age / வய 30

Gender / பா ன Male

ID Verified / அைடயாள சா PAN Card # AVUPJ5920F

Unique Health ID (UHID)

Beneficiary Reference ID 18849470562220

Vaccination Details

Vaccine Name / த ெபய COVAXIN

Date of Dose / ேடா வழ க ப ட ேத 01 May 2021 (Batch no. 37F21034A)

Next due date / அ த ைவ ேத Between 29 May 2021 and 12 Jun 2021

Vaccinated by / த ைய வழ யவ DR KARPAGAM CVC

Vaccination at / த வழ க ப ட இட CMCH CVC 2, Coimbatore, Tamil Nadu

“ம ம மன ட
Together, India will defeat
COVID-19”
- ரதம ம

In case of any adverse events, kindly contact the nearest Public Health Center/
Healthcare Worker/District Immunization Officer/State Helpline No. 1075
ஏேத எ மைற ைள க ஏ ப டா , தய ெச அ காைம ள ெபா
காதார ைமய / ஆேரா ய பராம ப யாள / மாவ ட த அ வல /
மா ல உத எ . 1075ஐ ெதாட ெகா ள .

This is a secure QR code. For further details, please visit

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